Giuseppe Defeudis1,2, Yeganeh Manon Khazrai3, Claudia Di Rosa3, Chiara Secchi3, Anna Montedoro3, Anna Rita Maurizi3, Andrea Palermo3, Paolo Pozzilli3, Silvia Manfrini3. 1. Unit of Endocrinology and Diabetes, Department of Medicine, University Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, Rome, Italy. g.defeudis@unicampus.it. 2. Department of Experimental Medicine, Sapienza University of Rome, Rome, Italy. g.defeudis@unicampus.it. 3. Unit of Endocrinology and Diabetes, Department of Medicine, University Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, Rome, Italy.
Abstract
PURPOSE: The purpose of this study is to evaluate the effectiveness of the educational tool, Conversation Maps™ (CM), combined with a weight loss program, in improving metabolic control of as well as knowledge about diabetes, in a population with type 2 diabetes (T2DM) with mildly impaired glycemic control. METHODS: This is a longitudinal observational study in which 66 subjects, aged 67.8 ± 7.93, were included either in the educational program with CM, once weekly for 4 weeks (T4), combined with a weight loss regime (group A, n = 32), or in standard care with a weight loss regime (group B, n = 34), both followed for 3 months (T3M) after T4. RESULTS: At T4, both groups A and B had significantly lost weight and reduced waist circumference. However, group B did not lose weight or reduce waist circumference at T3M compared to T4. At T3M, only group A significantly lowered glycated hemoglobin (A1c) from baseline. At T3M, only group A had a significant increase in knowledge on diabetes therapy and foot care. CONCLUSIONS: CM may also play a significant role in T2DM characterized by mildly impaired glycemic control. Moreover, a systematic use of CM could be suggested for management of diabetes together with lifestyle changes and a weight loss diet.
PURPOSE: The purpose of this study is to evaluate the effectiveness of the educational tool, Conversation Maps™ (CM), combined with a weight loss program, in improving metabolic control of as well as knowledge about diabetes, in a population with type 2 diabetes (T2DM) with mildly impaired glycemic control. METHODS: This is a longitudinal observational study in which 66 subjects, aged 67.8 ± 7.93, were included either in the educational program with CM, once weekly for 4 weeks (T4), combined with a weight loss regime (group A, n = 32), or in standard care with a weight loss regime (group B, n = 34), both followed for 3 months (T3M) after T4. RESULTS: At T4, both groups A and B had significantly lost weight and reduced waist circumference. However, group B did not lose weight or reduce waist circumference at T3M compared to T4. At T3M, only group A significantly lowered glycated hemoglobin (A1c) from baseline. At T3M, only group A had a significant increase in knowledge on diabetes therapy and foot care. CONCLUSIONS: CM may also play a significant role in T2DM characterized by mildly impaired glycemic control. Moreover, a systematic use of CM could be suggested for management of diabetes together with lifestyle changes and a weight loss diet.
Authors: Giuseppe Defeudis; Alfonso Maria Di Tommaso; Claudia Di Rosa; Danilo Cimadomo; Yeganeh Manon Khazrai; Antongiulio Faggiano; Raffaele Ivan Cincione; Nicola Napoli; Rossella Mazzilli Journal: J Clin Med Date: 2022-06-13 Impact factor: 4.964
Authors: R Mazzilli; V Zamponi; S Olana; N Mikovic; D Cimadomo; G Defeudis; A Faggiano Journal: J Endocrinol Invest Date: 2022-04-02 Impact factor: 5.467