Abdullah Alibrahim1, Dalal AlRamadhan1, Susmy Johny2, Mahdi Alhashemi2, Huda Alduwaisan2, Maryam Al-Hilal3. 1. Industrial & Management Systems Engineering Department College of Engineering & Petroleum Kuwait University, Kuwait. 2. Medical Research Department Abdullah Al-Abdulhadi Primary Health Center (Al-Yarmouk) Capital Governorate Ministry of Health, Kuwait. 3. Medical Research Department Abdullah Al-Abdulhadi Primary Health Center (Al-Yarmouk) Capital Governorate Ministry of Health, Kuwait. Electronic address: maryam.alhilal@gmail.com.
Abstract
AIM: Evaluate the impact of diabetes self-management education (DSME) on diabetes control measured by glycated hemoglobin (HbA1c) in patients with type 2 diabetes mellitus (T2DM) in Kuwaiti nationals and the expatriate population. METHOD: A total of 291 patients with T2DM (intervention= 150, control=141) were assessed in a single-center, controlled study to compare the impact of DSME sessions on HbA1c levels as a measure of metabolic control of diabetes mellitus. Measurements of HbA1c were taken at baseline, 6-months, and 12-months. Multiple explorative association tests and regression models were constructed to examine the intervention effects. RESULTS: Patients that received DSME sessions demonstrated better diabetes control with an average reduction of 1.3% (14 mmol/mol) HbA1c over 12-months compared to an average HbA1c increase of 1.1% (12 mmol/mol) in the control group (p<0.001). Using pairwise comparisons, young, male, and expatriate patients and patients with HbA1c above 7% demonstrated the highest improvements in HbA1c with DSME sessions. In multivariate regressions, DSME intervention was associated with a 1.7% (18 mmol/mol) HbA1c reduction indicating better control of diabetes (p<0.001). CONCLUSION: DSME sessions were associated with better glycemic control in patients with T2DM over 12 months. This study establishes the effectiveness of DSME sessions for both Kuwaiti nationals and expatriates, which represent a significant portion of the population and Kuwait and the Arabian Gulf region. The favorable impact of DSME suggests a promising cost-effective approach to reduce the risk of complication associations with diabetes despite the unique demographic characteristics in the region.
AIM: Evaluate the impact of diabetes self-management education (DSME) on diabetes control measured by glycated hemoglobin (HbA1c) in patients with type 2 diabetes mellitus (T2DM) in Kuwaiti nationals and the expatriate population. METHOD: A total of 291 patients with T2DM (intervention= 150, control=141) were assessed in a single-center, controlled study to compare the impact of DSME sessions on HbA1c levels as a measure of metabolic control of diabetes mellitus. Measurements of HbA1c were taken at baseline, 6-months, and 12-months. Multiple explorative association tests and regression models were constructed to examine the intervention effects. RESULTS:Patients that received DSME sessions demonstrated better diabetes control with an average reduction of 1.3% (14 mmol/mol) HbA1c over 12-months compared to an average HbA1c increase of 1.1% (12 mmol/mol) in the control group (p<0.001). Using pairwise comparisons, young, male, and expatriate patients and patients with HbA1c above 7% demonstrated the highest improvements in HbA1c with DSME sessions. In multivariate regressions, DSME intervention was associated with a 1.7% (18 mmol/mol) HbA1c reduction indicating better control of diabetes (p<0.001). CONCLUSION: DSME sessions were associated with better glycemic control in patients with T2DM over 12 months. This study establishes the effectiveness of DSME sessions for both Kuwaiti nationals and expatriates, which represent a significant portion of the population and Kuwait and the Arabian Gulf region. The favorable impact of DSME suggests a promising cost-effective approach to reduce the risk of complication associations with diabetes despite the unique demographic characteristics in the region.