Comparison of group-based and individually training in patients with diabetes mellitus: 2-year follow-up study

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dc.contributor.authorÖzkan Sevencan, Nurhayat
dc.contributor.authorTunc, Ulku Aybuke
dc.contributor.authorErtınmaz Özkan, Ayşegül
dc.contributor.authorŞahin, Fatime
dc.contributor.authorYalım, Gülay
dc.date.accessioned2024-09-29T16:32:06Z
dc.date.available2024-09-29T16:32:06Z
dc.date.issued2019
dc.departmentKarabük Üniversitesien_US
dc.description.abstractObjective: This study examines whether any difference in hemoglobin A1c (HbA1c) levels exists among diabetic patients who hadgroup-based training in a diabetes school and patients who were individually trained in outpatient clinics.Methods: This study was conducted in Karabuk University Education and Research Hospital, Turkey, between March/2016 andMarch/2018. The HbA1c levels of 96 patients who were trained in a diabetes school and 99 patients who were individually trained inthe outpatient clinic were measured. The treatments of the patients trained in the outpatient clinic had also recently been changed,either by the addition of a new medication (oral anti-diabetic drugs or insulin) and/or by increasing the dosages of their currentmedications.Results: The mean HbA1c level was 9.29±1.90 for the diabetes school patients and 9.73±1.22 for the individually trained grouppatients (p>0.05). It was found that HbA1c regressed to 8.25±1.84 three months after the training in a school, while the regressionwas 8.34±1.66 in the outpatient trained group (p>0.05). No difference was detected between groups in terms of lowering HbA1C.Group-based training provided a more efficient HbA1c decrease in male patients, who had a body mass index (BMI) of ?30, and inthose who received intensive insulin therapy. However, at the first year follow up, HbA1c showed a tendency to increase again in thediabetes school group.Conclusion: Group-based training is a cost-effective method that may also decrease anti-diabetic requirement and provides morepatient satisfaction, along with higher patient compliance. However, for long-term success, the training should be continuous andshould be held at least once a year to provide up-to-date information.en_US
dc.identifier.doi10.5455/annalsmedres.2019.07.404
dc.identifier.endpage1819en_US
dc.identifier.issue9en_US
dc.identifier.startpage1814en_US
dc.identifier.trdizinid318163en_US
dc.identifier.urihttps://doi.org/10.5455/annalsmedres.2019.07.404
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/318163
dc.identifier.urihttps://hdl.handle.net/20.500.14619/11343
dc.identifier.volume26en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofAnnals of Medical Researchen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleComparison of group-based and individually training in patients with diabetes mellitus: 2-year follow-up studyen_US
dc.typeArticleen_US

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