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ABSTRACT: Objective
To compare the effectiveness of different approaches to nutrition education in diabetes self-management education and support (DSME/S).Methods
We randomized 150 adults with type 2 diabetes to either certified diabetes educator (CDE)-delivered DSME/S with carbohydrate gram counting or the modified plate method versus general health education. The primary outcome was change in HbA1C over 6 months.Results
At 6 months, HbA1C improved within the plate method [-0.83% (-1.29, -0.33), P<0.001] and carbohydrate counting [-0.63% (-1.03, -0.18), P=0.04] groups but not the control group [P=0.34]. Change in HbA1C from baseline between the control and intervention groups was not significant at 6 months (carbohydrate counting, P=0.36; modified plate method, P=0.08). In a
SUBMITTER: Bowen ME
PROVIDER: S-EPMC4931976 | biostudies-literature | 2016 Aug
REPOSITORIES: biostudies-literature