However, there was no difference in blood glucose levels (HbA1c) between the groups.
Self-reported physical activity was greater in the intervention group at 4 months, but this difference was not present at 8 and 12 months. But there was a greater improvement in risk for coronary heart disease at 12 months.
The intervention group showed greater understanding of their illness and its seriousness. They showed a better perception of the duration of their diabetes and of their ability to affect the course of their diabetes through lifestyle changes. They also experienced less depression, which is often linked to poor blood sugar control and increased mortality in patients with diabetes.
In summary, this programme encapsulates a patient centred approach to diabetes care, say the authors. This trial has filled an existing gap in the evidence base and has shown that group structured education focused on behaviour change can successfully engage patients in starting additional effective lifestyle changes sustainable over 12 months from diagnosis, they conclude.
An accompanying editorial points out that the challenge is to maintain the patient centred emphasis beyond the initial delivery of the education programme.
Source-BMJ
LIN/K