Review of the Effects of Diabetes Mellitus Group Education with Practitioner-directed Insulin Dosage Adjustments on Glycaemic Control at a Public Sector Primary Health Care Clinic in Khayelitsha
| dc.contributor.advisor | Zweigenthal, Virginia | |
| dc.contributor.author | Neumuller, Caroline | |
| dc.date.accessioned | 2024-05-30T09:41:42Z | |
| dc.date.available | 2024-05-30T09:41:42Z | |
| dc.date.issued | 2023 | |
| dc.date.updated | 2024-05-28T08:54:44Z | |
| dc.description.abstract | Aim: In view of the high burden of poorly controlled diabetes mellitus in South Africa, this study evaluated the effect of diabetes group education sessions, coupled with the provision of practitioner-directed insulin dosage adjustments based on home blood glucose readings, on patients' glycaemic control in the short and medium term. Methods: Using routine data, glycaemic control was assessed before, after and three years after the intervention. Additionally, patients' change in glycaemic control over a three-year period was compared to a control group. Results: After the group education sessions and insulin dosage adjustments, the mean HbA1c of 66 intervention patients decreased by 2.03% in the short term, from 12.57% (95%CI [12.05%, 13.09%]) to 10.54% (95%CI [9.96%, 11.11%]), and by a further 0.43% three years after the intervention. However, this change in glycaemic control after three years was not different to that of the control group. Conclusion: The 2% improvement in HbA1c in the short term is a significant achievement; although this is related to patients' poor initial glycaemic control. The control group's similar improvements over a three-year period is due to the improved clinical care and access to glucose monitors for all patients over the course of the study period at the study facility. | |
| dc.identifier.apacitation | Neumuller, C. (2023). <i>Review of the Effects of Diabetes Mellitus Group Education with Practitioner-directed Insulin Dosage Adjustments on Glycaemic Control at a Public Sector Primary Health Care Clinic in Khayelitsha</i>. (). ,Faculty of Health Sciences ,Department of Public Health and Family Medicine. Retrieved from http://hdl.handle.net/11427/39760 | en_ZA |
| dc.identifier.chicagocitation | Neumuller, Caroline. <i>"Review of the Effects of Diabetes Mellitus Group Education with Practitioner-directed Insulin Dosage Adjustments on Glycaemic Control at a Public Sector Primary Health Care Clinic in Khayelitsha."</i> ., ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2023. http://hdl.handle.net/11427/39760 | en_ZA |
| dc.identifier.citation | Neumuller, C. 2023. Review of the Effects of Diabetes Mellitus Group Education with Practitioner-directed Insulin Dosage Adjustments on Glycaemic Control at a Public Sector Primary Health Care Clinic in Khayelitsha. . ,Faculty of Health Sciences ,Department of Public Health and Family Medicine. http://hdl.handle.net/11427/39760 | en_ZA |
| dc.identifier.ris | TY - Thesis / Dissertation AU - Neumuller, Caroline AB - Aim: In view of the high burden of poorly controlled diabetes mellitus in South Africa, this study evaluated the effect of diabetes group education sessions, coupled with the provision of practitioner-directed insulin dosage adjustments based on home blood glucose readings, on patients' glycaemic control in the short and medium term. Methods: Using routine data, glycaemic control was assessed before, after and three years after the intervention. Additionally, patients' change in glycaemic control over a three-year period was compared to a control group. Results: After the group education sessions and insulin dosage adjustments, the mean HbA1c of 66 intervention patients decreased by 2.03% in the short term, from 12.57% (95%CI [12.05%, 13.09%]) to 10.54% (95%CI [9.96%, 11.11%]), and by a further 0.43% three years after the intervention. However, this change in glycaemic control after three years was not different to that of the control group. Conclusion: The 2% improvement in HbA1c in the short term is a significant achievement; although this is related to patients' poor initial glycaemic control. The control group's similar improvements over a three-year period is due to the improved clinical care and access to glucose monitors for all patients over the course of the study period at the study facility. DA - 2023 DB - OpenUCT DP - University of Cape Town KW - Public Health and Family Medicine LK - https://open.uct.ac.za PY - 2023 T1 - Review of the Effects of Diabetes Mellitus Group Education with Practitioner-directed Insulin Dosage Adjustments on Glycaemic Control at a Public Sector Primary Health Care Clinic in Khayelitsha TI - Review of the Effects of Diabetes Mellitus Group Education with Practitioner-directed Insulin Dosage Adjustments on Glycaemic Control at a Public Sector Primary Health Care Clinic in Khayelitsha UR - http://hdl.handle.net/11427/39760 ER - | en_ZA |
| dc.identifier.uri | http://hdl.handle.net/11427/39760 | |
| dc.identifier.vancouvercitation | Neumuller C. Review of the Effects of Diabetes Mellitus Group Education with Practitioner-directed Insulin Dosage Adjustments on Glycaemic Control at a Public Sector Primary Health Care Clinic in Khayelitsha. []. ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2023 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/39760 | en_ZA |
| dc.language.rfc3066 | eng | |
| dc.publisher.department | Department of Public Health and Family Medicine | |
| dc.publisher.faculty | Faculty of Health Sciences | |
| dc.subject | Public Health and Family Medicine | |
| dc.title | Review of the Effects of Diabetes Mellitus Group Education with Practitioner-directed Insulin Dosage Adjustments on Glycaemic Control at a Public Sector Primary Health Care Clinic in Khayelitsha | |
| dc.type | Thesis / Dissertation | |
| dc.type.qualificationlevel | Masters | |
| dc.type.qualificationlevel | MPH |