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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
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 co...
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| Format: | Thesis |
| Language: | English |
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Department of Public Health and Family Medicine
2024
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| _version_ | 1867613205407203328 |
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| access_status_str | Open Access |
| author | Neumuller, Caroline |
| author2 | Zweigenthal, Virginia |
| author_browse | Neumuller, Caroline Zweigenthal, Virginia |
| author_facet | Zweigenthal, Virginia Neumuller, Caroline |
| author_sort | Neumuller, Caroline |
| collection | Thesis |
| description | 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. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/39760 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:32:26.116Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | Department of Public Health and Family Medicine |
| publisherStr | Department of Public Health and Family Medicine |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/39760 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 Neumuller, Caroline Zweigenthal, Virginia Public Health and Family Medicine 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. 2024-05-30T09:41:42Z 2024-05-30T09:41:42Z 2023 2024-05-28T08:54:44Z Thesis / Dissertation Masters MPH http://hdl.handle.net/11427/39760 eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences |
| spellingShingle | Public Health and Family Medicine Neumuller, Caroline 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 |
| thesis_degree_str | Master's |
| 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | Public Health and Family Medicine |
| url | http://hdl.handle.net/11427/39760 |
| work_keys_str_mv | AT neumullercaroline reviewoftheeffectsofdiabetesmellitusgroupeducationwithpractitionerdirectedinsulindosageadjustmentsonglycaemiccontrolatapublicsectorprimaryhealthcareclinicinkhayelitsha |