Diabetes Self-Management Education and Medical Nutrition Therapy: A Multisite Study Documenting the Efficacy of Registered Dietitian Nutritionist Interventions in the Management of Glycemic Control and Diabetic Dyslipidemia through Retrospective Chart Review

Diabetes self-management education (DSME) and medical nutrition therapy (MNT) improve glycemic control and reduce risk of chronic comorbid disease. Document outcomes for patients with type 2 diabetes (T2D) completing DSME and MNT through American Diabetes Association–recognized programs. Descriptive...

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Bibliographic Details
Published in:Journal of the Academy of Nutrition and Dietetics 2019-03, Vol.119 (3), p.449-463
Main Authors: Marincic, Patricia Z., Salazar, Maria V., Hardin, Amie, Scott, Susan, Fan, Shirley X., Gaillard, Philippe R., Wyatt, Christopher, Watson, Laura, Green, Pamela, Glover, Pam, Hand, Molly
Format: Article
Language:English
Subjects:
Adult
Alabama
Blood Glucose - analysis
Cholesterol, HDL - blood
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - therapy
Diabetes self-management education
Diabetic dyslipidemia
Diet, Diabetic - methods
Dyslipidemias - blood
Dyslipidemias - etiology
Dyslipidemias - therapy
Female
Glycated Hemoglobin A - analysis
Glycemic control
Health Behavior
Humans
Hypoglycemic Agents - therapeutic use
Male
Middle Aged
Nutrition Therapy - methods
Nutritionists
Patient Education as Topic - methods
Patient outcomes
Program Evaluation
Retrospective chart review
Retrospective Studies
Self-Management - methods
Triglycerides - blood
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Summary:Diabetes self-management education (DSME) and medical nutrition therapy (MNT) improve glycemic control and reduce risk of chronic comorbid disease. Document outcomes for patients with type 2 diabetes (T2D) completing DSME and MNT through American Diabetes Association–recognized programs. Descriptive, retrospective chart review. Four random samples of 100 records of patients with T2D completing DSME and MNT at each of four regional centers in Alabama, June 2013 to 2014, were chosen for review; after exclusions, 392 records were retained. Weight, body mass index (BMI), hemoglobin A1c (HbA1c), total cholesterol, low-density lipoprotein, high-density lipoproteins (HDL), triglycerides (TG), and TG-to-HDL ratio. Mixed-model analysis of variance was used to determine differences between continuous variables. McNemar test was used to assess frequency of patients reaching glycemic targets. Paired t tests were used to determine significance of lipid parameters. Significant reductions were observed at end of program and 1 year in weight (2.67±5.54 kg, P
ISSN:2212-2672
2212-2680
DOI:10.1016/j.jand.2018.06.303