Sekhar Rajagopal V
Section of Endocrinology, Diabetes and Metabolism, Baylor College of Medicine, Houston, TX 77030, USA.
Healthcare (Basel). 2022 Feb 22;10(3):409. doi: 10.3390/healthcare10030409.
Diabetes is the leading global cause for blindness, kidney failure and amputations. Preventing these complications requires optimal glycemic control, and it is imperative that diabetic patients understand the fundamental concepts of diabetes care. Although patients attend formal diabetes education classes, many do not comprehend basic concepts of diabetes, and are often noncompliant with diet, exercise and medications. A novel approach termed 'analogy-based comprehensive diabetes education' (ABCDE) was developed to educate HIV-patients with diabetes about basic concepts of diabetes care. The object of this manuscript is to report the results of a retrospective chart review on the impact of ABCDE on glycemic outcomes in 24 patients who had failed usual care (including formal diabetes education, physician visits, and diabetic medications), and were non-adherent with diet and medications. They received only the ABCDE without any changes in pharmacotherapy. The impact on glycosylated hemoglobin (HbA1c) and fasting blood glucose (FBG) was assessed at subsequent visits. HbA1c was found to decline by 22% and 33% after 3 and 6 months, respectively, with corresponding declines in FBG by 53% and 59%, respectively. These results suggest that ABCDE in outpatient diabetes clinics could be effective in behavior modification toward improving glycemic control, and warrants additional investigation.
糖尿病是全球失明、肾衰竭和截肢的主要原因。预防这些并发症需要最佳的血糖控制，糖尿病患者必须了解糖尿病护理的基本概念。尽管患者参加了正规的糖尿病教育课程，但许多人并不理解糖尿病的基本概念，而且常常不遵守饮食、运动和药物治疗要求。一种名为“基于类比的综合糖尿病教育”（ABCDE）的新方法被开发出来，用于对患有糖尿病的艾滋病患者进行糖尿病护理基本概念的教育。本手稿的目的是报告一项回顾性图表审查的结果，该审查针对24名常规护理（包括正规糖尿病教育、医生问诊和糖尿病药物治疗）失败且不遵守饮食和药物治疗要求的患者，评估ABCDE对血糖结果的影响。他们仅接受了ABCDE，药物治疗未作任何改变。在随后的随访中评估对糖化血红蛋白（HbA1c）和空腹血糖（FBG）的影响。结果发现，3个月和6个月后，HbA1c分别下降了22%和33%，FBG相应分别下降了53%和59%。这些结果表明，门诊糖尿病诊所中的ABCDE可能对改善血糖控制的行为改变有效，值得进一步研究。
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