Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus - a systematic review with meta-analysis

Listed under:

Date Reviewed:

View resourceYou will be redirected to an external website

A review by Aslak Steinsbekk, LisbethØ Rygg, Monde Lisulo, Marit B Rise and Atle Fretheim on the evidence from randomised controlled trials evaluating group-based Diabetes Self Managemetn Education for adults with type-2 diabetes vs routine treatment

In 2003 NICE recommended the use of structured diabetes education. This useful systematic review, with meta-analysis, provides a useful update up to 2008 on the evidence from randomised controlled trials evaluating group-based Diabetes Self-Management Education (DSME) for adults with type-2 diabetes versus routine treatment. 

The review also highlights the potential characteristics of an effective programme. It concludes that interventions delivered by a single educator, in less than ten months, with more than 12 hours and between 6 and 10 sessions give the best results - though more research is needed to confirm this. It can be concluded that group-based DSME in people with type 2 diabetes results in improvements in clinical, lifestyle and psychosocial outcomes.

Read more on Diabetes

Comments

Hi everyone This is the most wonderful thing i have ever experience and i need to share this great testimony. About how i get my ex back after a breakup. I never believed it, because i never heard nor learn anything about it before. Hey guys my wife and I have been married for 15 years. For over five years I have been dealing with jealousy issues because of flirting and her having emotional type affairs with other men. I felt like my masculinity was in question and if I said the way she was acting bothered me, it seemed to make matters worse or I was accused of being controling. During this period I did state I wanted a divorce if the behavior was not going to end: texting men a night, leaving for the weekend without letting me know where she was going or not responding to messages. We do have a son and basically it's been him and I for the last year on the weekends. She disconnected completely from being a good wife and mother. In April she said she wanted a separation and I said no we need to get into marriage counseling. We did try that, but she was not very responsive and didn't give any effort. Afterward she was adamant about separation and divorce. I continued to say no and that we needed to save our family. She presented a separation agreement and I had to hire a lawyer. Because of the above behavior my lawyer suggested a private investigator. The investigator discovered my wife was having an affair with a close friend of the family who also is married with children. We know the extended families. I feel like I should tell this man's wife about what happened. This adultery has devastated me emotionally, I feel betrayed and I'm physically drained. I know my wife is passionate in terms of her sexuality, and I can't get the thought of them out of my head. It makes me question my own manhood, and I feel very inferior or that he must be a better lover or what ever. The problem is my wife pursued him. She would go to him and she lured him into this adultery. I felt this was coming for some time and could not stop it. She was not only lying to me but also to our son about what she was doing and where she was going. My family is important, my son loves her and as crazy as it sounds so do I. Can you respond with a course of action on how to proceed? I was still have a very huge place in my heart for her. so i searched for help online and I came across a website that suggested that Dr Ahmed can help solve marital problems, restore broken relationships and so on. So I felt I should give him a try. I contacted him and he told me what to do and i did it then he did a spell for me. 28 hours later, my wife came to me and apologize for the wrongs she did and promise never to do it again. Ever since then, everything has returned back to normal. I, my son and my wife are living together happily again.. All thanks to Dr Ahmed. as it is a place to resolve marriage/relationship issues, do you want to be sure if your spouse is being faithful to you or Do you want your Ex to come back to you Contact.: E-mail: Ahmedutimate@gmail.com or call/Whats-app: +2348160153829 save your crumbling home and change of grades its 100% safe. I suggest you contact him. He will not disappoint you. David L. Ollis, 43yrs, UK
by David L. Ollis
THE MIGHTY SPELL CASTER THAT HELPED ME SOLVED MY URGENT CRITICAL RELATIONSHIP PROBLEM. I dont know how to really thank Dr. Keke Odin for what he did for me. My Name is Anita Kelly from Los Angeles, i was dating this man who i loved very much for over four years now without any problem in our relationship. so at a point he changed so suddenly after returning from the office and started behaving so strangely. it even got to the extent that he told me it was over and i should never call him again. This was a person that loved me with everything that he had. When i told my friend jenny what happened, she introduced me to a great spell caster called DR KEKE ODIN, the chief priest of all spell caster. At first sight this man told me all my problems that it was his secretary that used a charm on him. Dr KEKE ODIN told me not to worry that he will help me solve the problem. The following day, i was in the house in a sober mood when i first received a message from my boyfriend that he was very sorry and before i dropped the phone, he called me again to say he is on his way home and that he was truly sorry for everything. To my greatest surprise, one week later he engaged me and we got married. All Thanks to KEKE ODIN. You can contact him through the following means Email: greatkekespelltemple@gmail.com Mobile Number: +1 386-336-9876
by ANITA KELLY
God bless Dr. JATTO for his marvelous work in my life, I was diagnosed of Diabetes since 2013 and I was taking my medications, I wasn't satisfied i needed to get the Diabetes out of my system, I searched about some possible cure for Diabetes and then i saw a comment about Dr. JATTO, how he cured HERPES,DIABETES,HIV,HEPATITIS, EX_LOVER BACK and CANCER with his herbal medicine, I contacted him and he guided me. I asked for solutions, he started the remedy for my health, he sent me the medicine through DHL COURIER SPEED POST. I took the medicine as prescribed by him and 4 days later i was cured from DIABETES, Dr. JATTO truly you are great. Kindly contact him through. EMAIL= jattospiritualtemple@gmail.com Whatsapp= +2349056539383. GOD BLESS YOU.
by EDWARD RYAN
jattospiritualtemple@gmail.com God bless Dr. JATTO for his marvelous work in my life, I was diagnosed of DIABETES since 2013 and I was taking my medications, I wasn't satisfied, I needed to get the DIABETES out of my system, I searched about some possible cure for DIABETES then i saw a comment about Dr. JATTO, how he cured HERPES,HIV,STROKE,BRING_EX_LOVER_BACK and CANCER with his herbal medicine, I contacted him and he guided me. I asked for solutions, he started the remedy for my health, he sent me the medicine through DHL COURIER SPEED POST. I took the medicine as prescribed by him (DR. JATTO) and 4 days later i was cured from DIABETES wish i have been suffering for since 2013.Dr. JATTO truly you are great may GOD continue to bless you and your family. Contact him through. WEB_PAGE= https://web.facebook.com/obazespellhome/ EMAIL= jattospiritualtemple@gmail.com WHAT'S_APP= +2349056539383. CALLS= +233551456266. GOD BLESS YOU.
by CHRIST EDWARD
jattospiritualtemple@gmail.com +2349056539383 I USED TO HAVE DIABETES AND I WORK WITH THE U.S IMIGRATION. I LOOKED FOR CURE NO AVAIL UNTIL I CONTACTED A GREAT SPIRITUALIST NAME DR. JATTO,I NARRATED MY PREDICAMENT TO HIM, HE REQUESTED FOR FEW DETAILS ABOUT ME AND I SEND HIM,HE SAID HE WILL NEED TO BUY SOME ITEMS,AND I PAID FOR IT. AFTER THREE DAYS I RECEIVE THE HERBS AND USE IT AS PRESCRIBE BY (DR. JATTO),MY FRIENDS YOU WON'T BELIEVE,IT WAS NEGATIVE AFTER MY DOCTOR TEST. NOW I'M SOUND AND HEALTHY STILL WORKING WITH THE U.S IMIGATION . I BELIEVE HE CAN CURE ANY TYPE OF SICKNESS AND ALSO MAKE SOLUTION TO PROBLEM IF YOU INFORM HIM. EMAIL=jattospiritualtemple@gmail.com WhatsApp=+2349056539383 REGARDS.
by RYAN GREG
I contact Dr James by his email, olorunoduduwaspiritualtemple@gmail.com, to cast a spell that will bring back my boyfriend, then 2 days after, my boyfriend called me 5 times and sent me 2 text messages!! I saw results within 3 days, I am very excited he is back now, i am so happy that Dr James brought the love of my life back. Thank You sir.
by Harriet
My life is beautiful because of you Mein Helfer.Lord jesus into my life as a candlelight in the dark. You showed me the meaning of faith with your words. I know even when i cried all day thinking how to get well you weren’t sleeping you were dear for me.I contacted Dr Itua herbal center lived in west Africa. A friend of mine here in Hamburg she’s from Africa too,She told me about Africa herbs but was nervous about it.I’m really scared when it come to African because i heard allot of fiend things about them due to my christiannity I pray to god for direction,I take a bold step and contact him on email then move to whatsapp he ask if I can come over for the treatment or want a delivery,I said i want to meet him I buy 2 ways ticket down to Africa to meet Dr Itua,I went there and i was speechless Of people I saw there.Patent,Sick people.Dr Itua is a god sent to the world,I told my Pastor about what am into,Pastor Bill Scheer We have a wonderfully Real Battle With Spirit And Flesh.worship that same night,He pray for me and ask me to lead,I spent 2 weeks and 2 days in Africa in Dr Itua Herbal Home,After the treatment He ask me to meet his nurse for Hiv test when i did it was negative,I quitely ask my friend to take me to other nearby hospital when i got there it’s was negative.I was overwhelm with the result,But happy inside me.We went to Dr Itua,I thank him but I explain to him I don’t have enough to show my appreciation he understand my situation but promise him to testify the good work of his.I thank god for my dear friend,Emma I know she might be reading this right now,I want to say thank you.And a big thanks to Dr Itua Herbal Center.He Gave me his calendar which I place on my wall in my house.Dr Itua Can As Well Cure The Following Desease…Cancer,Hiv,Herpes, Hepatitis B,Liver Inflammatory,Diabetis,Get Your Ex Back.You can contact him on email or whatsapp,@..drituaherbalcenter@gmail.com,phone number..+2348149277967..He’s nice Doc,Talk to him nicely.I’m sure he will listen to you as well.
by achima abelard
Hello, i want to testify for the help Dr James has render to me, some month back i had herpes and was really worried that i will never be cured ,because i went to the hospital for treatment but there still no solution , so i went doing research on how i can get solution to my sickness,and that when i came across testimonies about this powerful doctor on how he has help them, so i contacted him and he gave me words of encouragement and he send me his herbal medicine which i use that cured my herpes, now am living a healthy life, you can reach him on his email on drjamesherbalhome@gmail.com or whatsapp on +2348106467120
by Donald Robert
I provide loans to companies and individuals with a reasonable interest rates of 2%. Email to: (anggadiman1@gmail.com) if you are interested in the loan offer.
by Angga
I am miss ALENA IVANA i really need to share a testimony on how i get ride of herpes within 14 days of using herbal coco mixture by a specialize herbalist called Dr EGBE I suffer out break for so many year i visit different kinds of hospitals all to know avail until a friend of mine in AMERICA introduce me to Dr EGBE who encourage me and promise to help me which he really prepare a herbal medication and send it to me Via DHL shipment which i use as he instructed after 14 days of usage i should confidently go for health check up which i do for God so kind am completely cure from herpes I have never experience any out break for some years now i will kindly advise those out there to contact EMAIL, egbegodytemple@hotmail.com , for more information on how you can easily get ride herpes once and for all. 1. Herpes 2. Cancer 3. Hiv/Aids 4. Hepatitis 5. Brings My Ex back 6. Leprosy 7. SARS 8. Bubonic Plague 9. Cerebrovascular Disease 10. Lower Respiratory Infections 11. Syphilis 12. Influenza A-H1N1 (Swine Flu) 13. Ischemic Heart Disease 14. Chronic Obstructive Pulmonary Disease 15. Whooping Cough 16. Perinatal Complications 17. Diarrhea 18.. Lung Cancer 19. Influenza 20. childlessness 21. Measles 22.metal problems. 23 if anyone want to get how Menstruation back again REMEMBER -- sickness is not our friends this virus infection diseases. the more it stay in your body the more it keep destroying your body organs..via email. egbegodytemple@hotmail.com
by alena

Pages

Post comment

* indicates required field

Your email address will not be published on the site and will only be used if we need to contact you about your comment.

View our comments policy.