The aim of this study was to evaluate the effect of different levels of previously received diabetes education on metabolic control, cardiovascular disease (CVD) with many CVD risk factors (CVRF), components of metabolic syndrome (MS) and the 10-year coronary heart disease (CHD) risk at the start of the North Catalonia Diabetes study (NCDS) in the Primary Care Setting. A multi-center cross-sectional descriptive study was performed in a random sample of 302 type 2 diabetes (T2DM) patients from the cohort of the NCDS. Diabetes education was classified as specialized or non-specialized. Diabetic metabolic control, CVD, CVRF, MS components and CHD risk were evaluated. A total of 79.8% patients did not receive specialized education and 20.0% were given specialist diabetes education. All T2DM patients were also controlled by general physicians and primary health care nurses. 44.4% of patients showed optimal metabolic control (HbA1c < 7.1%). Three or more CVRF were observed in 91.3% of patients, mean CHD was 10.0% and MS was present in 68.8% of T2DM patients. The initial evaluation showed a decrease in HbA1c with a better metabolic control (p<0.05) in the group that received previous specialized education. The number of components of the MS decreased significantly (p<0.05-0.001) and cardiovascular risk control improved (p<0.01) in this group. The study showed poorer metabolic control and higher prevalence of CVRF in patients without specialized diabetes education. Our results suggest that higher levels of diabetes education may play a major role in reducing cardiovascular risk in T2DM patients.
|Journal||International Journal of Diabetes and Metabolism|
|Publication status||Published - 1 Apr 2006|
- Cardiovascular risk factors
- Diabetes nurse specialist
- Health education
- Metabolic syndrome