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Patient Education Won't
Alter Diabetes Outcomes
Simply educating diabetics about
their condition doesn't seem to improve their blood
sugar control or reduce their likelihood for risk
factors such as obesity, researchers report.
"We have long assumed that if we educate patients
and make them an active partner in the treatment
of their disease, we should be able to dramatically
improve their ability to take care of their disease,"
researcher Dr. Carlos Sanchez said in a prepared
statement.
"However, in our study, we found no relationship
between patients' knowledge of their disease and
improvements in the indicators for cardiovascular
risk factors," he said. Sanchez led the study while
he was a medical student at Duke University Clinical
Research Institute, in Durham, N.C.
His team studied 200 diabetic patients and concluded
that their knowledge of diabetes, on its own, didn't
lead to improved blood sugar control, weight management,
cholesterol levels, or survival.
While diabetes education for patients may be important,
there are likely other health care delivery issues
that need attention in order to reduce the risk
of heart disease death in people with diabetes,
the study authors said. Heart disease is the leading
cause of death for diabetic patients.
The findings appear in the June issue of the American
Journal of Cardiology.
"We spend so many resources on patient education
with the assumption that it will make a difference,
but what we seem to be finding is that while education
may be a part of the puzzle, it is not adequate
by itself. Maybe we should step back and take a
closer look at how we are spending our resources.
One area that could be improved is better implementation
of guidelines for increasing the use of medications
we know save lives," Sanchez said.