Efficacy of behavioral interventions in patients with poorly controlled diabetes mellitus.

摘要

Health-care interventions aimed at improving self-management-related behaviors can help patients with poorly controlled diabetes mellitus achieve glycemic targets, show findings of two novel studies published in the Archives of Internal Medicine; however, caution must be exercised not to miss socially and economically disadvantaged patients, reveals a third study in the same journal.A growing body of literature has shown that disease management programs, often led by nurses or certified diabetes educators, are successful in improving glycemia, particularly when a behavioral intervention is incorporated. However, little is known about the specific behavioral components and/or education strategies that are necessary to support lifestyle changes and overcome barriers to effective self-management.