{"id":{"repo_id":"cape-town","oai_identifier":"oai:open.uct.ac.za:11427/39760"},"canonical_url":"https://search.dev.ndltd.org/etd/cape-town/oai:open.uct.ac.za:11427/39760","repository":{"repo_id":"cape-town","name":"University of Cape Town","base_url":"https://open.uct.ac.za/oai/request"},"display":{"title":"Review of the Effects of Diabetes Mellitus Group Education with Practitioner-directed Insulin Dosage Adjustments on Glycaemic Control at a Public Sector Primary Health Care Clinic in Khayelitsha","abstract":"Aim: In view of the high burden of poorly controlled diabetes mellitus in South Africa, this study evaluated the effect of diabetes group education sessions, coupled with the provision of practitioner-directed insulin dosage adjustments based on home blood glucose readings, on patients' glycaemic control in the short and medium term. Methods: Using routine data, glycaemic control was assessed before, after and three years after the intervention. Additionally, patients' change in glycaemic control over a three-year period was compared to a control group. Results: After the group education sessions and insulin dosage adjustments, the mean HbA1c of 66 intervention patients decreased by 2.03% in the short term, from 12.57% (95%CI [12.05%, 13.09%]) to 10.54% (95%CI [9.96%, 11.11%]), and by a further 0.43% three years after the intervention. However, this change in glycaemic control after three years was not different to that of the control group. Conclusion: The 2% improvement in HbA1c in the short term is a significant achievement; although this is related to patients' poor initial glycaemic control. The control group's similar improvements over a three-year period is due to the improved clinical care and access to glucose monitors for all patients over the course of the study period at the study facility.","abstract_html":"Aim: In view of the high burden of poorly controlled diabetes mellitus in South Africa, this study evaluated the effect of diabetes group education sessions, coupled with the provision of practitioner-directed insulin dosage adjustments based on home blood glucose readings, on patients' glycaemic control in the short and medium term. Methods: Using routine data, glycaemic control was assessed before, after and three years after the intervention. Additionally, patients' change in glycaemic control over a three-year period was compared to a control group. Results: After the group education sessions and insulin dosage adjustments, the mean HbA1c of 66 intervention patients decreased by 2.03% in the short term, from 12.57% (95%CI [12.05%, 13.09%]) to 10.54% (95%CI [9.96%, 11.11%]), and by a further 0.43% three years after the intervention. However, this change in glycaemic control after three years was not different to that of the control group. Conclusion: The 2% improvement in HbA1c in the short term is a significant achievement; although this is related to patients' poor initial glycaemic control. The control group's similar improvements over a three-year period is due to the improved clinical care and access to glucose monitors for all patients over the course of the study period at the study facility.","abstract_has_math":false,"creators":["Neumuller, Caroline"],"institution":"Department of Public Health and Family Medicine","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["Zweigenthal, Virginia"],"committee_chairs":[],"committee_members":[],"year":2023,"date_issued":"2023","date_published":"2023","updated_at":"2026-07-22T22:22:50Z","subjects":["Public Health and Family Medicine"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://hdl.handle.net/11427/39760","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Zweigenthal, Virginia"]},{"key":"dc:creator","label":"Author","values":["Neumuller, Caroline"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2024-05-30T09:41:42Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2024-05-30T09:41:42Z"]},{"key":"dc:date.issued","label":"Date","values":["2023"]},{"key":"dc:publisher.department","label":"Dc Publisher Department","values":["Department of Public Health and Family Medicine"]},{"key":"dc:type","label":"Dc Type","values":["Thesis / Dissertation"]},{"key":"dc:type.qualificationlevel","label":"Dc Type Qualificationlevel","values":["Masters","MPH"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Public Health and Family Medicine"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://hdl.handle.net/11427/39760"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Aim: In view of the high burden of poorly controlled diabetes mellitus in South Africa, this study evaluated the effect of diabetes group education sessions, coupled with the provision of practitioner-directed insulin dosage adjustments based on home blood glucose readings, on patients' glycaemic control in the short and medium term. Methods: Using routine data, glycaemic control was assessed before, after and three years after the intervention. Additionally, patients' change in glycaemic control over a three-year period was compared to a control group. Results: After the group education sessions and insulin dosage adjustments, the mean HbA1c of 66 intervention patients decreased by 2.03% in the short term, from 12.57% (95%CI [12.05%, 13.09%]) to 10.54% (95%CI [9.96%, 11.11%]), and by a further 0.43% three years after the intervention. However, this change in glycaemic control after three years was not different to that of the control group. Conclusion: The 2% improvement in HbA1c in the short term is a significant achievement; although this is related to patients' poor initial glycaemic control. The control group's similar improvements over a three-year period is due to the improved clinical care and access to glucose monitors for all patients over the course of the study period at the study facility."]},{"key":"dc:title","label":"Title","values":["Review of the Effects of Diabetes Mellitus Group Education with Practitioner-directed Insulin Dosage Adjustments on Glycaemic Control at a Public Sector Primary Health Care Clinic in Khayelitsha"]}]}],"canonical_facts":{"dc:contributor.advisor":["Zweigenthal, Virginia"],"dc:creator":["Neumuller, Caroline"],"dc:date.accessioned":["2024-05-30T09:41:42Z"],"dc:date.available":["2024-05-30T09:41:42Z"],"dc:date.issued":["2023"],"dc:description.abstract":["Aim: In view of the high burden of poorly controlled diabetes mellitus in South Africa, this study evaluated the effect of diabetes group education sessions, coupled with the provision of practitioner-directed insulin dosage adjustments based on home blood glucose readings, on patients' glycaemic control in the short and medium term. Methods: Using routine data, glycaemic control was assessed before, after and three years after the intervention. Additionally, patients' change in glycaemic control over a three-year period was compared to a control group. Results: After the group education sessions and insulin dosage adjustments, the mean HbA1c of 66 intervention patients decreased by 2.03% in the short term, from 12.57% (95%CI [12.05%, 13.09%]) to 10.54% (95%CI [9.96%, 11.11%]), and by a further 0.43% three years after the intervention. However, this change in glycaemic control after three years was not different to that of the control group. Conclusion: The 2% improvement in HbA1c in the short term is a significant achievement; although this is related to patients' poor initial glycaemic control. The control group's similar improvements over a three-year period is due to the improved clinical care and access to glucose monitors for all patients over the course of the study period at the study facility."],"dc:identifier.uri":["http://hdl.handle.net/11427/39760"],"dc:publisher.department":["Department of Public Health and Family Medicine"],"dc:subject":["Public Health and Family Medicine"],"dc:title":["Review of the Effects of Diabetes Mellitus Group Education with Practitioner-directed Insulin Dosage Adjustments on Glycaemic Control at a Public Sector Primary Health Care Clinic in Khayelitsha"],"dc:type":["Thesis / Dissertation"],"dc:type.qualificationlevel":["Masters","MPH"]},"updated_at":"2026-07-22T22:22:50Z"}