Iranian Journal of Diabetes and Obesity

en Assessment of the Effect of Diabetes Education and Knowledge on Management Outcomes تخصصي Special پژوهشي Research Objective: Diabetes education is a key component of type 2 diabetes mellitus (T2DM) management. However, evidence from Nigeria on the effectiveness of diabetes education remains limited. This study evaluated the impact of a structured education program on diabetes knowledge, glycemic control, and some metabolic parameters among adults with T2DM. Materials and Methods: This single-group interventional study consecutively recruited T2DM adults attending a tertiary diabetes clinic. The intervention was initially planned with a three months follow-up but was terminated at four weeks due to substantial loss to follow-up. Participants received three structured diabetes self-management education and support (DSMES) sessions at baseline (week 0), week 2 and week 4. Diabetes knowledge was assessed at baseline and at four weeks using the Michigan Brief Diabetes Knowledge Test. Sociodemographic and clinical data were obtained from structured proformas and medical records. Data were <a name="_Hlk218232511">analyzed using descriptive and inferential statistics at P< 0.05</a>. Results: A total of 118 participants were enrolled (mean age 58.25± 14.26 years; 63.3% female). At baseline, only 36% achieved good diabetes knowledge (≥ 65%); this increased significantly to 85% after the education program (P= 0.01). Significant improvements were also observed in fasting blood glucose (P= 0.01) and blood pressure (P= 0.04). Independent predictors of good diabetes knowledge included shorter disease duration (< 10 years), regular exercise, and better short-term glycemic control. Conclusion: Structured diabetes education significantly improved diabetes knowledge and short-term clinical outcomes. Incorporating structured education into routine diabetes care may help reduce the burden of T2DM in Nigeria.   Blood glucose, Diabetes mellitus, Health education, Health knowledge, Treatment outcome 168 179 http://ijdo.ssu.ac.ir/browse.php?a_code=A-10-30-485&slc_lang=en&sid=1 Ayotunde O. Ale 0000-0003-1779-7311 Yes Department of Medicine, Olabisi Onabanjo University, Sagamu Campus, Ogun State, Nigeria. Odusan Olatunde 0000-0002-3308-5501 No Physiotherapy Department, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria. Taiwo O. Afe 0000-0003-2757-367X No Department of Medicine, Olabisi Onabanjo University, Sagamu Campus, Ogun State, Nigeria. Olufemi O. Oyewole 0000-0003-2432-247X No Physiotherapy Department, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria. Jane C. Bakare 0009-0002-3254-3782 No Department of Medicine, Alimosho General Hospital and Eko University of Medicine and Health Sciences, Lagos, Nigeria. Oluwabukola O. Ale 0009-0008-6372-2939 No College of Medicine and Health Sciences, Afe Babalola University, Ekiti State, Nigeria.