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Making Diabetes Self-Management Education Patient-Centered: Results From a North Carolina Program
Paige Johnson Cartledge, RN, BSN

Making Diabetes Self-Management Education Patient-Centered: Results From a North Carolina Program

Paige Johnson Cartledge, RN, BSN
How tailoring a diabetes self-management program to patients' cultural and individual needs brought success.
Limitations Data from the following patients were not included: 

1. Those who did not meet program compliance requirements of taking all class sessions

2. Those whose baseline A1C was not measured

3. Those who had not completed the 6-session program at the time of data collection.

Conclusion

The Diabetic Center of Excellence in Mount Airy, North Carolina, now part of Northern Family Medicine, has demonstrated that measurable reductions in A1C are achievable for patients with diabetes. The program director’s grandmother was a participant, having been diagnosed with T2D at the age of 71. By fully embracing the program, she began to exercise, make smarter food choices, and lose weight. She continued to drive herself to the facility’s gym for walks on a padded track until age 92. When she died at age 94, her A1C was 5.8%. This is the experience the program seeks to offer all participants: the opportunity for a high quality of life well into old age and a chance to spend time with loved ones. 

Author Information: Ms Cartledge is the program coordinator of the Diabetic Center of Excellence, Northern Family Medicine, Mount Airy, NC.

Acknowledgements: The author would like to thank Roche Diagnostics for program support. Disclosures: Accu-Chek products are provided to the Diabetic Center of Excellence by Roche Diagnostics.

Correspondence: Paige Johnson Cartledge, RN, BSN 564 Indian Grove Church Road, Mount Airy, NC, 27030 Email: paigejohnson2899@gmail.com.
References

1. Statistics about diabetes. American Diabetes Association website. http://www.diabetes.org/diabetes-basics/statistics/. Updated December 12, 2016. Accessed February 5, 2017.

2. About prediabetes & type 2 diabetes. CDC website. https://www.cdc.gov/diabetes/prevention/prediabetes-type2/index.html. Updated July 19, 2016. Accessed February 5, 2017.

3. American Diabetes Association. Economic costs of diabetes in the US in 2012. Diabetes Care. 2013;36(4):1033-1046. doi: 10.2337/dc12-2625.

4. Northern Hospital of Surry County website. http://www.northernhospital.com/about-us/aboutus-home. Accessed February 10, 2017.

5. Diabetic Center of Excellence. Northern Hospital of Surry County website. http://www.northernhospital.com/hospital-services/educational-resources/diabetes. Accessed February 5, 2017.

6. A1C and eAG. American Diabetes Association website. http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/a1c/. Updated September 29, 2014. Accessed February 5, 2017.

7. Mission statement & core values. The Cooper Institute website. https://www.cooperinstitute.org/mission/. Accessed February 5, 2017.

8. Administration implements Affordable Care Act provision to improve care, lower costs [press release]. Washington, DC: HHS; April 29, 2011. https://wayback.archive-it.org/3926/20140108162211/http://www.hhs.gov/news/press/2011pres/04/20110429a.html. Accessed February 8, 2017.

9. Accu-Chek 360° diabetes management system. Accu-Chek website. https://www.accu-chek.com/data-management/360-diabetes-management-system. Accessed February 8, 2017.

10. Have you got the power of three? Introducing The Triangle of Diabetes Care. Abbot Laboratories website. https://freestylediabetes.co.uk/freestyle-thinking/post/Introducing-to-the-Triangle-of-Diabetes-Care. Accessed February 8, 2017.

11. Accu-Check 360° View tool. Accu-Chek website. https://www.accu-chek.com/data-management/360-view-tool. Accessed February 8, 2017.

12. Physician Quality Reporting System. CMS website. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/index.html?redirect=/PQRI/. Updated October 11, 2016. Accessed February 8, 2017.

13. Tribune E. Northern Hospital receives Kate B. Reynolds Charitable Trust grant. The Tribune website. http://elkintribune.com/news/business/7520/northern-hospital-receives-kate-b-reynolds- charitable-trust-grant. Published June 26, 2016. Accessed February 8, 2017.

14. Colvard B. Surry diabetics get their own cookbook. The Mount Airy News website. http://mtairynews.com/features/45691/surry-diabetics-get-their-own-cookbook. Published November 8, 2016. Accessed February 8, 2017.
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