Effect of Self Management Education on the Health of Diabetic Patients
Asian Journal of Medicine and Health · pp. 81–88 · Published 21 Mar 2025
10.9734/ajmah/2025/v23i41207Abstract
Background: Diabetes self-management education (DSME) is a cornerstone of diabetes care, but its effectiveness in improving health outcomes remains inconsistently synthesized. Objective: To evaluate the effect of DSME on glycemic control, self-care behaviours, quality of life, and complications in diabetic patients. Methods: A systematic review was conducted following PRISMA guidelines. Databases (PubMed, Embase, Cochrane Library, CINAHL, and PsycINFO) were searched for randomized controlled trials (RCTs) and observational studies (January-February 2025). Results: Of 2,145 screened studies, 16 met the inclusion criteria (9 RCTs, 7 cohort studies). DSME significantly reduced HbA1c (−0.8% to −1.2%), improved self-care adherence (diet, exercise, medication), and enhanced quality of life. Subgroup analyses favoured structured, technology-enhanced programs. Heterogeneity in intervention design and duration limited comparability. Conclusion: DSME improves glycemic control and psychosocial outcomes in diabetes. Standardization of programs and long-term follow-up are needed.
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