Current situation and demands for diabetes knowledge in prediabetes patients at different self-management levels / 中南大学学报(医学版)

To understand the current situation regarding the knowledge and demand for patients with prediabetes at different self-management levels, and to provide guide for improving their knowledge.
 Methods: A total of 312 prediabetes patients from 3 hospitals in Changsha were enrolled in this survey. The questionnaires covered diabetes self-management behavior scale and prediabetes knowledge status and demand questionnaire. Diabetes knowledge acquisition and demand were analyzed among patients with different levels of self-management.
 Results: The score of self-management behavior for patients with prediabetes was 39.1±13.9. The rate of knowledge acquisition was low and the rate of demand was high. The knowledge acquisition rate was high and the knowledge demand rate was low in patients with high levels of self-management. As for the contents of health education, the dietary collocation and method for glucose detection were highly needed by all self-management levels of patients.
 Conclusion: Prediabetes patients' self-management level are low. Health education to patients with prediabetes should be based on individualized demands.

Effect of group counseling on depression, compliance and blood sugar level in diabetic patients / 中南大学学报(医学版)

OBJECTIVE@#To establish an interference mode of group counseling for diabetic patients with depression and to evaluate the effectiveness of this mode on depression, treatment compliance and blood sugar level in the patients.
@*METHODS@#One hundred diabetic patients with depression were randomly divided into a counseling group and a control group (n=50 per group). Self-Rating Depression Scale (SDS) was applied to all the patients. The interference mode of group counseling was established through literature review, expert consultation or interview. The counseling group received counseling for 8 times within 2 months.
@*RESULTS@#There was a significant difference in the SDS scores at 0, 3, 6 or 12 months after the intervention between the 2 groups (P0.05). There was a significant difference in the compliance between any two time points after the intervention (P<0.05). Fasting blood glucose (FBG), 2 h postprandial blood glucose (2hPG) or glycosylated hemoglobin (HbA1c) was significantly different at any two time points after the intervention (P<0.05).
@*CONCLUSION@#Group counseling can improve depression, compliance and blood sugar control in the diabetic patients.