A Randomized controlled trial to assess the effectiveness of group-based Diabetes Self-Management Education (DSME) program on glycemic control and self-care activities among type-2 diabetics in South-East Delhi

Introduction: India has the second-largest population of diabetes globally. The long-term complications due to poor glycemic control are concerning. Diabetes Self-Management Education (DSME) is a fundamental component in managing better. Objectives: This study was conducted compare effectiveness group-based DSME achieving and improving self-care practices among people with type-2 as against usual care. Methods: A non-blinded parallel-arm RCT adults (? 30 years) diagnosed Type-2 DM. Written informed consent taken from each patient before enrollment. sample size estimated be 85 arm according formula for equivalence design an RCT. Randomization done using computer-generated random number table. received care, while intervention group addition At end 6 months, change activity scores were compared between two arms. Results: total 139 individuals (intervention =69; =70) analyzed. proportion females (62.1%) higher than males (37.9%). There no statistically significant difference at baseline. line, HbA1c showed reduction 9.3% 6.9% (P<0.001), which greater that (p=0.017). All components improvement, except medication score. Conclusions: Group-based effectively increases diabetes, resulting better control.