home
RSS
October 18th, 2010
06:14 PM ET

Study shows peer support benefits diabetes patients

Peer-support improves blood sugar control in patients with diabetes, according to a study published Monday in the Annals of Internal Medicine. Findings confirmed phone calls to peers facing similar disease-management issues offered an alternative and rather beneficial approach to traditional nurse-care for patients with diabetes.

Traditional nurse-care management programs are not useful for all patients with diabetes. Lack of face-to-face meeting time and financial barriers set hurdles in creating quality management programs. One of the costliest diseases, diabetes is an expensive disease to treat. Even more so, the cost of taking a pill to control blood sugar levels is on the rise.

“We know that many, many people with diabetes know what they are supposed to be doing – taking medications, starting insulin if oral medications alone no longer work well enough, following diet plans, maintaining physical activity, monitoring disease status and symptoms – but [patients] find it too difficult to do well. They also may know what they are supposed to do but not how to do it,” noted Michele Heisler, the study’s lead researcher and an associate professor of Medicine and Health Behavior and Health Education at University of Michigan. “Many people need more self-management support than over-extended health care systems can provide.”

Researchers assigned 244 male veterans with uncontrolled diabetes to either peer-support or a traditional nurse-care management program. Patients with uncontrolled diabetes had high blood sugar levels during the three months prior to the study’s onset as measured by hemoglobin A1c levels, according to Heisler, a primary care physician at VA Ann Arbor Healthcare System.

Patients assigned to the traditional nurse-care program attended an educational session and received assignment to a nurse-case manager. In the peer-support set-up, researchers matched patients with diabetes similar in age. Before the intervention, the peers underwent basic training on peer communication. Patients initially met in a group setting to define their individual self-management goals and outlined steps to reach their disease management goals. From there on out, the peers made phone calls to each other at least once per week. The phone calls aimed to touch base about the progress of the peers’ efforts of disease management and to provide mutual encouragement.

The assignments in the peer-to-peer support model allowed patients to act not only as learners, but teachers, as well.

“We explicitly wanted to test whether patients who were having self-management challenges and did not have good control of their diabetes might be better motivated themselves if given the opportunity to both help and receive help from another participant facing similar self-management challenges and who also had poor control,” according to Heisler. “Patients know a lot about living with their condition and strategies they have developed so have a lot to share with others also struggling.”

Researchers assessed the results of the peer intervention and nurse-care program by measuring changes in the patients’ hemoglobin A1c levels. Furthermore, researchers monitored patients’ blood pressure, changes in insulin therapy, and adherence to oral therapy regimens. The findings showed patients receiving peer support managed their conditions better. Lower hemoglobin A1c levels indicated higher control of blood sugars in patients receiving peer intervention.

Peer-support programs can improve the quality of self-management care and improve health outcomes in patients with diabetes.

“Diabetes management requires much more than regular visits to health care offices,” added Heisler. “We need to develop a menu tailored to people’s different needs of both face-to-face extension services, as well as use of technology whether the telephone as we used with the assistance of an interactive platform so people could maintain their privacy.”


soundoff (901 Responses)
  1. 출장마사지

    There's definately a great deal to know about this subject. I love all of the points you made.

    http://beautyinfo.eu/user/vinylmuscle6/

    June 24, 2021 at 12:35 | Report abuse | Reply
  2. 출장안마

    Good blog you have here.. Itís hard to find high quality writing like yours these days. I seriously appreciate people like you! Take care!!

    http://anma6clerkbank5.jigsy.com/entries/general/How-To-Provide-A-Swedish-Massage-

    June 24, 2021 at 13:42 | Report abuse | Reply
  3. 케이출장

    Very good article! We will be linking to this great post on our site. Keep up the good writing.

    http://massage9knoxydrl125.unblog.fr/2021/05/14/sage-advice-about-ecb69cec9ea5eba788ec82aceca780-from-a-five-year-old/

    June 24, 2021 at 16:01 | Report abuse | Reply
  4. pharmacepticacom

    sildenafil 680 https://pharmaceptica.com/

    June 24, 2021 at 21:24 | Report abuse | Reply
  5. 출장안마

    This is a good tip especially to those new to the blogosphere. Brief but very accurate informationÖ Thank you for sharing this one. A must read article!

    https://hotibo.ru/user/profile/891725

    June 24, 2021 at 21:35 | Report abuse | Reply
  6. viagra

    For most recent news you have to visit the web and on the web I found
    this site as a most excellent web page for most recent updates.

    June 25, 2021 at 01:19 | Report abuse | Reply
  7. Brenna Oscar

    How do i make firefox my main browser for windows live messenger?

    https://twitter.com/katekdesigns

    June 25, 2021 at 02:06 | Report abuse | Reply
  8. 출장안마

    Next time I read a blog, I hope that it doesn't disappoint me just as much as this particular one. I mean, I know it was my choice to read through, however I genuinely believed you would probably have something helpful to talk about. All I hear is a bunch of crying about something that you can fix if you were not too busy searching for attention.

    http://www.rohstoff-welt.de/goto.php?url=http://massage5hithinmgdp.yousher.com/what-the-heck-is-chuljangmasaji

    June 25, 2021 at 02:26 | Report abuse | Reply
  9. 출장안마

    Way cool! Some very valid points! I appreciate you penning this post and the rest of the website is very good.

    http://www.indiaserver.com/cgi-bin/news/out.cgi?url=http://massage9sloganpjkj.almoheet-travel.com/15-best-blogs-to-follow-about-chuljang-anma

    June 25, 2021 at 04:04 | Report abuse | Reply
  10. 출장마사지

    Hi there! This article couldnít be written any better! Looking at this post reminds me of my previous roommate! He constantly kept preaching about this. I will forward this article to him. Pretty sure he will have a great read. Thank you for sharing!

    https://yogaasanas.science/wiki/Mfr_What_is_Myofascial_Release

    June 25, 2021 at 07:00 | Report abuse | Reply
  11. 출장마사지

    Hi there! This blog post couldnít be written much better! Reading through this article reminds me of my previous roommate! He constantly kept preaching about this. I'll forward this information to him. Fairly certain he's going to have a good read. Many thanks for sharing!

    http://alamosa.askmeclassifieds.com/user/profile/522903

    June 25, 2021 at 08:02 | Report abuse | Reply
  12. Brady Cudan

    I live in Costa Rica and am about to publish a community newspaper, what are the steps to go about copyrighting the name and articles published in it? And also when can one start using the copyright symbol?.

    https://twitter.com/katekdesigns

    June 25, 2021 at 08:45 | Report abuse | Reply
  13. www.pharmaceptica.com

    chloroquine https://www.pharmaceptica.com/

    June 25, 2021 at 09:58 | Report abuse | Reply
  14. 출장안마

    Iím amazed, I have to admit. Seldom do I encounter a blog thatís equally educative and amusing, and without a doubt, you've hit the nail on the head. The issue is something too few folks are speaking intelligently about. Now i'm very happy that I stumbled across this in my hunt for something relating to this.

    https://xn--8sbbbdilbz2axdeh4ad4c4g3df.xn--p1ai/user/profile/37739

    June 25, 2021 at 14:58 | Report abuse | Reply
  15. pharmaceptica

    hydroxychloronique https://pharmaceptica.com/

    June 25, 2021 at 17:13 | Report abuse | Reply
  16. 출장

    Good post. I learn something totally new and challenging on websites I stumbleupon every day. It's always exciting to read content from other authors and practice a little something from other web sites.

    http://www.articledude.com/classifieds/user/profile/478398

    June 26, 2021 at 01:10 | Report abuse | Reply
  17. www.pharmaceptica.com

    chloroquinr https://pharmaceptica.com/

    June 26, 2021 at 02:59 | Report abuse | Reply
  18. 대구출장안마

    You ought to be a part of a contest for one of the finest blogs on the web. I am going to highly recommend this blog!

    http://184.almatybala.kz/user/l1eqwjl429

    June 26, 2021 at 05:36 | Report abuse | Reply
  19. 대구출장안마

    Hello there! I just wish to give you a huge thumbs up for the great information you have here on this post. I am coming back to your blog for more soon.

    http://renovac.ru/user/k2gtsdt184

    June 27, 2021 at 01:37 | Report abuse | Reply
  20. 대구출장안마

    Pretty! This was an extremely wonderful post. Thank you for supplying this information.

    http://md.sunchemical.com/redirect.php?url=https://postheaven.net/c1czpvg797/h2-the-way-therapeutic-massage-might-help-you-lower-your

    June 27, 2021 at 01:41 | Report abuse | Reply
  21. pharmacepticacom

    hydro clore quinn https://pharmaceptica.com/

    June 27, 2021 at 01:42 | Report abuse | Reply
  22. 먹튀

    After checking out a few of the blog posts on your site, I honestly like your technique of blogging. I book-marked it to my bookmark website list and will be checking back soon. Take a look at my web site too and tell me your opinion.

    http://forum.l2-renewal.net/index.php?action=profile;area=forumprofile;u=107229

    June 27, 2021 at 11:18 | Report abuse | Reply
  23. Santo Glazener

    very nice publish, i definitely love this web site, keep on it

    https://skinnypossibilities.xyz/

    June 27, 2021 at 12:30 | Report abuse | Reply
  24. 부산출장

    Great info. Lucky me I recently found your website by chance (stumbleupon). I've bookmarked it for later!

    http://neurostar.com/en/redirect.php?url=http://massage3knoxnipd519.iamarrows.com/why-we-love-busanchuljang-and-you-should-too

    June 27, 2021 at 15:24 | Report abuse | Reply
  25. 먹튀검증

    This site was... how do you say it? Relevant!! Finally I've found something which helped me. Appreciate it!

    https://dirtyhub.tv/forum/member.php?action=profile&uid=2040

    June 27, 2021 at 17:14 | Report abuse | Reply
  26. Shavonda Cruzen

    i'm not used to the new Yahoo! Pulse that comes with your email. i like blogging though...and i don't know how to change the blog settings to make your posts invisible to everyone except you and stuff. help please DX.

    https://www.linkedin.com/in/kmkowalsky/

    June 28, 2021 at 01:14 | Report abuse | Reply
  27. 울산출장

    Itís hard to find experienced people about this topic, however, you seem like you know what youíre talking about! Thanks

    https://m.kaskus.co.id/redirect?url=https://www.metal-archives.com/users/h9nqxhy104

    June 28, 2021 at 03:44 | Report abuse | Reply
  28. 울산출장마사지

    I enjoy reading an article that will make people think. Also, thanks for permitting me to comment!

    http://anma0andrefjwe172.image-perth.org/what-freud-can-teach-us-about-ulsanchuljang

    June 28, 2021 at 03:48 | Report abuse | Reply
  29. pharmaceptica

    erectile pills sample https://www.pharmaceptica.com/

    June 28, 2021 at 15:46 | Report abuse | Reply
  30. pharmaceptica.com

    hydrochlorique https://pharmaceptica.com/

    June 28, 2021 at 15:57 | Report abuse | Reply
  31. 창원출장마사지

    A motivating discussion is worth comment. I do believe that you should write more about this subject, it may not be a taboo matter but usually people don't speak about these issues. To the next! Kind regards!!

    http://www.bookmerken.de/?url=https://k-anma.com/changwon/

    June 28, 2021 at 17:13 | Report abuse | Reply
  32. 먹튀검증

    Aw, this was a very good post. Taking the time and actual effort to generate a really good articleÖ but what can I sayÖ I hesitate a whole lot and never seem to get nearly anything done.

    https://vuf.minagricultura.gov.co/Lists/Informacin20Servicios20Web/DispForm.aspx?ID=12585

    June 28, 2021 at 18:14 | Report abuse | Reply
  33. 창원출장

    An outstanding share! I've just forwarded this onto a friend who had been conducting a little homework on this. And he actually ordered me breakfast due to the fact that I stumbled upon it for him... lol. So allow me to reword this.... Thanks for the meal!! But yeah, thanx for spending some time to talk about this subject here on your website.

    http://aanorthflorida.org/es/redirect.asp?url=https://canvas.instructure.com/eportfolios/128971/massage2entinejanv/8_GoTo_Resources_About_

    June 28, 2021 at 18:59 | Report abuse | Reply
  34. pharmaceptica.com

    chloroquine without prescription https://www.pharmaceptica.com/

    June 28, 2021 at 22:10 | Report abuse | Reply
  35. you could look here

    Thank you, I've recently been searching for info about this topic for ages and yours is the greatest I've discovered till now. But, what about the bottom line? Are you sure about the source?

    https://bodypainonline.xyz/

    June 29, 2021 at 03:42 | Report abuse | Reply
  36. 먹튀검증업체

    The very next time I read a blog, I hope that it doesn't disappoint me as much as this particular one. I mean, I know it was my choice to read, however I truly thought you'd have something interesting to say. All I hear is a bunch of crying about something that you could fix if you weren't too busy looking for attention.

    http://www.chinesenet.org/home.php?mod=space&uid=415826

    June 29, 2021 at 06:36 | Report abuse | Reply
  37. 먹튀검증

    Itís hard to come by knowledgeable people on this topic, however, you sound like you know what youíre talking about! Thanks

    https://botdb.win/wiki/The_Best_Way_You_Can_Play_Craps_Together_With_The_Greatest_Odds

    June 29, 2021 at 11:58 | Report abuse | Reply
  38. 포항출장마사지

    Oh my goodness! Awesome article dude! Thanks, However I am going through problems with your RSS. I donít know the reason why I am unable to join it. Is there anybody else having identical RSS issues? Anyone who knows the solution can you kindly respond? Thanx!!

    http://www.merkfunds.com/exit/?url=http://massage6pethertevo.iamarrows.com/how-to-sell-pohangchuljangmasaji-to-a-skeptic

    June 29, 2021 at 15:50 | Report abuse | Reply
  39. 먹튀검증

    Oh my goodness! Impressive article dude! Thank you, However I am experiencing problems with your RSS. I donít understand why I am unable to subscribe to it. Is there anyone else getting the same RSS issues? Anybody who knows the solution can you kindly respond? Thanx!!

    https://forums.worldwarriors.net/profile/sushillama1

    June 29, 2021 at 16:39 | Report abuse | Reply
  40. 먹튀

    That is a really good tip especially to those new to the blogosphere. Brief but very precise infoÖ Many thanks for sharing this one. A must read article!

    http://bbs.51pinzhi.cn/home.php?mod=space&uid=2278251

    June 29, 2021 at 17:34 | Report abuse | Reply
  41. 포항출장마사지

    This is a good tip especially to those fresh to the blogosphere. Short but very precise informationÖ Many thanks for sharing this one. A must read post!

    https://f.nedelia.lt/user/casino4v9gnffd496

    June 29, 2021 at 21:50 | Report abuse | Reply
  42. 먹튀검증

    There is certainly a great deal to find out about this subject. I like all of the points you made.

    https://fabnews.faith/wiki/Understand_How_and_When_to_Use_the_Casino_Bonus_Feature

    June 30, 2021 at 03:42 | Report abuse | Reply
  43. cbd gummies for sale

    I cannot thank you enough for the blog post.Much thanks again. Want more.

    https://bit.ly/3x2ZiGJ

    June 30, 2021 at 05:52 | Report abuse | Reply
  44. 먹튀검증

    Pretty! This was an extremely wonderful article. Thank you for supplying these details.

    https://danielssnider.livejournal.com/profile

    June 30, 2021 at 07:54 | Report abuse | Reply
  45. 먹튀검증

    Itís hard to come by experienced people for this topic, however, you sound like you know what youíre talking about! Thanks

    https://bbs.now.qq.com/home.php?mod=space&uid=1180514

    June 30, 2021 at 09:38 | Report abuse | Reply
  46. 먹튀사이트

    I love it when folks come together and share thoughts. Great website, continue the good work!

    https://anotepad.com/notes/ihq3c4d6

    June 30, 2021 at 10:41 | Report abuse | Reply
  47. 구미출장

    You made some good points there. I looked on the internet for more information about the issue and found most people will go along with your views on this web site.

    http://re61g.ru/user/creditfrench55/

    June 30, 2021 at 12:22 | Report abuse | Reply
  48. pharmacepticacom

    chloroquine phosphate medicine https://www.pharmaceptica.com/

    June 30, 2021 at 13:19 | Report abuse | Reply
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Post a comment


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.