The Diabetes educator
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The Diabetes educator · Mar 2011
Comparative StudyRural/urban variations in diabetes self-care and quality of care in a national sample of US adults with diabetes.
The purpose of this study was to examine differences in diabetes self-care and provider-based quality-of-care indicators between rural and urban dwellers in a nationally representative sample of adults with diabetes. ⋯ Contrary to what has been reported, there were no significant differences in diabetes quality of care between rural and urban dwellers. In addition, rural dwellers appeared to have better self-care behaviors than urban dwellers. Further research is needed to clarify the reasons for these findings.
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The Diabetes educator · Jul 2010
Examining patient risk factors, comorbid conditions, participation, and physician referrals to a rural diabetes self-management education program.
The purpose of this study was to examine patients' diabetes risk factors, comorbid conditions, and patient participation in and primary care practitioner (PCP) referrals to a rural diabetes self-management education (DSME) program. ⋯ The findings reaffirm concerns that DSME patient participation and PCP referral practices are poor. Advocacy efforts should force policies and procedures that will make DSME a mandatory service and universally accessible. Unless referral practices are attended to, it is doubtful that the United States will reach the Healthy People 2010 objective for diabetes education.
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The Diabetes educator · Mar 2010
Metabolic control, self-care behaviors, and parenting in adolescents with type 1 diabetes: a correlational study.
The purpose of this pilot study was to explore relationships among metabolic control, self-care behaviors, and parenting in adolescents with type 1 diabetes. ⋯ Clinicians may help prevent declining participation in self-care behaviors and metabolic control in adolescents with type 1 diabetes by working with parents, particularly mothers, and encouraging authoritative parenting.