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Indian J Community Med. 2019 Jan-Mar;44(1):39-43. doi: 10.4103/ijcm.IJCM_231_18.

Effectiveness of Color Coded Diabetic Control Monitoring Charts among Elderly Diabetics Attending Outreach Primary Care Geriatric Clinics in Rural Karnataka: An Open Label Randomized Control Trial.

Author information

1
Department of Community Health, St John's Medical College, Bengaluru, Karnataka, India.
2
Department of Community Medicine, Dhanalakshmi Medical College, Perumbalur, Tamil Nadu, India.
3
Department of Community Medicine, Travancore Medical College, Kollam, Kerala, India.

Abstract

Introduction:

Type 2 diabetes mellitus problem is progressively rising every day. The adherence to the treatment approaches and health-seeking make major difference in case of diabetics particularly elderly. Visual tools improve the involvement of patients in their care, especially among populations with low health literacy.

Objective:

To evaluate the effectiveness of color-coded diabetic control monitoring charts on glycemic control among elderly diabetics.

Methodology:

144 elderly diabetic patients attending rural primary care geriatric clinics were randomized into two groups. Those randomized to the intervention group received the color-coded diabetic monitoring chart and a health education package in addition to the usual consultation services. Baseline and 1-year follow-up glycated hemoglobin (HbA1C) values were used to assess the effectiveness of the intervention.

Results:

The results of multivariate linear regression analysis showed that there was an average reduction of 0.265% in HbA1C value in the intervention group when compared to the nonintervention group when adjusted for baseline HbA1C and number of visits during the intervention period (β coefficient = 0.265, P < 0.05).

Conclusion:

Color-coded diabetes charts are effective in achieving glycemic control among elderly diabetics, and steps should be made to inculcate visually appealing management approaches in case of elderly diabetic patients.

KEYWORDS:

Color-coded diabetic control monitoring chart; diabetes mellitus; glycated hemoglobin

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