Effect of Coaching in Diabetes Program in Glycemic Control in Steelworkers

Abstract

Background: Coaching en Diabetes (CoeD) is a multidisciplinary program created for steelworkers and their families with type 2 diabetes mellitus (T2DM) and HbA1c ≥ 9% to improve blood glucose levels. Objective: To assess the program’s impact on glycemic control after 2 years. Methods: This was a retrospective and longitudinal study of uncontrolled T2DM at Hospital Clínica Nova in Mexico. The effect of CoeD on glycemic control was evaluated from May 2017 to 2019. Results: CoeD included 153 (115 [75.2%] males) patients, with a mean (SD) age of 62.9 (11.2) years. The duration of T2DM was 9.7 (6.6) years. A decrease in HbA1c of 1.5% (mean [SD] 9.8% [1.5]-8.3% [1.6], p ≤ 0.05) and in fasting glucose of 41.8 mg/dl (mean [SD] 180 mg/dl [67]-138.2 mg/dl [55], p ≤ 0.05) was observed through 2-year follow-up. Emergency room visits or hospitalization rates and the incidence of most comorbidities related to diabetes remained stable over time. Conclusions: CoeD successfully improved and sustained glycemic control in male steelworkers and their families with HbA1c ≥ 9% over a 2-year follow-up.

Keywords

• Type 2 diabetes mellitus. Diabetes education. Glycated hemoglobin A. Chronic complications. Occupational health.