HHS Public Access Author manuscript Author Manuscript
Patient Educ Couns. Author manuscript; available in PMC 2017 August 01. Published in final edited form as: Patient Educ Couns. 2016 August ; 99(8): 1368–1376. doi:10.1016/j.pec.2016.03.017.
The Diabetes Nutrition Education Study Randomized Controlled Trial: a Comparative Effectiveness Study of Approaches to Nutrition in Diabetes Self-Management Education
Author Manuscript
Michael E. Bowen, MD, MPH, MSCSa,b, Kerri L. Cavanaugh, MD, MHSd,e, Kathleen Wolff, MSN, BC-ADM, BC-FNPe, Dianne Davis, RD, LDN, CDEe, Rebecca P. Gregory, MS, RD, LDN, CDEe, Ayumi Shintani, PhD, MPHf, Svetlana Eden, MSf, Ken Wallston, PhD, MAg, Tom Elasy, MD, MPHc,e, and Russell L. Rothman, MD, MPPc,e aDivision
of General Internal Medicine, Department of Medicine, University of Texas Southwestern Medical Center. Dallas, TX
bDivision
of Outcomes and Health Services Research, Department of Clinical Sciences, University of Texas Southwestern Medical Center. Dallas, TX
cDivision
of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN dDivision
of Nephrology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN
Author Manuscript
eVanderbilt
Diabetes Center, Diabetes Vanderbilt University School of Medicine, Nashville, TN
fDepartment gSchool
of Biostatistics, Vanderbilt University School of Medicine, Nashville, TN
of Nursing, Vanderbilt University Medical Center, Nashville, TN
Abstract Objective—To compare the effectiveness of different approaches to nutrition education in diabetes self-management education and support (DSME/S). Methods—We randomized 150 adults with type 2 diabetes to either certified diabetes educator (CDE)-delivered DSME/S with carbohydrate gram counting or the modified plate method versus general health education. The primary outcome was change in HbA1C over 6 months.
Author Manuscript
Results—At 6 months, HbA1C improved within the plate method [−0.83% (−1.29, −0.33), P
Patient Educ Couns. Author manuscript; available in PMC 2017 August 01. Published in final edited form as: Patient Educ Couns. 2016 August ; 99(8): 1368–1376. doi:10.1016/j.pec.2016.03.017.
The Diabetes Nutrition Education Study Randomized Controlled Trial: a Comparative Effectiveness Study of Approaches to Nutrition in Diabetes Self-Management Education
Author Manuscript
Michael E. Bowen, MD, MPH, MSCSa,b, Kerri L. Cavanaugh, MD, MHSd,e, Kathleen Wolff, MSN, BC-ADM, BC-FNPe, Dianne Davis, RD, LDN, CDEe, Rebecca P. Gregory, MS, RD, LDN, CDEe, Ayumi Shintani, PhD, MPHf, Svetlana Eden, MSf, Ken Wallston, PhD, MAg, Tom Elasy, MD, MPHc,e, and Russell L. Rothman, MD, MPPc,e aDivision
of General Internal Medicine, Department of Medicine, University of Texas Southwestern Medical Center. Dallas, TX
bDivision
of Outcomes and Health Services Research, Department of Clinical Sciences, University of Texas Southwestern Medical Center. Dallas, TX
cDivision
of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN dDivision
of Nephrology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN
Author Manuscript
eVanderbilt
Diabetes Center, Diabetes Vanderbilt University School of Medicine, Nashville, TN
fDepartment gSchool
of Biostatistics, Vanderbilt University School of Medicine, Nashville, TN
of Nursing, Vanderbilt University Medical Center, Nashville, TN
Abstract Objective—To compare the effectiveness of different approaches to nutrition education in diabetes self-management education and support (DSME/S). Methods—We randomized 150 adults with type 2 diabetes to either certified diabetes educator (CDE)-delivered DSME/S with carbohydrate gram counting or the modified plate method versus general health education. The primary outcome was change in HbA1C over 6 months.
Author Manuscript
Results—At 6 months, HbA1C improved within the plate method [−0.83% (−1.29, −0.33), P
