The children and adolescents is nowadays more frequent,

purpose of this paper is to identify the best available evidence on group
education and individual in diabetic patients and develop recommendations to
improve portfolio of services, and achieve more adherence to pharmacological
treatments and long-term modifications in the lifestyle of our patients. Each
year more and more people are diagnosed with type 2 diabetes, which has alerted
health workers in search of new methodologies to approach these patients to
reduce the likelihood of developing complications in the future or even prevent
the death of these patients.  Bad eating
habits, lack of exercise and little education are one of the great challenges
when it comes to combating this chronic disease.

lifestyles and maintaining adequate treatment for those who already suffer from
it, are basic measures to prevent and control diabetes mellitus, one of the
main public health problems in our country. As a nurse and educator one of my
concerns is the lack of adherence that many patients have when it comes to
following their pharmacological and non-pharmacological treatments, such as
changes in their lifestyle to prevent chronic complications due to this
condition. However, studies have not clarified the ideal characteristics of a
comprehensive patient education program in clinical practice. Reason why I
consider exploring more regarding the type of approach (individual or group
education), that help get better results in patient response to treatments. The
present review discusses these types of tactics based on the most recent data
of the literature.




Individual or Group Intervention more effective to Improve Type 2 Diabetes Patient
Adherence to Treatments

mellitus, better known as type 2 diabetes, is a chronic disease that until
recently used to occur generally in adults over 40-50 years, so it was known as
adult diabetes. However, the diagnosis of this pathology in children and
adolescents is nowadays more frequent, due to the alarming increase of
childhood obesity that has been registered in the western countries during the
last times, the prevalence of obesity has increased substantially in children
and adolescents in developed countries; 23·8% of boys and 22·6% of girls were
overweight or obese in 2013 (Ng, Fleming, Robinson, Thomson, Graetz, Margono,
& Abraham, 2014). Type 2 Diabetes presents great factors of mortality, with
significant loss in the quality of life of patients.  Studies from various parts of the world show positive
effects of the educational process in diabetes, as meta-analysis and suggest
that by receiving efficient treatment, support to self-administration and
regular follow-up, patients present improvement in glycemic control, in
prevention and accomplish better control of acute and chronic complications. In
the search for the best methods of approach in the education of patients, many
educators focus their attention on investigating more about the empowerment of
patients, how the degree of knowledge, and type of interventions either
individually or in groups can improve the response that the patient can have to
the recommended treatments. Patient education is a crucial part
of a diabetes treatment plan and focuses on ways to incorporate the principles
of managing the disease into daily life. Chrvala.,
Sherr, and Lipman (2016), suggest that the mode of delivery the education,
hours of engagement, and baseline A1C can affect the probability of achieving
statistically significant and clinically meaningful improvement in A1C. This
paper inspects Chrvala et al.’s finding compares to other studies to be able to
deliberate what type of methodology, whether individual or in groups, achieves
better control and adherence results in patients with type 2 diabetes.


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