Effect of Coaching in Diabetes Program in Glycemic control in steel workers

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.