Download or read book Evaluating a Diabetes Self management Education Protocol for Implementation in a Charity Clinic written by Shirley Koshy and published by . This book was released on 2017 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this quantitative pretest-posttest project was to evaluate the self-care knowledge and intent to change behaviors of adults with type 2 diabetes mellitus (T2DM) after the implementation of an evidence-based educational protocol. Orem's self-care deficit nursing theory (SCDNT) and Bandura's social cognitive theory were used as the conceptual foundation for this Direct Practice Improvement (DPI) project. As there is no structured evidence-based educational program in existence at the charity clinic, the aim of the project was to raise awareness about type 2 diabetes mellitus, importance of receiving care in a timely manner to prevent complications, providing information regarding different resources available in the community, and goal setting for prevention of disease and its complications through a diabetes self-management education (DSME) protocol. However, it was not known to what degree/extent a DSME protocol will enhance the knowledge and intent to change behavior in diabetic patients with T2DM at a charity clinic in Houston, Texas. The Michigan Diabetes Research and Training Center's (MDRTC) Revised Diabetes Knowledge Test was utilized as the survey tool. A convenience sample (n=22) was used and data analysis performed using paired sample t-tests via SPSS database volume 25.0 on the scores rendered from the survey tool. The results of the project showed a significant difference in the pre- and post-test scores (p

Download or read book Evaluation of the Diabetes Self management Education Program at Mercy Philadelphia Hospital written by Yik Han (Rachel) Chan and published by . This book was released on 2014 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt: The prevalence of diabetes has been on the rise for the past decade and it is projected that this will continue to affect more people worldwide. Diabetes education programs such as the Diabetes Self-Management Education program teach patients to manage their diseases through a healthy diet, physical activity and medications. The evaluation of such a program must be based on a participant's perspective. The objective of this research is to evaluate the effectiveness of the nutrition education component of the diabetes outpatient education program at Mercy Philadelphia Hospital in improving participant self-efficacy regarding nutrition-related aspects of disease management. The study was a quasi-experimental research with a pre- and post-test design, utilizing a convenience population of diabetes education outpatient program participants at Mercy Philadelphia Hospital. Five subjects participated in the nutrition education component of the program and this study. The identical pretests and post-tests include eight statements; subjects were asked to rate their levels of self-efficacy in completing diabetes self-management tasks. Results showed that two subjects increased their self-efficacy scores while others reported no changes in self-efficacy after participating in the nutrition education class. Mean scores increased slightly but there was insufficient data to conclude on the efficacy of the nutrition education component of this program. Future research needs to focus on the ways for individualized nutrition education to be delivered effectively from the perspectives of patients with diabetes.

Download or read book Comprehensive Diabetes Management Reinforcing Self management Education to Improve the Diabetes Outcomes written by Elizabeth Parackal and published by . This book was released on 2018 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes remains a significant health problem in the United States, and related complications are on the rise as evident by the growing prevalence due to care fragmentation and inadequate care coordination. This quantitative quality improvement project evaluated the effect of diabetes self management education (DSME) reinforcement intervention as a primary care solution for prevention and control of diabetes and prediabetes in a small convenient care clinic in Southern California. The purpose of this project was to design and implement a diabetes self-management educational reinforcement program to enhance patients’ knowledge on diabetes self management. Diabetes knowledge improvement was measured by using a reliable and valid pretest and posttest DSMQ questionnaire. The pretest HbA1c mean was 6.51 and the post-test mean was 6.91. There was a paired differences mean of -0.40. Results indicates a significant rise in post-project HbA1c value among the control group (p=

Download or read book Evaluation and Validation of a Diabetes Self Management Education DSME Program written by Heather L. Ortiz and published by . This book was released on 2017 with total page 149 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Direct Practice Improvement (DPI) project used a mixed-methods design to evaluate the effectiveness of a Diabetes Self-Management Education (DSME) program as a dietary lifestyle intervention to lower Hemoglobin A1C (HgbA1c), post-prandial blood sugar levels, and weight in individuals with Type II Diabetes over a six-week period of time. This DPI project adds to existing literature, identifying a DSME program effective in improving the health outcomes of individuals with Type II Diabetes. The Johns Hopkins Nursing Evidence-Based Practice Model guided identification of the practice question, evidence collection, and translation to practice. Quantitative data illustrates how understanding metabolic differences in simple and complex carbohydrates, effects of gluconeogenesis on blood sugar, and pairing foods in the right amounts, at the right times of the day allows for the remission of symptoms of Type II Diabetes. The data shows that individuals with Type II Diabetes who followed the DSME program (n=15) reduced their Hemoglobin A1C levels to

Download or read book Evidence Helping people help themselves written by Debra de Silva and published by The Health Foundation. This book was released on 2011 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Implementation of a Train the Trainer Program for Diabetes Education written by Noreen Borino and published by . This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Type 2 Diabetes Mellitus is becoming a health problem that presents significant physical, emotional, and financial strain on the health care system. T2DM has become an epidemic with high morbidity and mortality rates. Uncontrolled T2DM is the number one cause of blindness, kidney failure, cardiac problems, and lower extremity amputations. In the United States, the number of patients affected by T2DM is on the rise causing concern over increased financial cost and lost productivity. Nevada is in close comparison with the nation having 7.9% of adults affected compared with 8.3% of adults nationally having T2DM. With the rising problem healthcare providers are in a vital position to increase patient awareness, to develop patient involvement and to improve health care outcomes through education. Ineffective patient education contributes to, and may increase complications from, uncontrolled T2DM. While employed at a rural clinic in Nevada, this project director (PD) recognized a need for T2DM education. Approximately 25% of patients from this clinic had T2DM. The clinic owner reported approximately 10% of these patients went without improvement in lab scores and were in need of education. This PD noted that the staff was not appropriately trained to provide the T2DM patients with education. The need for a system change to train staff in diabetes self-management education (DSME) became evident. The Capstone system change involved the implementation of 'Train the Trainer Program for Diabetes Education.' The Evidence-based framework guiding the system change was Larrabee's Model for Evidence-based Practice Change. The theory, which helped guide the class structure, was the Theory of Goal Attainment developed by Imogene King. This theory believes goals help to achieve success. King's Transaction Process Model was used for class structure, process and outcomes, with the Conceptual Interacting Systems Framework, for building participant interactions in class. The model was also used for participant interactions between trainer/nurse and class participant/patient. This model advised a tool for evaluation using a pre/post test with evaluation for assessment of outcomes. The educational component came from American Diabetes Association (ADA). Evidence-based DMSE was provided on weekly bases for six weeks. Funding was provided by the committe from the state of Nevada program on community development. The results of the system change proved that an evidence-based, cost-effective method for T2DM education in a rural clinic, in Nevada, benefited both patient and staff.

Download or read book The Implementation of a Self monitoring Tool at the UCSD Free Clinic to Empower Patients with Diabetes Mellitus written by Lauren Cooke and published by . This book was released on 2017 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt: Throughout the United States, particularly within underserved and minority populations, the number of people with diabetes continues to rise, resulting in significant morbidity, mortality, and financial costs. Diabetes can be a manageable disease, however many of those in the populations that suffer most from it do not have adequate access to simple, effective means of managing their disease. Thus, there is space for improvement. Last year, Brandon Cortez, inspired by data demonstrating the efficacy of self-monitoring systems in improving diet, physical activity, weight, and chronic disease, designed a selfmonitoring tool for diabetes for the UCSD Free Clinic, the Diabetes Self-Care Tool. However, due to time constraints, the project was not fully implemented. This year, I led the successful, widespread, sustainable implementation of the Diabetes Self-Management Tool at the UCSD Free Clinic Sites. As a part of this I compiled a literature review of the implementation of change and self-management tools in healthcare, revised and updated the My Diabetes Card Talking Points documents and made them universally available online at the UCSD Free Clinic Website. I also engaged the General Managers of each Free Clinic site such that they will continue to ensure the routine use of the Diabetes Self- Management Tool at the free clinics.

Download or read book Assessment of Self care and Education in Patients with Type 2 Diabetes Mellitus written by Kristen Mae Monroe and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Significance: The annual cost of diagnosed type 2 diabetes mellitus (DM2) in the United States is $327 billion, with individuals with DM2 spending 2.3 times more on health care than individuals without DM2. Education, such as Diabetes Self-Management Education and Support (DSMES) programs, and self-care support, utilizing tools such as the Summary of Diabetes Self-Care Activities (SDSCA) Measure, are the cornerstones of improving care and outcomes for patients with DM2. Purpose: The purpose of this quality improvement project was to implement a standardized self-care assessment and educational intervention for a mid-Michigan internal medicine clinic's adult patient population over 18 years of age with DM2 and hemoglobin A1c (HbA1c) greater than 9% and improve patient self-care. Methods: The Plan, Do, Act, Study (PDSA) Cycle and the Chronic Care Model were used as a framework to guide the project. Eligible participants were identified by clinic staff and received self-care education. Evaluation: The validated SDSCA tool was utilized to assess self-care pre- and post- educational intervention. A two-tailed paired t-test was then performed to compare pre- and post-intervention scores. Outcomes: Of 25 eligible patients in the clinic, 13 patients participated in the initial phase with 3 patients lost to follow-up, leaving 10 patients included in data analysis. A statistically significant improvement was seen in DM2 self-care with mean scores increasing from 4.1 days/week to 4.8 days/week (t = -6.5, p

Download or read book Exploring the Feasibility of Implementing Self management and Patient Empowerment Through a Structured Diabetes Education Programme in Yogyakarta City Indonesia written by Oryzati Hilman Agrimon and published by . This book was released on 2014 with total page 379 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes is a global public health problem which can cause serious disabling complications. Indonesia is among the top four countries with the highest numbers of diabetes. Diabetes self-management education (DSME) is widely recognized as an essential element of diabetes care. Patient empowerment has long served as the philosophical foundation for DSME. However, self-management and patient empowerment are largely unknown in diabetes education and care in Indonesia. The current traditional diabetes education found in hospitals and publicly funded community health centres (CHCs) does not incorporate these two concepts. Therefore, there is a particular need for research on DSME and patient empowerment for people with type 2 diabetes (T2D) in Indonesia. The main aims of this research project were to develop a pilot model of a structured diabetes education programme promoting diabetes self-management and patient empowerment for people with T2D in the primary care setting in Indonesia, and to evaluate its effectiveness on clinical outcomes and diabetes-related scores of knowledge, health beliefs, self-care behaviours, and self-efficacy. The research project also aimed to cross-culturally adapt the 24-item Diabetes Knowledge Questionnaire (DKQ-24), the Diabetes Health Belief Measure (DHBM), the Summary of Diabetes Self-Care Activities revised scale (SDSCA), and the Diabetes Empowerment Scale - Short Form (DES-SF); and to identify the perceptions of people with T2D and their family members, and health care providers (HCPs) towards the current diabetes education and/or diabetes education intervention administered.

Download or read book Case Study and Evaluation of a Pre diabetes Self management Education Program written by Stacey L. Ruholl and published by . This book was released on 2012 with total page 328 pages. Available in PDF, EPUB and Kindle. Book excerpt: The primary purpose of this research study was to provide an in-depth analysis of a pre-diabetes self-management education program located in a Midwest health care center and to evaluate the effectiveness of the program. The study was designed to answer the following research questions: (1) How was the DSME program developed and how is it being implemented? (2) To what extent do the program's elements align with the National Standards for Diabetes Self-Management Education? (3) What factors affect completion of the entire program by participants? (4) What factors affect non-completion of the entire program by participants? (5) How do participants perceive their experience in the program? (6) What are the immediate effects of the program in terms of weight loss and exercise adoption? (7) What are the long-term effects of the program in terms of maintenance of weight loss, maintenance of physical activity, and prevention of T2D? (8) To what extent are the AADE Standards for Outcome Measurement of DSME being met? Effective DSME programs are typically those that meet nationally recognized guidelines and outcomes measures. Data were collected to determine the effectiveness of this program using the following methods: interviews, document reviews, observations, and a survey. Descriptive statistics in the form of frequencies and percentages were used to describe the results. Analysis of the qualitative data was conducted and themes emerged. Recommendations were provided as to how the program can be improved upon to make it more effective.

Download or read book Developing a Diabetes Self management Education Program written by Loquintha Rex and published by . This book was released on 2007 with total page 73 pages. Available in PDF, EPUB and Kindle. Book excerpt: Problem: Pre-diabetes is an insidious condition that commonly persists for many years while progressing on to diabetes type 2. As many as 39% of patients who present with a new diagnosis of type 2 diabetes already have the presence of diabetes complications at initial diagnosis. Diabetes has become an epidemic that continues to escalate annually. Diabetes can affect multiple organ systems and lead to serious debilitating complications. Ventura County is consumed with many diabetics. There are not any comprehensive diabetes education programs in the county. Purpose/Scope: The purpose of this evidence-based practice intervention was to evaluate the effectiveness of a Diabetes self-management education (DSME) program on patient's health care utilization, medication use, self-efficaacy for diabetes and general disease management and ability to exercise, and glucose testing. A pres-test/post-test design was utilized to survey subjects participating in the program. The participants received education in four sequential sessions delivered at consistent time intervals over an eight week period. Goal: The goal of developing this program was to empower patients to develop the knowledge and skills necessary to improve health outcomes and to provide access to a diabetes self-management education program open to the general public residing in Ventura County in hopes to improve patient's lives by reducing potential long-term diabetes complications following gaining knowledge of preventative care, improving early diabetes diagnosis, and reducing the workload of primary care practices. Objectives: the objectives of this project included: following the completion of the DSME program, the subject will gain improved scores on the Chronic Disease Self-Efficacy Scales: Exercise Regularly, Manage Disease in General, Health Care Utilizations, Glucose Testing, and self-efficacy to perform self-management behaviors comparing pre-course versus post-course scores. Plan: Phase I and II involved developing the proposal draft and submitting the document to the GPD. The proposal was submitted to the IRB and approved on 3/20/2007. The class content slides were finalized. Phase III involved recruiting subjects and advertising. The classes began April 9, 2007 and continued for four separate sessions through 5/14. Pre-test and post-test questionnaires were handed out to subjects on the first day and last day of classes. Following completion, the data was analyzed. Outcomes and Results: The pre-test and post-test mean scores were compared using paired t-test and the differences were statistically significant.

Download or read book An Analysis of the Influence of Education Programming Type Scope of Diabetes Self management Education and Selected Demographics on Self efficacy Among Adult African Americans with Type 2 Diabetes written by Terri E. Robinson and published by . This book was released on 2015 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes mellitus significantly affects the health status of adults living in the United States. This is true particularly of African Americans who are disproportionately affected by this devastating chronic condition. As such, the purpose of this study was to analyze the type of education programming and the scope of diabetes self-management education (DSME) received, on the self-efficacy of adults diagnosed with type 2 diabetes. Conducted among adults, particularly African Americans diagnosed with diabetes, this comparative analysis examined the influence of programming on self-efficacy among subjects who participated in educational enrichment provided by faith-based organizations (FBO) and their counterparts who received DSME in clinical care settings only. The Independent Sample T-test, Multiple Regression, and Pearson's Correlation were the statistical tests used to analyze data. Findings revealed a statistically significant difference in diabetes self-management education (DSME), including diet, physical activity, and glucose monitoring between the two groups. Further, age, income, and participation in an FBO program explained 33% of the variance in the final regression model. Finally, data analyses revealed that there was a positive relationship (Pearson's correlation statistic r = 0.26) between diabetes self-management education and self-efficacy. Although analyses suggested participating in FBO programming did not influence self-efficacy, it was confirmed that subjects who participated in such enrichment did receive additional DSME. Based on these findings, it is recommended that medical providers, health educators, and public health professionals collaborate with the faith community to plan, implement and evaluate educational interventions to enhance self-efficacy through DSME.

Download or read book Evaluation of Attendance Patient Satisfaction Knowledge and Clinical Outcomes Following Participation in a Group Diabetes Self management Eduction and Support Program in a Primary Care Clinical Setting written by Jordan LeCour Rauh and published by . This book was released on 2020 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Introduction: Although group Diabetes Self-Management Education and Support (DSMES) programs have been attempted throughout Community Health Network, no evaluation of the programs had been conducted. Introduction: Although group Diabetes Self-Management Education and Support (DSMES) programs have been attempted throughout Community Health Network, no evaluation of the programs had been conducted. Objectives: The primary objectives of this study were to evaluate attendance, patient satisfaction and change in disease state knowledge following participation in six sessions of a group DSMES program led by a multidisciplinary team. The secondary objective was to evaluate clinical outcomes. Methods: This retrospective, observational study focused on process improvement evaluating a standardized approach to a group DSMES program beginning in August 2017 within Community Health Network. Eleven courses ran six sessions lasting approximately 1.5 hours that occurred weekly or every other week. Patients with a history of Type 2 diabetes who had a primary care provider within Community Health Network were invited to participate. Attendance and clinical outcomes were evaluated by a retrospective chart review of the electronic medical record. Evaluation of the program, both patient satisfaction and knowledge, occurred through the voluntary completion of various paper surveys throughout the program. Results: To date, eleven clinic sites have completed a group DSMES program totaling 89 patient participants. Program attendance was evaluated to determine what topics, days, times, and clinic sites would allow future programs to reach the most patients. 47 patients (52.8%) were able to attend four or more of the six sessions; 14 patients (15.7%) attended all six sessions. Responses from the patient satisfaction surveys indicated that patients approved of the speakers well over 90 percent of the time, patients "Strongly Agree" in favor of the sessions at a rate of 88.5% (3.54/4), and patients favored topics focusing on nutrition. Knowledge-based surveys showed an average score increase of 8.3%. Frequently missed topics included goal fasting and fed blood sugar levels. Patients showed mastery of concepts related to the definition of diabetes as well as frequency of immunizations, eye exams, and hemoglobin A1c monitoring. The average reduction of hemoglobin A1c was 0.58% overall. Patients that attended all six sessions saw an average decrease of 0.96%. Patients lost an average of 0.9 kilograms. Systolic blood pressure average dropped by 2mmHg. Conclusion: Following participation in the group DSMES program patients were satisfied with their care while increasing their disease state knowledge leading to an improvement in hemoglobin A1c. The results observed from the review of this DSMES program supports its continued use and expansion throughout Community Health Network" --Unnumbered leaf 1.

Download or read book Professional Research Project written by Tolulope Motajo and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes is a progressive disease condition that can lead to kidney damage, blindness, loss of limbs, heart disease, stroke, and sudden death in adult if not managed properly. World Health Organization (WHO) projects that the morbidity rate will double by 2005-2030 (WHO, 2011). Type 2-diabetes is a permanent condition in which there is high glucose level in the blood and it is the most familiar type of diabetes. It occurs in adults when the body does not produce adequate insulin or the body cells are not making use of the insulin (ADA, 2012). Community education is required to educated individuals and adult with type 2 diabetes on prevention, self- management, treatment, healthy eating, and physical exercises (Chen and Lin, 2010). It is important to encourage individuals with diabetes to learn more about their condition and all treatment required, including the warning signs, and symptoms of the disease (Polzer, 2008). Signs and symptoms of diabetes includes: frequent urination, unusual thirst, extreme hunger, unusual weight loss, extreme fatigue and irritation, infections, blurred vision, cut/bruises that are slow to heal, tingling and numbness in the hand or feet and recurrent skin, gum or bladder infections (ADA, 2012). Since education is found to be very important in effective treatment of diabetes, implementation plan is proposed by Doctors Community Hospital with the surrounding health centers to create awareness to the people on how they can live healthy, eat right, control their weight, participate in daily physical exercises, blood sugar check, and foot check and wound care. They should be taught about the complications of the disease, how to avoid it, and understand the risk involved if not well managed, in conjunction with the stakeholders, and the nursing management, the approval, planning, (Polzer, 2008). Implementation, evaluation and the dissemination of the project results were put in place. After the education, evaluation is conducted to note the outcome of the program. Questionnaires are given out at the end of the program to evaluate the awareness of the participant, the length of teaching, the presentation method, and the overall score of the program. Success of the program is noted by the outcome among the type 2 diabetes result, worth, and appropriateness of the techniques and enablement to achieve result. Long-term assessment of the community is necessary to determine the continuity of the program (Haby, 2008).

Download or read book Implementing a Diabetes Education Program for the Clinical Staff in a Primary Care Clinic written by Daphnee Emmanuela Germain and published by . This book was released on 2021 with total page 62 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Nationally, 34.2 million people of all ages have diabetes: a total of 1.5 million new cases a year. A lack of diabetic knowledge among the clinical staff can cause a disadvantage in treating and assessing Type 2 Diabetes Mellitus (T2DM). Clinics that are not performing regular inservice diabetes education with the Medical Assistants (MAs) can significantly impact preventative care measurement and maintenance care. Evidence-Based Practice (EBP) Framework: The Plan-Do-Study-Act (PDSA) guided this project in practice. The PDSA model for EBP helped promote quality care and reinforced the framework and theories of this project. This model focused on processes and outcomes. The clinic utilized evidence-based findings on diabetic care and management to improve and sustain a continuous diabetic inservice training model. The PDSA multi-step model was the best model for this project because it identified the issues, research solutions and implemented a change in the process. Elements of the PDSA Model are to "identify a problem, determine a plan, form a team, and gather evidence. The Kurt Lewin Change Theory provided this project's framework for this project to determine that change was needed for best clinical practice for inservice T2DM teaching. Methods: This was an evidence-based quality improvement project. By utilizing post-test surveys, the project manager effectively assessed learning and rated the effectiveness of diabetic education. The project intended to increase diabetic knowledge and confidence among the clinical staff through the utilization of the Diabetes Initiative Tool (DIT) surveys. The project aimed at concluding a pre-test survey, training with a DIT training presentation, post-test survey, and a final examination. Three medical assistants (MAs) received health coaching/education. The primary outcome was a change in confidence and diabetic knowledge, measured by the pre- and post-test surveys from the DIT. Findings/Results: Educational awareness and the need for continued inservice increased by 75%. The confidence level increased from 73.10% to 94.95%. This was done through documentation after the intervention in the post-survey. The number of staff knowledge and education of diabetes increased by a mean difference of 21 percent points. The MAs confidence level was measured by comparing the DIT survey results before and after the training session. Conclusion/Recommendations: To assess and educate patients with diabetes, providers must incorporate the entire clinical team, including MAs, with the information needed to treat and evaluate patients with diabetes mellitus. The two themes that supported this scholarly project were diabetic education and clinical staff confidence. The final recommendation is for the clinical staff to understand the potential risk associated with diabetes and provide the MAs with primary diabetic education to promote diabetic care and treatment.

Download or read book Evaluation of Implemented Group Visits with a Self management Tool for Patients with Pre diabetes written by Kathryn Doyle and published by . This book was released on 2011 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Evaluation of Diabetes Education Classes at Riddle Hospital written by JoAnne DeRobertis and published by . This book was released on 2014 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes is afflicting more individuals and at younger ages. Research supports the benefits of education to better control diabetes through improved blood glucose levels. Riddle Hospital offers diabetes education classes for patients, facilitating management through self care. In this study, the effectiveness of the diabetes classes was evaluated to ensure that the individual educational needs of diabetics attending the classes are being addressed. This study used a multiple choice, pretest/posttest questionnaire to determine the effectiveness of the diabetes education classes. The intent was to identify areas where program improvement is needed, contributing to better diabetic management. Subjects were African American and Caucasian. Individuals at each class differed; the first class had 5 individuals, the second and third class had 6 attending. Classes were presented by two certified diabetes educators: a registered nurse, and a registered dietitian. Results revealed a 13.6% increase in mean knowledge score in Class 1, a 7.1% increase in Class 2, and a 17.5% increase in Class 3. Of the 17 tests, 53% (n=9) showed improvement, 12% (n=2) showed decreased scores, and 35% (n=6) showed no improvement. Class #3, (Diabetes Self Management and Education), had the greatest increase in pre to post scores. This is likely due to the overlapping in educational material throughout the three sessions. Class #2, (Eating Behaviors and Food Choices), had the smallest increase from pre to posttest. Emphasis on this area in future classes could contribute to improved blood glucose control and better sustained health for diabetics. Future research could assess the impact of nutrition education as an element of successful self-management for diabetics.