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Vol 274 No 7353 p698
11 June 2005

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Patient knowledge of diabetes does not improve disease control, researchers say

Patients with diabetes who have a better understanding of their condition do not necessarily have better disease control, research suggests.

In a recent study, researchers assessed the diabetes-related knowledge and clinical data of 200 patients who had been admitted to hospital with an acute coronary syndrome. Six months later the patients’ clinical measurements were reassessed.

The researchers found no correlation between how much the patients knew about their condition and their blood sugar control, cholesterol levels, or weight management, even after adjusting for factors such as age, duration of diabetes and years of education. Nor was an association found between rates of death and myocardial infarction and patient knowledge.

They say that despite a belief that poor patient understanding impedes self-management of the condition and thus accelerates cardiovascular complications, they found no such relationship.

Although educating patients about their condition may be important, the researchers say that new strategies are needed to translate understanding of disease into better risk factor modification in these patients (American Journal of Cardiology 2005;95:1290).

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