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Ji Hyun Kim  (Kim JH) 2 Articles
Effect of Diabetes Education Program on Glycemic Control and Self Management for Patients with Type 2 Diabetes Mellitus.
Ji Hyun Kim, Sang Ah Chang
Korean Diabetes J. 2009;33(6):518-525.   Published online December 1, 2009
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  • 23 Crossref
AbstractAbstract PDF
Diabetes mellitus is a chronic disease requiring continuous treatment and vigorous self-management. Reinforcement of effective self management and diabetes education are important factors in successful treatment. The aim of this study was to evaluate the effectiveness of the current diabetes education program on blood glucose control, self-management, and self-efficacy of patients with type 2 diabetes mellitus. METHODS: A total of 592 patients with newly diagnosed or uncontrolled type 2 diabetes mellitus were recruited to the diabetes education program from January to December 2007. We surveyed 338 patients from April to July 2008. A total of 117 patients had biochemical examinations and completed a questionnaire about knowledge, self-management and self-efficacy of diabetes treatment (no education group (n = 23), education group (n = 94)). RESULTS: The total scores from the questionnaires and the results of laboratory data showed no differences between the two groups. However, there were significant reductions in hemoglobin A1c level in the education group, as compared with the no education group (P = 0.039). Although the score for knowledge about diabetes mellitus was significantly higher in the education group (P = 0.005), greater knowledge was not reflected in the self-management or self-efficacy of the patients. CONCLUSION: The current diabetes education program had no effect on the self-management or self-efficacy of patients with diabetes, although did show some degree of association with blood glucose control and diabetes knowledge level. We conclude that a more effective diabetes education program needs to be developed and applied to daily practice for the improvement ofself-efficacy in patients with diabetes mellitus.


Citations to this article as recorded by  
  • Factors Influencing the Dietary Behavior of Patients with Type 2 Diabetes Mellitus: A Cross-sectional Study
    Sohyun Jin, Youngshin Song
    Journal of Korean Academy of Fundamentals of Nursing.2024; 31(1): 80.     CrossRef
  • The Association between Diabetes Education and Glucose Control in Diabetic Patients: Using the 2008 and 2013 Korea National Health and Nutrition Examination Survey
    Ga Hyun Kim, Yoonhyung Park, Hee-Sook Lim
    Clinical Nutrition Research.2020; 9(2): 81.     CrossRef
  • Educational Needs Associated with the Level of Complication and Comparative Risk Perceptions in People with Type 2 Diabetes
    Youngji Hwang, Dongsuk Lee, Yeon Sook Kim
    Osong Public Health and Research Perspectives.2020; 11(4): 170.     CrossRef
  • Factors Affecting the Self-Management of Adolescents with Type 1 Diabetes Mellitus based on the Information-Motivation-Behavioral Skills Model
    Hooyun Lee, Eun Kyoung Choi, Heejung Kim, Ho-Seon Kim, Hee-Soon Kim
    Child Health Nursing Research.2019; 25(2): 234.     CrossRef
  • Experiences of Patients With a Diabetes Self-Care App Developed Based on the Information-Motivation-Behavioral Skills Model: Before-and-After Study
    Eunjoo Jeon, Hyeoun-Ae Park
    JMIR Diabetes.2019; 4(2): e11590.     CrossRef
  • The Role of Medical Social Worker Engaging in Diabetes Management
    Ga-Young Choi
    The Journal of Korean Diabetes.2019; 20(4): 251.     CrossRef
  • Effects of an Intensive Management Program for Diabetic Patients on a Blood Biochemical Profile and Diabetes Knowledge
    Su-Jeong Yeo, Bok-Hee Kim
    Korean Journal of Community Nutrition.2018; 23(2): 148.     CrossRef
  • Needs for Development of IT-based Nutritional Management Program for Women with Gestational Diabetes Mellitus
    Chan-Jung Han, Sun-Young Lim, Eunsuk Oh, Yoon-Hee Choi, Kun-Ho Yoon, Jin-Hee Lee
    Korean Journal of Community Nutrition.2017; 22(3): 207.     CrossRef
  • Understanding and Approaching Low Motivation in Young Adults with Diabetes Mellitus
    Yu Jeong Park
    The Journal of Korean Diabetes.2017; 18(2): 121.     CrossRef
  • Physician-Directed Diabetes Education without a Medication Change and Associated Patient Outcomes
    Hun-Sung Kim, Hyunah Kim, Hae-Kyung Yang, Eun Young Lee, Yoo Jin Jeong, Tong Min Kim, So Jung Yang, Seo Yeon Baik, Seung-Hwan Lee, Jae Hyoung Cho, In Young Choi, Hyeon Woo Yim, Bong-Yun Cha
    Diabetes & Metabolism Journal.2017; 41(3): 187.     CrossRef
  • Effects of Health Literacy and Knowledge on Diabetic Self-care in the Elderly with DM Living Alone
    Nan Hui Kim, Youngran Yang, Myung Ha Lee
    Journal of Korean Academy of Community Health Nursing.2016; 27(4): 370.     CrossRef
  • The Current Strategic Direction of Diabetes Education: American Association of Diabetes Educators Yearly Strategic Plan 2016~2018
    Yu Jeong Park
    The Journal of Korean Diabetes.2016; 17(3): 196.     CrossRef
  • Research Review: Effective of Self-Management Education in Diabetes Patients
    Eun Chong Shin
    The Journal of Korean Diabetes.2016; 17(3): 185.     CrossRef
  • Self-Care and Related Factors in Young and Middle Adulthood Patients with Type 2 Diabetes
    Kyung Mee Jung, Sook Ja Lee, Eun Sook Park, Young Joo Park, Sin Gon Kim, Dong Seop Choi
    The Journal of Korean Diabetes.2015; 16(1): 65.     CrossRef
  • Psychometric Properties of the Diabetes Management Self-Efficacy Scale in Korean Patients with Type 2 Diabetes
    Eun-Hyun Lee, Jaap van der Bijl, Lillie M. Shortridge-Baggett, Seung Jin Han, Seung Hei Moon
    International Journal of Endocrinology.2015; 2015: 1.     CrossRef
  • Diabetes Education Compliance and Knowledge among Diabetes Patients: Analysis of Patients Who Refuse Diabetes Education at an Academic Medical Center
    Kang Hee Sim, Bo Ram Wang, Jin-Won Noh, Moon Kyu Lee, Young Dae Kwon
    The Journal of Korean Diabetes.2014; 15(1): 51.     CrossRef
  • Effects of Individual and Group Education Programs on Coping and Self-care Behaviors in Cancer Patients
    Young Mi Kim, Won Ock Kim, Sang Sook Han
    Journal of East-West Nursing Research.2014; 20(1): 1.     CrossRef
  • Role of Diabetes Educators and Effectiveness of Diabetes Education
    HeeSook Kim
    The Journal of Korean Diabetes.2013; 14(4): 194.     CrossRef
  • Development of a Comprehensive Self-Management Program Promoting Self Efficacy for Type 2 Diabetic Patients
    Ju-Young Park, Il-Sun Ko
    Journal of Korean Academy of Fundamentals of Nursing.2012; 19(1): 74.     CrossRef
  • Effect on Glycemic, Blood Pressure, and Lipid Control according to Education Types
    Mi-Ju Choi, Seung-Hyun Yoo, Kum-Rae Kim, Yoo-Mi Bae, Sun-Hee Ahn, Seong-Shin Kim, Seong-Ah Min, Jin-Sun Choi, Seung-Eun Lee, Yeo-Jin Moon, Eun Jung Rhee, Cheol-Young Park, Won Young Lee, Ki Won Oh, Sung Woo Park, Sun Woo Kim
    Diabetes & Metabolism Journal.2011; 35(6): 580.     CrossRef
  • Effects of Nutrition Education in Type 2 Diabetes Mellitus on Diabetes Control and Blood Antioxidant Status
    Kyung-Nam Shin, Hye-Sang Lee, Chong-Suk Kwon
    Journal of the Korean Society of Food Science and Nutrition.2011; 40(5): 689.     CrossRef
  • Study on Survey of Knowledge and Awareness Level of Diabetic Retinopathy in Type 2 Diabetes Patients: Results from Seoul Metro-City Diabetes Prevention Program Survey
    Dae Woong Lee, Chul Young Park, Su Jeong Song
    Journal of the Korean Ophthalmological Society.2011; 52(11): 1296.     CrossRef
  • A Study on the Performance and Utilization of Results of Self-monitoring of Blood Glucose in Type Ⅱ Diabetes
    Jung-Mi Ha, Dong-Hee Kim
    The Journal of Korean Academic Society of Nursing Education.2010; 16(2): 330.     CrossRef
The Effects of Exendin-4 on IRS-2 Expression and Phosphorylation in INS-1 Cells.
Ji Hyun Kim, Ji Won Kim, Sung Yoon Jeon, Heon Seok Park, Dong Sik Ham, Young Hye You, Seung Hwan Lee, Jae Hyoung Cho, Mi Ja Kang, Kang Woo Lee, Hyuk Sang Kwon, Kun Ho Yoon, Bong Yun Cha, Kwang Woo Lee, Sung Koo Kang, Ho Young Son
Korean Diabetes J. 2008;32(2):102-111.   Published online April 1, 2008
  • 2,689 View
  • 33 Download
AbstractAbstract PDF
Insulin receptor substrate 2 (IRS-2) is a key regulator of beta cell proliferation and apoptosis. This study was aimed to investigate effect of the glucolipotoxicity on apoptosis in INS-1 cell, and the effect of Exendin-4, a GLP-1 receptor agonist, on IRS-2 expression in the glucolipotoxicity induced INS-1 cell. The goal was to discover the new action mechanism and function of Exendin-4 in beta cell apoptosis. METHOD: INS-1 cells were cultured in glucolipotoxic condition for 2, 4 or 6 days and were categorized as G groups. Another group in which 50 nM Exendin-4 was added to INS-1 cells, cultured in glucolipotoxic condition, were named as Ex-4 groups. We investigated the expression of IRS-2 by RT-PCR, phosphorylated IRS-2 and phosphorylated Akt protein levels by western blot. We measured the apoptosis ratio of INS-1 cell in glucolipotoxic condition by TUNEL staining in both groups. RESULT: IRS-2 expression of INS-1 cells decreased with correlation to the time of exposure to glucolipotoxic condition. pIRS-2 and pAkt protein levels decreased in the similar pattern in glucolipotoxicity group. However, this effect of glucolipotoxicity on INS-1 cell was inhibited by the Exendin-4 treatment. In the Ex-4 groups, IRS-2 expression, pIRS-2 and pAkt protein levels remained at the similar level to low glucose condition state. Also, apoptosis induced by glucolipotoxicity was suppressed by Exendin-4 treatment significantly. CONCLUSION: We showed that the long-term treatment of Exendin-4 inhibited the apoptosis of beta cells significantly in glucolipotoxic condition and that this effect of Exendin-4 was related with IRS-2 and Akt among the beta cell's intracellular signal transduction pathway.

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