Attendance at X-PERT structured diabetes education programmes improves blood glucose control, cardiovascular health and participant empowerment

Research output: Contribution to journalArticle

  • Sean Wheatley
  • Nicola Arjomandkhah
  • Campbell Murdoch
  • Matthew Whitaker
  • Nina Evans
  • Paul Hollinrake
  • Trudi Reeves
  • David Wellsted
  • Trudi Deakin
Original languageEnglish
JournalPractical Diabetes
Publication statusSubmitted - 17 Jul 2020
Aims: To evaluate the impact of attending X-PERT structured diabetes education on the health of people with, or at risk of, diabetes.Methods: Data from X-PERT programmes are entered into a central database. Twelve month changes in anthropometric and clinical variables – and in diabetes medication usage - are reported for programmes run between 1st January 2017 and 31st December 2018. Where appropriate, paired t-tests were performed.Results: 29,703 participants were registered to attend a programme during this period, of which 78% attended at least one session. 78% of attendees completed a programme. 99% of participants with clinical data available had Type 2 diabetes. Meaningful reductions in HbA1c were seen (-8.6 mmol/mol, 95%CI -9.2 to -8.0 mmol/mol (-0.8%, 95%CI -0.8 to -0.7%); n = 2,957; p < 0.001); and there were statistically significant reductions in body weight, body mass index, waist circumference, fasting blood glucose, total cholesterol, LDL-c, triglycerides, total cholesterol to HDL-c ratio, and triglycerides to HDL-c ratio (P < 0.001 for all). No change in HDL-c was observed. Of the participants who were recorded as taking diabetes medication at baseline, 632 (54%) were able to reduce the number of medications they were taking and 278 (24%) were able to omit them entirely. Participant empowerment score increased by 20%.Conclusions: Participants were able to improve glycaemic control, weight management and cardiovascular disease risk, reduce medication requirements, and feel more empowered to manage their health through attending X-PERT structured diabetes education.

    Research areas

  • Education, health care delivery, lifestyle, nutrition and diet, self-management

Related faculties, schools or groups

External organisations

  • X-PERT Health
  • University of Hertfordshire

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