Association between diabetes self-management education and glycemic control in patients living with type 2 diabetes in French Guiana: a cross-sectional analysis of the CODIAM cohort study
Authors' conclusion
These results suggest that DSME may improve glycemic control in patients living with T2D in French Guiana, in the context of a multicultural population with high precarity levels and low health literacy.
Study context
- Population
- Patients living with T2D in French Guiana, French Amazon Diabetes Cohort Study (CODIAM), April 2019–June 2021; 51.3% women, median age 58 years
- Participants
- 796 patients
- Exposure
- Diabetes Self-Management Education (DSME) participation vs no DSME
- Outcome
- Achievement of the patient's individual HbA1c target
Methodological detailsanalysis of inclusion data of the CODIAM cohort
- Analysis of inclusion data of the CODIAM cohort
Main finding
As reported in the abstract
Achievement of individualized HbA1c target
Individualized HbA1c targets achieved by participants
35.3%
Attended at least one DSME session
38%
Observational data: associations, not effects.
Further findings
Characteristics associated with better glycemic control
- Better glycemic control more likely in older participants, those born in France, in a relationship, not working, with better French-language proficiency, more comorbidities and longer disease duration
- No association between glycemic control and gender or education level
Original publication
Association between diabetes self-management education and glycemic control in patients living with type 2 diabetes in French Guiana: a cross-sectional analysis of the CODIAM cohort study. Diabetes Metab. Published 29 September 2026. doi:10.
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