Pilot Pragmatic Trial of a Community Paramedic Diabetes Self-Management Education Program for Adults With Diabetes
Authors' conclusion
CP-led DSMES improved glycemic management and care engagement in underserved populations. This scalable model warrants further study.
Study context
- Population
- Adults with HbA1c ≥9% and a recent ED or hospital visit; median age 61 years, 50% rural, 84% with T2Dcompleted intervention
- Participants
- 70 adults
- Outcome
- HbA1c
- Follow-up
- 4 months
Methodological detailspragmatic
- Pragmatic
Main finding
As reported in the abstract
HbA1c declined from baseline to 4 months
9.8% to 8.2%
P < 0.001
Further findings
Engagement with primary care, endocrinology and diabetes self-management education and support (DSMES)
- Engagement with primary care, endocrinology, and DSMES improved
Patient-reported satisfaction
- Satisfaction was high (mean rating)
- 9 out of 10
Original publication
Pilot Pragmatic Trial of a Community Paramedic Diabetes Self-Management Education Program for Adults With Diabetes. Diabetes Care. Published 7 October 2025. doi:10.
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