During the past years diabetes education has developed greatly. However, a
survey of diabetes care in Sweden in 1995 showed that only 40% of the patie
nts examined had acceptable HbAlc values. This underlines the need for an e
ffective and low-cost patient education programme. In this study we tested
the feasibility of a I-year group education model for patients with type 2
diabetes at Swedish pharmacies. In the study circles, led by specially trai
ned pharmacists, participants learned how to self-monitor glucose, to inter
pret the results and to act upon them. We conclude that study circles held
at pharmacies are a feasible way of educating persons with type 2 diabetes.
The group setting promoted learning through peer help and gave emotional s
upport to participants. Metabolic control as measured by HbAlc improved sig
nificantly after 6 months, but reverted to baseline levels again at 12 mont
hs. The reason for this needs further investigation. (C) 1999 Elsevier Scie
nce Ireland Ltd. All rights reserved.