Addressing The Role of Nutrition Education & Health Literacy in Diabetes Care

Addressing The Role of Nutrition Education & Health Literacy in Diabetes Care

This study examines the impact of certified diabetes education, and the role of different educational approaches to medical nutrition therapy. in addition the role of patient health literacy level is assessed

150 patients with type 2 diabetes with most recent a1c>7% will be enrolled. patients are randomized to three arms: arm 1 includes 3 individualized visits with an rd-cde focused on a modified plate method for nutrition therapy, arm 2 includes 3 individualized visits with an rd-cde focused on carb counting for nutrition therapy, and arm 3 focuses on general diabetes education and health promotion. education sessions will be administered over a 4-6 week period. patients will be assessed at baseline, 3 and 6 month follow-up. primary outcome is a1c.

Inclusion Criteria:

• Most recent a1c >7
• Type 2 diabetes
• Receiving primary care
• Not currently in the diabetes improvement program
• No plans to refer to diabetes improvement program in the next 6 mos

Exclusion Criteria:

• Significant dementia or psychosis