In Person
Diabetes Care in Low Resource Settings
Repeat- Breakout Session
- Student Building (Block) SMC 212 Foundation Room
- November 12 2021 4:00 PM - 5:00 PM
Background. Diabetes programs are difficult to implement in low-income settings. Mentoring clinics
is promising to implement initiatives. We mentored local Community Health Workers (CHWs) to
implement a diabetes program for low-income Latino(a)s (N=59) with type 2 diabetes in a twophased approach, each 6-months.
Methods.
-Phase 1 (training, feasibility assessment): participants randomized to the diabetes program or
usual care. CHW-instructors (CHW-Is) led the program, CHWs observed.
-Phase 2 (mentoring): CHWs led the program, CHW-Is mentored.
-The program included monthly group visits and weekly CHWs/CHWIs-participant telehealth
contact.
-Outcomes included baseline to 6-month clinical changes i.e., HbA1c, adherence to medications
and six American Diabetes Association (ADA) guidelines, CHW pre/posttest scores, and
hypoglycemia.
Results. Significant outcomes included improved HbA1c levels, medication and ADA adherence,
hypoglycemic events, and CHWs test scores.
