Effect of health education program for type 2 diabetes mellitus with HbA1c, BMI (body mass index) and waist-to-hip circumference ratio in Indonesia

Type 2 DM in Indonesia is one of the main causes of non-communicable diseases, or about 2,1% of all deaths. Lack of participation in disease therapy can be the reason of poor outcome in patients, so they need self-management education and support to prevent acute complications and to reduce the risk of long-term complications. The aim of the present study was to determine HbA1c and BMI (body mass index) and waist-to-hip circumference ratio as the impact of the health education program. The design was an experimental study. Design used was the one-group pretest-posttest design. In the design of the test was done by comparing the results of one group were given health education before (pretest) and after the time given health education and 3 month after education (postest), and using nonprobability sampling with purposive sampling method. The health education program was given to the subject for 4 weeks. The research was initiated in May 2013, which involved 31 patients. Results showed significant differences in the HbA1c (z = 2.357.p = 0.018), BMI (t = 5,247 p = 0.000), and waist-to-hip circumference ratio (t = 4,146 p = 0.000). The regression results of BMI with HbA1C (t = 0206 p = 0.053) and waist-to-hip circumference ratio with HbA1C (t = 1.692 p = 0305) showed no significant. Effective contribution waist-to-hip circumference ratio and BMI on HbA1c is very small at only 1% for BMI predictor and 10% for waist-to-hip circumference ratio predictor. HbA1c and BMI (body mass index) and waist-to-hip circumference ratio can be improved by providing health education in patients with type 2 diabetes, although further research on the length of follow-up is still needed.