The biggest barrier to good diabetes management may be the delivery of quality diabetes health education to minorities due to language and cultural barriers. This is what Dr. Yolanda Robles and her colleagues from Cardiff University in UK reported in the Cochrane Database of Systematic Reviews from The Cochrane Collaboration.

The team was able to reach this conclusion after examining combined findings from 11 published research articles that compared the “usual” care with culturally tailored diabetes education among ethnic minorities living in middle- or high-income countries. All 1,063 study participants were 16 years old and above.

Investigators, despite limited number of studies available for analysis, were able to find “clinically significant improvements” in blood sugar control among those who underwent diabetes education in their native tongue using culturally modified methods. In addition, patients also showed improvement in their knowledge of diabetes and healthy lifestyles. Dr. Robles and colleagues noted that these improvements were seen three to six months after the program’s implementation and that it strengthened the concept “that health education should be couched in a learner-centered manner” without compromising on religion, and social and cultural values.

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