Systematic review demonstrates improved glycemic control and weight management in diverse adults with type 2 diabetes, highlighting the role of culturally competent care.
Introduction: Type 2 diabetes mellitus (T2DM) is a common chronic disease, particularly affecting cross-cultural populations. These populations face socioeconomic, cultural, and health care barriers that hinder optimal disease management. Evidence suggests that culturally competent care (CCC) can improve diabetes management. Methods: To evaluate the efficacy of CCC on blood glucose and body weight in cross-cultural T2DM patients through a meta-analysis. We included 33 randomized controlled trials (RCTs) with 6,956 participants. Studies were identified from eight databases. Risk of bias was assessed, and the meta-analysis was conducted using R. Results: CCC led to significant reductions in HbA1c, body mass index (BMI), and fasting blood glucose (FBG) ( p < .05). However, the effect on low-density lipoprotein (LDL) was inconclusive ( p > .05). Discussion: CCC improves blood glucose and weight management in cross-cultural T2DM patients. Further research is needed to explore long-term effects, optimize strategies, and refine subgroup classifications.
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Liu et al. (2025) studied this question.
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