The benefit of structured diabetes education programs has been confirmed in systematic review (1) and meta-analysis (2). Although the explicit changes in glycemic control after structured education have been well established, limited evidence (3) has demonstrated the effect of structured education on diabetes-related complications. Recent studies (4,5) underwent an investigation of the effects on glycemic control and incidence of cardiovascular complication in a structured diabetes education program, Patient Empowerment Programme (PEP), versus the usual clinical practice in a Hong Kong primary care setting. Detailed description of PEP setting and mode of education delivery have been reported previously (4,5). However, whether the structured education would be associated with a lower risk of diabetic retinopathy, nephropathy, neuropathy, and composite microvascular complication events remains questionable. The aim of this population-based, propensity score–matched cohort study was to evaluate the influence of PEP implemented in primary care as compared with the alternative usual clinical practice. This study included 13,280 patients with type 2 diabetes …
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Wong et al. (2015) studied this question.
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