This study aimed to evaluate the effectiveness of diabetes educator-assisted management in improving diabetes care in Pakistan, particularly among low and middle-income populations. A randomized controlled trial was conducted with 150 participants, who received care from an endocrinologist. Diabetes educators used a structured approach, which involved identifying patient care priorities, assessing specific educational needs, designing personalized diet plans, emphasizing the importance of self-monitoring blood glucose, and addressing concerns related to diabetes medication, foot care, and hypoglycemia. In the intervention group, patients were trained by the diabetes educator over 6 months, which included both follow-up visits and phone consultations. The primary measure for success was the improvement in HbA1c levels, while secondary outcomes involved assessing medication adherence, blood glucose levels, quality of life, blood pressure, and lipid profiles. Participants were predominantly male (53.3%) and aged 40-60 years (57.3%). Results showed significant improvements in HbA1c, blood glucose, blood pressure, and lipid profiles in the intervention group (P < 0.0001). In addition, the group showed greater medication adherence and health-related quality of life. This study emphasizes the need for continued education to improve glycemic control in type 2 diabetes patients and aims to strengthen the self-management of those with poorly controlled diabetes, who are at a higher risk of complications.
