New diabetes self-management education course for South Asian population

November 17, 2017, King's College London

Researchers at King's College London have signed an agreement with three partner organisations to offer a customised type 2 diabetes self-management education programme for the South Asian population in three London Boroughs.

The Diabetes for South Asians (DoSA) programme is a bespoke three-month long self-management course for South Asians with type 2 diabetes. It was developed over several years, through research at King's College London, the University of Warwick and working with people from different South Asian communities. The programme has been available to patients in Bexley since August 2017 and is now available in Greenwich and Lewisham as part of a wider .

Type 2 diabetes is a long-term health condition that is characterised by high levels of glucose in the blood. The condition is often, but not always, associated with being overweight, can take many years to develop and can damage the body, particularly if it is not diagnosed early enough. Common complications associated with Type 2 diabetes include heart disease; stroke; kidney disease (nephropathy); eye disease (retinopathy) and nerve damage (neuropathy), which raises the risk of amputation.

People from South Asian communities are known to be up to six times more likely to have type 2 diabetes than the general population. In addition, South Asians tend to have poorer diabetes management, putting them at higher risk of serious health complications, such as cardiovascular disease.

Furthermore, the survival rates in South Asian young patients are also significantly lower compared to the Caucasian population.

The DoSA programme has been developed involving people from Sikh, Punjabi and Gujerati communities during three joint workshops held over six months. It offers South Asian adults living with type 2 diabetes a range of resources to help them manage their condition. This includes: personal appointments with diabetes educators; a colourful and upbeat manual incorporating information, stories, knowledge quizzes and places to track their own diabetes activities.

Over the three month duration of the project, the diabetes educator offers three telephone or email contacts to provide support, motivation and answer any diabetes health-related questions. Additional information is also available in two booklets called Healthy Eating: healthy eating and cooking with Type 2 diabetes and Celebrations: managing celebrations with type 2 diabetes.

The programme resources are written in English, but the personal appointments may be delivered by diabetes educators in different South Asian languages (where these language skills are available locally).

The roll-out of the DoSA programme is a collaboration involving King's College London, the University of Warwick, Spirit Healthcare, Successful Diabetes and Bexley Health Ltd. In addition to having developed the programme, King's is leading the service evaluation of the field trial sites.

Spirit Healthcare is a provider of products and services and specialises in diabetes education and management. They are working to recruit Clinical Commissioning Groups (CCGs) to the DoSA field trials. These are NHS diabetes education providers who add DoSA to their portfolio of patient education programmes.

Successful Diabetes is an organisation which supports people living or working with the condition by providing education and skills training, particularly for healthcare professionals in the NHS. Successful Diabetes is providing the training for diabetes educators delivering DoSA and has also been involved in creating content for the programme

Bexley Health Ltd is a CCG responsible for the planning and commissioning of health care services in three London Boroughs - Bexley, Greenwich and Lewisham. They are the first CCG in the UK to offer the DoSA programme to patients in their area.

Jackie Sturt, Professor of Behavioural Medicine in Nursing in the Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care at King's College London said: "It has been fantastic to work with people from different South Asian cultural backgrounds to develop DoSA. Their input has been essential to ensure it speaks both to the broad South Asian community but also more specifically to communities within that.

"Modifying cooking methods and managing celebrations, for example, are vital parts of living successfully with diabetes and these needs are often different according to religion and culture. It has been important to reflect this in the programme to ensure that people can see that it is personalised to them and their lifestyle as much as possible."

Rosie Walker, Owner and Director of Successful Diabetes added: "DoSA is a high quality, one to one education programme which will meet a huge need for tailored diabetes related education among people of South Asian origin and lifestyle. It has been a pleasure to partner with King's and Spirit Healthcare and the participating field trial centres. I am proud to have been involved in DoSA's development and in the field trials, and look forward to its roll out nationally to the benefit of people with Type 2 diabetes'

Tim Loveridge, Managing Director Clinical Services, Spirit Healthcare said:

"Spirit Healthcare is proud to be involved as a partner to the DoSA programme. As an organisation, we are committed to making the nation happier and healthier through empowering patients to better self-care. Our proven structured diabetes education programmes consistently score 99% on the NHS Friends and Family test and feedback from patients is that the programmes consistently help them better understand their condition."

The DoSA programme is currently being rolled out three London Boroughs as a field trial and it is hoped will become more widely available soon. CCGs interested in providing a DoSA field trial and for more information about the DoSA programme, please visit the Successful Diabetes website.

Explore further: Type 2 diabetes successfully managed online

Related Stories

Type 2 diabetes successfully managed online

September 28, 2017
People with type 2 diabetes could improve their health by using a new web-based self-management tool, according to UCL-led research.

Regular, early lifestyle changes key to reducing type 2 diabetes & cardiovascular disease

August 29, 2017
Regular and early lifestyle changes key to reducing type 2 diabetes and cardiovascular disease in young South Asians, study suggests

Childhood obesity levels are highest among South Asians

November 2, 2017
Childhood obesity levels in UK are highest among South Asian children, according to new research that completely changes the current understanding of the link between ethnicity and weight status in young people.

GP referral to Weight Watchers avoided type 2 diabetes in third of patients

October 16, 2017
More than a third of patients at risk of developing type 2 diabetes avoided developing the condition after they were referred by their family doctor (GP) to a diabetes prevention programme delivered by the commercial weight ...

Patients at risk over failure to recognize important diabetes subtype

October 23, 2017
The health of people with diabetes is being put at risk due to the failure of doctors to recognise which type of diabetes they have, a new study in the journal Diabetes Care reports.

More years lost for whites versus South Asians, blacks with T2DM

December 27, 2016
(HealthDay)—Whites with type 2 diabetes have more life years lost than South Asians or blacks, according to a study published online Dec. 20 in Diabetes Care.

Recommended for you

Consuming low-calorie sweeteners may predispose overweight individuals to diabetes

March 18, 2018
Consumption of low-calorie sweeteners could promote metabolic syndrome and predispose people to prediabetes and diabetes, particularly in individuals with obesity, a new study on human fat-derived stem cells and fat samples ...

Are high blood glucose levels an effect rather than the cause of diabetes?

March 15, 2018
Insulin resistance and elevated blood glucose levels are considered to be the cause of type 2 diabetes. However, scientists from the German Cancer Research Center (DKFZ) and Heidelberg University Hospital have now provided ...

Smoking linked with higher risk of type 2 diabetes

March 15, 2018
The prevalence of diabetes has increased almost 10-fold in China since the early 1980s, with one in 10 adults in China now affected by diabetes. Although adiposity is the major modifiable risk factor for diabetes, other research ...

Social support and machine learning are at the core of a student-developed app for people with diabetes

March 14, 2018
Diabetes is the seventh leading cause of death in the U.S., and nearly 10 percent of the population suffers from this chronic disease, according to the Centers for Disease Control and Prevention.

Toxic proteins and type 2 diabetes

March 9, 2018
Nearly a half-billion people worldwide live with type 2 diabetes. Yet despite the disease's sizeable and increasing impact, its precise causes remain murky. Current scientific thinking points to two key processes: insulin ...

Fiber-fermenting bacteria improve health of type 2 diabetes patients

March 8, 2018
The fight against type 2 diabetes may soon improve thanks to a pioneering high-fiber diet study led by a Rutgers University-New Brunswick professor.


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.