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Objective To examine the effect of case management on glycemic control and behavioral outcomes in adults with Type 2 diabetes in China. Methods Participants were randomly assigned to a 1-year case management (CM) group (n = 60) or control group (n = 60). Monthly case management visits included identifying individuals’ diabetes-related problems, setting goals, planning self-care, and evaluating progress. During a 1-year follow-up, all participants attended visits every 3 months without intervention. Results In the CM vs. the control group, HbA1c was reduced at 6 months compared to baseline (P = 0.034), with trends at 12 and 24 months, and empowerment ability improved (P < 0.05). Also in the CM vs. controls, total self-care behaviors, the frequency of exercise, blood glucose testing, and foot care were higher (P < 0.001) at 12 months, and the percentage of individuals with HbA1c ≤ 7.0% was higher (P = 0.035) at 24 months. Conclusion The case management intervention in China was effective at 6 months and, based on trends in HbA1c at 12 and 24 months and results for behavioral outcomes, the intervention shows promise and warrants more research. Practice implications A case management approach can enhance behavior change and glycemic control in Chinese with diabetes.

To examine physiological and health-related quality of life (HRQOL) outcomes in community living adults attending a 12-week combined lifestyle wellness program.A sample of overweight and obese adults (n=319) and a subgroup who also had diabetes (n=46 of 319) were studied. The program focuses on dietary, physical activity, and behavioral strategies to promote cardiovascular health. Baseline and 12-week measures were obtained.In the total sample, all physiological and HRQOL outcomes improved (p.05), except HDL. High attendance was associated with the highest weight loss. In the diabetic subgroup, weight, steps/day, low density lipoprotein, and most aspects of HRQOL improved significantly.Physiological and HRQOL benefits can be gained from a 12-week combined lifestyle program; greater benefits were obtained with higher attendance. Although the diabetic subgroup was not large, positive outcomes were realized.The 12-week combined lifestyle program shows promise for improving outcomes in community living overweight and obese adults who may also be diabetic. By attending class, participants are reminded about strategies they are to apply during the 12-week program and, by program end, they are equipped with a tool kit of strategies for use in everyday life.