Layperson-Delivered Interventions for Glycemic Control in Diabetes

Globally, more than 500 million people live with diabetes.Diabetes disproportionately affects people in low-and middle-income countries, and in high-income countries prevalence is highest among marginalized groups, including racial or ethnic minority groups (eg, American Indian and Alaska Native, Hispanic, non-Hispanic Asian, and non-Hispanic Black adults]) and people with limited socioeconomic resources.Diabetes management guidelines emphasize glycemic control via lifestyle management, including weight loss, diet, and exercise, and they recommend self-management education to support behavioral changes and maintenance of healthy behaviors. 1ere is considerable heterogeneity in diabetes self-management programs.They are variably delivered by health professionals, members of the lay public, or peers; individually or in groups; and in person or remotely.Most programs provide information about diabetes and its management, advice on making lifestyle changes, and social and emotional support, although components differ.