474-P: Durable Reductions in A1C and Diabetes Distress with a One-Day Hybrid DSMES Intervention

The effectiveness of time efficient diabetes self-management education and support (DSMES) interventions that include both group and individual sessions is lacking. This study tested the impact of the Diabetes One-Day Education and Care (D1D) Program on A1C and diabetes distress. D1D is an 8-hour DSMES hybrid (group and individual sessions) program delivered by an interdisciplinary team. Group sessions focused on the AADE7 self-care behaviors and included an interactive lunch with chef demonstration. Three 30-minute individual session were with a nurse practitioner/endocrinologist, pharmacist, dietitian, nurse, and/or exercise specialist. A1C and diabetes distress were collected at baseline, 3- and 6-months. Participants (N=213) were 59% female, 85% White, with an average age of 56.4±16 years and average diabetes duration of 11.7±11.3 years. Most participants had type 2 diabetes (80%). Compared to baseline (8.2% ±2.1), A1C levels were significantly lower at 3-months (7.6±1.6%, p