People who come from ethnic minorities living in developed countries have a higher incidence of type 2 diabetes mellitus (DM2) than the general population of the country. A high proportion of this population is required to cope with stressful living conditions, such as linguistic and cultural barriers, which contribute to the development of DM2. A large proportion of these people receive sporadic information about their illness from sources that are often unrelated to the medical profession and therefore have no ability to effectively manage DM2. The purpose of this systematic review was to investigate whether adapted cultural education in DM2 is more effective than conventional education, as it is provided in a given country. This systematic review included research studies published in the 2007-2017 period from search databases Medline, Scopus, Cinahl and PubMed with index words "type 2 diabetes mellitus", "education", "self-management", “migrant population", "ethnic minorities", "health professionals". Seven studies were reviewed and evaluated. The majority of them showed that HbA1c was significantly improved at 3 and 6 months after the adapted cultural intervention. In addition, people's knowledge of the disease in the intervention team increased significantly. Adapted cultural education in DM2 seemed to be more effective than the usual education provided in the country. The observed improvement in HbA1c values and knowledge of the disease were demonstrated in the reviewed studies but due to the small sample reviewed and included in this systematic review, no reliable conclusions can be drawn regarding its intervention and efficacy. In conclusion, there is a need for large multicentre studies son that a safe conclusion can be drawn about the usefulness and effectiveness of these programs in these groups of people.
Type 2 diabetes mellitus