Research Summary
Analyzed using Evidence Intelligence™

Integrated intervention improves diabetes and oral health outcomes

Last updated August 16, 2026

Key finding

G3 showed the greatest improvements over G0 in terms of the fasting plasma glucose control rate (B = 0.559, P = 0.027).

A community-based integrated self-management intervention improved outcomes in individuals with type 2 diabetes and chronic periodontitis.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

Save research, organize studies, and quickly find important evidence again.

Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

A community-based integrated self-management intervention improved outcomes in individuals with type 2 diabetes and chronic periodontitis.

Clinical relevance

Improving management of type 2 diabetes and chronic periodontitis is crucial as both conditions are prevalent and can lead to severe health complications. This study demonstrates that a community-based approach can effectively enhance patient outcomes, potentially guiding future interventions and clinical practices.

Keep in mind

The study's sample size may limit generalizability. Potential biases in self-reported outcomes. Short follow-up duration may not capture long-term effects.

Published in

Journal Reference

Publication details and source links for this paper.

Yi Z, Yijia C, Chenchen W, Hao X, Nan Z, Xin H. Community-based integrated self-management intervention improves outcomes in type 2 diabetes and chronic periodontitis. Scientific Reports. 2025;15:24395. doi:10.1038/s41598-025-09034-7

Main Effects

G3 showed improvements in fasting plasma glucose control rate (B = 0.559, P = 0.027).

G3 demonstrated enhancements in glycated hemoglobin control rate (B = 0.615, P = 0.007).

G3 exhibited marked reductions in gingival bleeding (B = -0.751, P = 0.015).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to DSMES and Fasting Plasma Glucose (FPG), HbA1c, Incidence of reduced chewing weakness, and 6 more.

Primary intervention

DSMES

Primary outcomes

  • Fasting Plasma Glucose (FPG)
  • HbA1c
  • Incidence of reduced chewing weakness

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

9
Evidence pairs
9
Relationships
3
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 72

3

Related topics

9

Evidence pairs

698

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 9 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

Save studies and evidence pages, organize your personal Evidence Tracker, and keep the research you care about in one place.

Primary evidence

Evidence relationship

Diabetes Self-Management Education and Support (DSMES) Programs and Fasting Glucose

Related evidence

Evidence relationship

Diabetes Self-Management Education and Support (DSMES) Programs and HbA1c

Save evidence

Evidence relationship

Diabetes Self-Management Education and Support (DSMES) Programs and Quality of Life Outcomes

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Fasting Plasma Glucose (FPG)

DSMES → Fasting Plasma Glucose (FPG)

DSMES → Fasting Plasma Glucose (FPG)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
25
Negative
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

DSMES → HbA1c

DSMES → HbA1c

Evidence Intelligence™
EvidenceScore™
87
Strong
ImpactScore™
66
Slightly Positive
ConsistencyScore™
63
generally_consistent
Supporting studies: Based on 8 studies
Add to Evidence Tracker

Incidence of reduced chewing weakness

DSMES → Incidence of reduced chewing weakness

DSMES → Incidence of reduced chewing weakness

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Incidence of reduced tooth mobility

DSMES → Incidence of reduced tooth mobility

DSMES → Incidence of reduced tooth mobility

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Mean self-efficacy score

DSMES → Mean self-efficacy score

DSMES → Mean self-efficacy score

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Quality of life

DSMES → Quality of life

DSMES → Quality of life

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Reduced gingival swelling

DSMES → Reduced gingival swelling

DSMES → Reduced gingival swelling

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Reduced halitosis incidence

DSMES → Reduced halitosis incidence

DSMES → Reduced halitosis incidence

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

evidence suggest

Evidence Suggest

  • Fasting plasma glucose control improved significantly (B = 0.559, P = 0.027).
  • Glycated hemoglobin levels showed notable reductions (B = 0.615, P = 0.007).
  • Oral health outcomes, including reduced gingival bleeding, were significantly better (B = -0.751, P = 0.015).
who this applies

Who this applies to

  • Adults diagnosed with type 2 diabetes.
  • Individuals experiencing chronic periodontitis.
keep in mind

Keep in Mind

  • Results may not apply to populations outside the study's demographic.
  • The intervention's effectiveness may vary based on individual adherence.
  • Further research is needed to confirm long-term benefits.
between the lines

Between the Lines

  • The study's sample size may limit generalizability.
  • Potential biases in self-reported outcomes.
  • Short follow-up duration may not capture long-term effects.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Diabetes Self-Management Education and Support (DSMES) Programs and HbA1c, Diabetes Self-Management Education and Support (DSMES) Programs and Fasting Glucose.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Diabetes Self-Management Education and Support (DSMES) Programs improve fasting glucose?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs may improve Fasting Glucose.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Fasting Plasma Glucose (FPG)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | moderate negative | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 17 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
17 supporting studiesUpdated: Aug 2026

Does Diabetes Self-Management Education and Support (DSMES) Programs improve HbA1c?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs may improve HbA1c.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 86.5 | weak positive | ConsistencyScore™ Generally Consistent | 1 study

Why this answer: This answer is based on 33 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
33 supporting studiesUpdated: Aug 2026

Does Diabetes Self-Management Education and Support (DSMES) Programs improve quality of life outcomes?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs may improve Quality of Life Outcomes.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Quality of life

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 12 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
12 supporting studiesUpdated: Aug 2026

Does DSMES improve incidence of reduced chewing weakness?

Emerging Evidence

DSMES appears to improve Incidence of reduced chewing weakness.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Incidence of reduced chewing weakness

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026
Learn how Evidence Intelligence™ works

Next steps

Continue your research

Choose a next path through related evidence topics, Evidence Explorer views, and research summaries.

No ads. No tracking.

Focused on evidence, not advertising.

Secure & private

Your data is always protected.

Always up to date

New studies added every day.