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. 2018 Sep 4;2018(9):CD013102. doi: 10.1002/14651858.CD013102

Samtia 2013.

Methods Randomised trial
Participants 348 participants with diabetes (intervention 178: control 170)
Selected diabetes clinics
Southern Punjab (Nishter Hospital Multan and DHQ Hospital Layyah),India
Year of study: March 2011 to not stated.
Interventions Patient education
Intervention group patients received predefined specialised care. The components of care were: education of disease including short‐ and long‐term complications; medication adherence and its effects on glycaemic control; education about timing of medication use in relation to food; education about dietary restrictions; education about sensory changes including foot examination; the role of exercise in achieving glycaemic control; the role of self‐monitoring of blood glucose to achieve glycaemic control; education about control of HbA1c values and fasting blood glucose; and smoking cessation. If relevant.
Frequency: every 4 weeks
Duration: 5 months
Outcomes Fasting blood glucose
HbA1c
Notes Funding source: Not specified
Conflict of interest: None stated
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Unclear how randomisation performed
 Quote:"Patients were randomly assigned into control (n=170) and intervention groups (n=178)."
Allocation concealment (selection bias) Unclear risk Unclear if allocation concealed
Blinding of participants and personnel (performance bias) 
 All Outcomes/Outcome 1 Low risk No blinding, but the intervention knowledge seems unlikely to affect objective outcomes
Blinding of outcome assessment (detection bias) 
 All Outcomes/Outcome 1 Low risk No blinding, but the intervention knowledge seems unlikely to affect objective outcomes
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Between group attrition < 10%
Quote: "Almost all the patients included completed the study (control group: 168/170 and intervention group: 174/178)."
Selective reporting (reporting bias) Low risk Main outcomes present
 Note that before‐and‐after results reported rather than control versus intervention or "difference in the difference".
Other bias Low risk None