The other dimension examined in this study was patients’ awareness, knowledge and skills education of which is necessary to begin the self-control process [22]. Training increases awareness and collaborative learning significantly and the video communication enhances it, because at the next session the patients' feedbacks would be confirmed. Our
findings concerning the increased awareness of diabetic patients are comparable with other studies [23-27]. The result obtained in this study, have showed statistically significant differences in the area of attitude scores of the test group after the educational intervention, which is consistent with previous studies [23-28]. The results showed that the patients’ mean
field performance in the test group has improved after the intervention. Mean pair t-test showed that the self-care behaviour scores in the test group is different, but not in the control group. Results of the earlier studies concerning the diabetic patients' physical activity [29] taking medications on time [30] and appropriate diet [31-33] were consistent with this study [34-36]. Statistical analysis showed a significant difference between HbA1c levels before and after intervention in the test group, but not in the control group. These results are consistent with other studies, too [17, 18, 35-37]. Reduction in haemoglobin A1C in the test group was comparable with other studies [35, 36]. Reduction of haemoglobin A1C is mainly the result of behaviour change in the test group and the average of blood glucose levels in patients during the 6-8 weeks education was closer to normal and in the long-term complications risk reduced [36]. Exercise has a major role in glucose metabolism. Blood glucose self monitoring provides the patients with possibility of continuous awareness of the problem and reducing or fixing it at an acceptable level for example through reduction of daily carbohydrates consumption.