2017 National Standards for Diabetes Self-Management Education and Support

Beck, Joni; Greenwood, Deborah A.; Blanton, Lori; Bollinger, Sandra T.; Butcher, Marcene K.; Condon, Jo Ellen; Cypress, Marjorie; Faulkner, Priscilla; Fischl, Amy Hess; Francis, Theresa; Kolb, Leslie E.; Lavin-Tompkins, Jodi; MacLeod, Janice; Maryniuk, Melinda D.; Mensing, Carolé; Orzeck, Eric A.; Pope, David D.; Pulizzi, Jodi L.; Reed, Ardis A.; Rhinehart, Andrew S.; Siminerio, Linda M.; Wang, Jing

doi:10.2337/ds17-0067

Cited by 60 publications

(102 citation statements)

References 157 publications

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“…9,29,30 Well-executed DSMES programs address individuals’ needs, concerns, and preferences as they incorporate and sustain diabetes-related treatment and lifestyle changes into their daily lives. 30-32…”

Section: The Role Of Diabetes Self-managementmentioning

confidence: 99%

“…In general, critical times for DSMES intervention are at diagnosis, at annual follow-up, during times of complications, and during care transitions, and these also have important implications as additional opportunities for education about risks for hypoglycemia. 30,31 Although participants in DSMES programs experience lower health care costs, particularly related to emergency department utilization and hospitalization, 34 DSMES services remain significantly underused in the United States. 29…”

Section: The Role Of Diabetes Self-managementmentioning

confidence: 99%

“…The Blueprint identifies DSMES as a critical intervention for improving hypoglycemia-related patient outcomes and addresses the need to increase referral to accredited, recognized programs that meet the National Standards for Diabetes Self-Management Education and Support. 31,33 In addition, it recommends tailoring interdisciplinary educational and support interventions to the needs of the individual and incorporating the use of evolving mobile health technologies. Also recommended is content specifically addressing the recognition and self-management of glucose patterns, treatment elements addressing medication safety, nutrition and lifestyle, glucose monitoring, lack of hypoglycemia awareness, and patient fears related to hypoglycemia.…”

Section: National Initiatives To Support Patient Safetymentioning

confidence: 99%

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Diabetes Education Impact on Hypoglycemia Outcomes: A Systematic Review of Evidence and Gaps in the Literature

et al. 2019

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Purpose The primary purpose of this study is to report a systematic review of evidence and gaps in the literature among well-conducted studies assessing the impact of diabetes education on hypoglycemia outcomes and secondarily reporting the impact on other included target outcomes. Methods The authors used a modified Cochrane method to systematically search and review English-language titles, abstracts, and full-text articles published in the United States between January 2001 and December 2017, with diabetes education specified as an intervention and a directly measurable outcome for hypoglycemia risk or events included. Results Fourteen quasi-experimental, experimental, and case-control studies met the inclusion criteria, with 8 articles reporting a positive impact of diabetes self-management education and support (DSMES) on hypoglycemia outcomes; 2 of the 8 reported decreased hypoglycemia events, and 1 reported decreased events in both the intervention and control groups. In addition, 5 studies targeted change in reported hypoglycemia symptoms, with all 5 reporting a significant decrease. DSMES also demonstrated an impact on intermediate (knowledge gain, behavior change) and long-term (humanistic and economic/utilization) outcomes. An absence of common hypoglycemia measures and terminology and suboptimal descriptions of DSMES programs for content, delivery, duration, practitioner types, and participants were identified as gaps in the literature. Conclusions Most retained studies reported that diabetes education positively affected varied measures of hypoglycemia outcomes (number of events, reported symptoms) as well as other targeted outcomes. Diabetes education is an important intervention for reducing hypoglycemia events and/or symptoms and should be included as a component of future hypoglycemia risk mitigation studies.

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Section: The Role Of Diabetes Self-managementmentioning

confidence: 99%

Section: The Role Of Diabetes Self-managementmentioning

confidence: 99%

Section: National Initiatives To Support Patient Safetymentioning

confidence: 99%

See 1 more Smart Citation

Diabetes Education Impact on Hypoglycemia Outcomes: A Systematic Review of Evidence and Gaps in the Literature

et al. 2019

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“…In addition, self-management education and support became important healthcare domains (e.g. Beck et al, 2017). Healthism echoes in this shift from the doctor as a protagonist in treatment (cf.…”

Section: A Critical Narrative Approachmentioning

confidence: 99%

Negotiating exercise as medicine: Narratives from people with type 2 diabetes

2019

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The dominant notion that exercise is medicine puts a strong normative emphasis on individual responsibility for participation in sport and physical activity. The aim of this article was to explore how people with type 2 diabetes, a condition strongly linked to lifestyle behaviour both in origin and in management, translate this notion into their daily life. Based on a critical narrative analysis of stories of 18 Dutch people diagnosed with type 2 diabetes collected between 2012 and 2016, we found a range of meanings given to sport and physical activity. In addition, almost all respondents seemed to subscribe to the notion of exercise as medicine on a general level, either quite explicitly or in more subtle ways, for example, elicited by the interview setting. However, they employed different strategies to negotiate with the translation of this notion into their daily life, ranging from (almost) total acceptance to resistance. In addition, nearly all stories revealed mostly negative experiences with care and professional support regarding the uptake or continuation of sport or physical activity participation after diagnosis.

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“…Diabetes mellitus is a complex and progressive disease characterized by chronically high blood glucose concentrations, and affects at least 415 million people worldwide (IDF Diabetes Atlas Group 2015). In diabetic patients, control of blood glucose homeostasis is traditionally achieved with a strict regimen of food control along with lifelong injections of insulin (for insulin-deficient type 1 diabetic [T1D] patients) or glucagon-like peptide-1 (GLP-1) analogs (for insulin-resistant type 2 diabetic [T2D] patients) at daily to weekly intervals (Holz et al 1993;Grundy 2006;Barrera et al 2011;Heng et al 2015;Guy 2016;Beck et al 2017). These strategies combine high cost with low patient convenience.…”

Section: Optogenetic Devices For Diabetes Therapymentioning

confidence: 99%

Optogenetic Medicine: Synthetic Therapeutic Solutions Precision-Guided by Light

Fussenegger

2018

Cold Spring Harb Perspect Med

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Gene-and cell-based therapies are well recognized as central pillars of next-generation medicine, but controllability remains a critical issue for clinical applications. In this context, optogenetics is opening up exciting new opportunities for precision-guided medicine by using illumination with light of appropriate intensity and wavelength as a trigger signal to achieve pinpoint spatiotemporal control of cellular activities, such as transgene expression. In this review, we highlight recent advances in optogenetics, focusing on devices for biomedical applications. We introduce the construction and applications of optogenetic-based biomedical tools to treat neurological diseases, diabetes, heart diseases, and cancer, as well as bioelectronic implants that combine light-interfaced electronic devices and optogenetic systems into portable personalized precision bioelectronic medical tools. Optogeneticsbased technology promises the capability to achieve traceless, remotely controlled precision dosing of an enormous range of therapeutic outputs. Finally, we discuss the prospects for optogenetic medicine, as well as some emerging challenges.

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2017 National Standards for Diabetes Self-Management Education and Support

Cited by 60 publications

References 157 publications

Diabetes Education Impact on Hypoglycemia Outcomes: A Systematic Review of Evidence and Gaps in the Literature

Diabetes Education Impact on Hypoglycemia Outcomes: A Systematic Review of Evidence and Gaps in the Literature

Negotiating exercise as medicine: Narratives from people with type 2 diabetes

Optogenetic Medicine: Synthetic Therapeutic Solutions Precision-Guided by Light

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