2017 National Standards for Diabetes Self-Management Education and Support

Efficacy of intermittent empagliflozin supplementation on dietary self‐management and glycaemic control in patients with poorly controlled type 2 diabetes: A 24‐week randomized controlled trial

“…Nutrition therapy has been studied and recommended as an essential treatment for type 2 diabetes . To facilitate nutrition therapy and dietary self‐management, self‐management education and support plays a critical role . Unfortunately, however, a large percentage of patients with diabetes do not receive any structured diabetes education and/or nutrition therapy .…”

“…In addition, weight regain and an inevitable progressive increase in HbA1c concentration are reported even with intensive lifestyle interventions . Better methods for supporting dietary self‐management are therefore desirable and clinically needed . In the present study, intermittent use of empagliflozin with encouragement of self‐management of diet was associated with a significant decrease in daily total energy intake at 24 weeks from baseline (Table , Figure C).…”

“…[3][4][5][6][7] To facilitate nutrition therapy and dietary self-management, self-management education and support plays a critical role. 10,34 Unfortunately, however, a large percentage of patients with diabetes do not receive any structured diabetes education and/or nutrition therapy. 35,36 In addition, weight regain and an inevitable progressive increase in HbA1c concentration are reported even with intensive lifestyle interventions.…”

“…Lifestyle intervention is also proven to be cost‐effective . Education and support regarding self‐management, therefore, are critical elements of care for all patients with type 2 diabetes . The best tools or strategies for patient education and approaches to improving adherence to healthy eating patterns, however, remain to be defined and standardized.…”

Lessons from the Real World: Financial Incentives to Improve Glycemic Control in Patients with Type 2 Diabetes

“…Type 2 Diabetes is a chronic disease that requires patient self-management in the form of diet and exercise, and sometimes medication in order to achieve glycemic control. The importance of diabetes self-management education and support (DSMES) is underscored by the National Standards which seek to guide the provision of timely, evidence-based DSMES programs [4]. Primary care teams at DaVita HealthCare Partners (DHCP) implemented diabetes group appointments (DGA) to educate, support and monitor patients in the self-management of their diabetes in order to prevent or delay complications.…”