2017 National Standards for Diabetes Self-Management Education and Support

Abstract

The purpose of this study is to review the literature for Diabetes Self-Management Education and Support (DSMES) to ensure the National Standards for DSMES (Standards) align with current evidence-based practices and utilization trends. Methods The 10 Standards were divided among 20 interdisciplinary workgroup members. Members searched the current research for diabetes education and support, behavioral health, clinical, health care environment, technical, reimbursement, and business practice for the strongest evidence that guided the Standards revision. Results Diabetes Self-Management Education and Support facilitates the knowledge, skills, and ability necessary for diabetes self-care as well as activities that assist a person in implementing and sustaining the behaviors needed to manage their condition on an ongoing basis. The evidence indicates that health care providers and people affected by diabetes are embracing technology, and this is having a positive impact of DSMES access, utilization, and outcomes. Conclusion Quality DSMES continues to be a critical element of care for all people with diabetes. The DSMES services must be individualized and guided by the concerns, preferences, and needs of the person affected by diabetes. Even with the abundance of evidence supporting the benefits of DSMES, it continues to be underutilized, but as with other health care services, technology is changing the way DSMES is delivered and utilized with positive outcomes.

The impact of existing diabetes self-management education interventions on knowledge, attitudes and practices in public health care institutions in Harare, Zimbabwe

“…Type 2 diabetes is the most common form of diabetes, accounting for more than 90% of cases worldwide. 1 The importance of achieving glycaemic targets has been demonstrated by several landmark studies, which show that the risks of diabetes-related complications decrease significantly with every point decline in haemoglobin A1c (HbA1c). [2][3][4] Diabetes self-management education (DSME) is defined as the process of facilitating the acquisition of knowledge and skills necessary for individuals with diabetes to make daily self-management decisions.…”

“…1 DSME is a fundamental strategy to reduce the incidence of complications, healthcare costs and societal burden of diabetes. 1,5 The prevalence of diabetes in Zimbabwe is currently estimated at 8.5% and has more than doubled in the past 30 years. 6 Moreover, Zimbabwe has the third highest estimated per person cost of diabetes care in sub-Saharan Africa.…”

Efficacy and Acceptability of My Care Hub Mobile App to Support Self-Management in Australians with Type 1 or Type 2 Diabetes

“…In reality, continuing health-care provider support for DSM is not always available. Ongoing DSMES for improved self-management is needed to reduce or prevent the risk of developing complications and other poor health outcomes [2,3], which are particularly prevalent among Australian rural populations [8,53,54]. The provision of a potentially highly effective mobile health app such as MCH for improving DSM could be an important supportive measure among this patient population.…”

“…Diabetes self-management education and support (DSMES) is an ongoing process beyond the formal self-management training, which facilitates the knowledge, skills, and ability necessary for lifestyle behaviours that assist patients to manage their condition [1,2]. This is essential to prevent or reduce the risk of developing complications thus fostering improved short-and long-term health outcomes [3].…”

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

“…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 .…”