The Diabetes Attitudes, Wishes, and Needs (DAWN) Program: A New Approach to Improving Outcomes of Diabetes Care

Team Care: The Preferred Approach to Diabetes Treatment

“…Research has shown that a team-based approach to diabetes care is an effective way to help people with diabetes manage the disease, prevent and treat complications, provide behavior-change strategies, and cope with the emotional challenges this chronic disease brings [1]. Although the team may look different for each patient, it usually represents a variety of disciplines and may include a physician, registered dietitian, diabetes educator, nurse, pharmacist, psychologist, podiatrist, dentist, other professionals and resources within the community.…”

“…Diabetes educators can provide the necessary self-management education and serve as trainers and supervisors for peer leaders, and community health workers who can be equipped to coordinate care and ongoing support for patients in behavior change. The benefits of a diabetes team include access to patient education, better glycemic control, increased patient follow-up, higher patient satisfaction, lower risk for the complications of diabetes, improved quality of life, reduced hospitalizations, and decreased health care costs [1,2].…”

A Call for More Effectively Integrating Behavioral and Social Science Principles Into Comprehensive Diabetes Care

“…Some practitioners have improved patient behavioral care by addressing issues of within-practice patient flow and by changing the roles of members of the office team to find time for brief behavioral assessment or intervention (33). For example, some practices now have nonphysician staff help patients complete a behavioral and depression screen before being seen by the physician (33).…”

A randomised trial comparing low-fat diets differing in carbohydrate and protein ratio, combined with regular moderate intensity exercise, on glycaemic control, cardiometabolic risk factors, food cravings, cognitive function and psychological wellbeing in adults with type 2 diabetes: Study protocol

“…Almost 66% of individuals with T2DM experience diabetes-related psychological problems [10] and are at greater risk for developing depression [11]. A study of overweight/obese adults with T2DM found weight loss, independent of physical activity, improved diabetesrelated emotional distress and quality of life (QOL) scores [12].…”