Diabetes Self-management Education
Diabetes affects more than 30.3 million Americans and can cause vision loss or blindness, heart attacks and strokes, and other serious complications. In 2015, 11.4 percent of Texans had diabetes. (Texas Department of State Health Services) Texas Health and Human Services and the Texas Diabetes Council are working with communities like yours, to give you the facts about diabetes and help you work with your doctor to protect your health. Individuals If you are diagnosed with prediabetes or diabetes you can better control your disease with a few simple steps. Diabetes education classes can teach you the best ways to care for yourself, so that you can live a healthier life. The classes will help you: Make better decisions about your diabetes. Work with your health care team to get the support you need. Understand how to better take care of yourself and learn the skills for: Healthier eating. Moving more. Knowing your blood sugar. How to best take your medicine. Solving problems. Coping with the emotional side of diabetes. Reducing your risk of other health problems. If you need help paying for medical care, visit YourTexasBenefits.com to see if you qualify for medical assistance. Health Care Providers As a health care provider, you know that people who actively engage in their own treatment plans can significantly improve their health outcomes. One such way is to participate in a diabetes self-management education and support program. If you don’t already have a list of programs in your area, HHS is making it easier for you to help your patients find a program. Simply refer them to the website you are on right now: hhs.texas.gov/diabetes. The American Association of Diabetes Educators has created a form for physicians and other qualified non-physician practitioners to mak Continue reading >>
Dsme Support In Diabetes
Powers et al 1 Margaret A. Powers, PhD, RD Joan Bardsley, MBA, RN Marjorie Cypress, PhD, RN, CNP Paulina Duker, MPN, RN Martha M. Funnell, MS, RN Amy Hess Fischl, MS, RD Melinda D. Maryniuk, MEd, RD Linda Siminerio, RN, PhD Eva Vivian, PharmD, MS From International Diabetes Center at Park Nicollet, Minneapolis, Minnesota (Dr Powers); MedStar Health Research Institute and MedStar Nursing, Hyattsville, Maryland (Ms Bardsley); ABQ Health Partners, Albuquerque, New Mexico (Dr Cypress); LifeScan, a Johnson & Johnson Diabetes Solutions Company, Dubai, United Arab Emirates (Ms Duker); University of Michigan Medical School, Ann Arbor, Michigan (Ms Funnell); University of Chicago, Chicago, Illinois (Ms Fischl); Joslin Diabetes Center, Boston, Massachusetts (Ms Maryniuk); School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania (Dr Siminerio); and University of Wisconsin–Madison, Madison, Wisconsin (Dr Vivian). Correspondence to Margaret A. Powers, International Diabetes Center at Park Nicollet, Minneapolis, MN 55416-2699, USA. ([email protected]). Acknowledgments: The authors gratefully acknowledge the commitment and support of the collabo- rating organizations—the American Association of Diabetes Educators, the American Diabetes Association, and the Academy of Nutrition and Dietetics; their colleagues, including members of the Executive Committee of the National Diabetes Education Program, who participated in discussions and reviews about this inaugural position statement; and patients who teach and inspire them. The authors also thank Erika Gebel Berg (American Diabetes Association) for her invaluable editorial contribution. The position statement was reviewed and approved by the Professional Practice Committee of the American Associa Continue reading >>
Diabetes Self Management Education
Primary Care Boston hosts a 4-week Diabetes Self-Management Education (DSME) class series that is free and open to any person with diabetes. Whether you have received a new diabetes diagnosis or you have had diabetes for years, this course will help you gain the knowledge and skill to live a healthy and full life with diabetes. You will have the opportunity to hear from others with diabetes and find out from real people how to manage your diagnosis. These classes are facilitated by a Certified Diabetes Educator (CDE) Nurse (RN) and a Registered Dietitian/Nutritionist but driven by participants. Topics typically include: Food choices to control blood sugars and manage diabetes Meetings are heldon Tuesdays from 4-6PM in the 5th floor Biewend Conference room. The next 4 class sessions will beginTuesday, November 6thand will meet each Tuesday during the month of August. Come to one or all four classes led by a Certified Diabetes Educator and a Nutritionist. Primary Care Boston is a licensed AADE site for providing this education. Whether one has received a new diabetes diagnosis or one has had the disease for years, this course will help yougain diabetes knowledge and skills and the ability to care for yourself. One will also interact with fellow patients with diabetes. There are no dull lectures or lengthy PowerPoints in this class! Our group leader will provide helpful tips and resources, while fostering a collaborative environment and connecting patients together. This group is different from traditional lecture-style meetings it is interactive in a casual learning environment. These sessions follow the accredited curriculum of the American Association of Diabetes Educators , with much of the discussion being patient-led and centered. To sign up or request more informat Continue reading >>
Diabetes Self-management Education | Stanford Health Care - Valleycare | Livermore California
The ValleyCare Diabetes Education Program has been recognized by the American Diabetes Association for Quality Self-Management Education. Through our education programs, you will learn skills to manage your diabetes. Education programs consist of the Living Well with Diabetes small-group classes, individual education sessions and community education seminars. Skills learned include the following: Healthy eating: Make healthy food choices, understand portion sizes and eat right for your lifestyle. Being active: Develop an activity plan for overall fitness, weight management and blood glucose control. Monitoring: Monitor blood glucose levels, blood pressure, cholesterol lab work and weight. Learn to interpret target values and how to use them effectively. Problem solving: Sharpen problem-solving skills to make rapid, informed decisions about diet, activity and medications. Reducing risks: Understand, seek and regularly obtain an array of preventive services to maximize health and quality of life. Healthy coping skills: Set achievable behavioral goals and work through obstacles, fears and doubts. Living Well With DiabetesGroup Classes In these interactive, small-group classes, you will learn to: Control your hemoglobin A1C, cholesterol and triglycerides Continue reading >>
Diabetes Self-management Education And Support In Type 2 Diabetes: A Joint Position Statement Of The American Diabetes Association, The American Association Of Diabetes Educators, And The Academy Of Nutrition And Dietetics
Diabetes is a chronic disease that requires a person with diabetes to make a multitude of daily self-management decisions and to perform complex care activities. Diabetes self-management education and support (DSME/S) provides the foundation to help people with diabetes to navigate these decisions and activities and has been shown to improve health outcomes (1–7). Diabetes self-management education (DSME) is the process of facilitating the knowledge, skill, and ability necessary for diabetes self-care. Diabetes self-management support (DSMS) refers to the support that is required for implementing and sustaining coping skills and behaviors needed to self-manage on an ongoing basis. (See further definitions in Table 1.) Although different members of the health care team and community can contribute to this process, it is important for health care providers and their practice settings to have the resources and a systematic referral process to ensure that patients with type 2 diabetes receive both DSME and DSMS in a consistent manner. The initial DSME is typically provided by a health professional, whereas ongoing support can be provided by personnel within a practice and a variety of community-based resources. DSME/S programs are designed to address the patient’s health beliefs, cultural needs, current knowledge, physical limitations, emotional concerns, family support, financial status, medical history, health literacy, numeracy, and other factors that influence each person’s ability to meet the challenges of self-management. It is the position of the American Diabetes Association (ADA) that all individuals with diabetes receive DSME/S at diagnosis and as needed thereafter (8). This position statement focuses on the particular needs of individuals with type 2 diabet Continue reading >>
Diabetes Self-management Education Program At New Brunswick Campus
Diabetes Self-Management Education Program at New Brunswick Campus Robert Wood Johnson University Hospital has an American Diabetes Association-recognized diabetes education program designed to provide individuals who have diabetes with knowledge and skills to help them take control of their diabetes. The education program is managed and instructed by two certified diabetes educators (a registered nurse and a registered dietitian). When a patient with diabetes is referred, he/she is scheduled for an initial appointment where individual needs for education are established. Additional appointments are available for one-on-one sessions or for group instruction. Outpatients must have a physician order to register for diabetes self-management training. A diagnosis code must also be included. Medicare, Medicaid and many insurers cover the cost of diabetes supplies and diabetes self-management training. It is recommended that patients check with their insurance before calling for an appointment. Physician orders and referrals may be faxed to the educators at (732) 253-3578. To request an appointment, call (732) 253-3100 and provide your name and phone number. A diabetes educator will return your call to obtain additional information and schedule your appointment. Those scheduled for diabetes education should report to the hospital admissions office immediately prior to their appointment. The educator will meet the patient there and accompany him/her to the diabetes education office. Continue reading >>
Self-management Education: Learn More. Feel Better.
If you are one of the millions of people living with diabetes, we have good news. Participating in a self-management education (SME) program can help you manage your diabetes, prevent complications, and take control of diabetes symptoms such as tiredness, pain, and depression. Find out how an SME program can help you learn more and feel better. Diabetes-Specific SME Programs Diabetes Self-Management Education and Training (DSME/T) Cost: Varies by organization; often covered by health insurance. Format: In person, in the community. Diabetes Self-Management Education and Training (DSME/T) programs provides knowledge and skills for people who want to manage their type 2 diabetes and related conditions. Diabetes educators conduct each program, which addresses the needs, goals, and life experiences of people with diabetes. This program teaches you how to eat healthy, be active, monitor blood sugar levels, take medication, problem solve, reduce risk for other health conditions, and cope with your disease. Visit the American Association of Diabetes Educators website to learn more about Diabetes Self-Management Education and Training (DSME/T). Top of Page Diabetes Self-Management Program Cost: Varies by organization, rarely more than $50. Format: In-person workshop. The Diabetes Self-Management Program (DSMP) is a 6-week group program for people with type 2 diabetes. Developed by Stanford University, this program can help you deal with the symptoms of diabetes— including tiredness, pain, and emotional issues—by helping you learn how to eat and sleep better, manage your day-to-day activities more effectively, and more. This interactive workshop meets for 2.5 hours per week for 6 weeks in convenient community locations. It is led by trained leaders, at least one of whom has a Continue reading >>
Diabetes Self-management Education And Support Program
Diabetes Self-Management Education and Support Program The Diabetes Self Management Education and Support (DSME/S) Program is an outpatient program designed for adults, children, and seniors with Type 1 or Type 2 Diabetes. When you have diabetes, life can be difficult. When patients are faced with diabetes, managing medications, blood glucose testing, and maintaining a good diet can be a formidable challenge without the proper support. The Diabetes Self Management Education and Support program at Massachusetts General Hospital can provide a framework for patients and their families to learn to live well with diabetes. We offer an education and support program designed for adults who want to learnmore about managing their diabetes. Referrals are necessary to enroll in a program and must be conducted by your primary care physician. Once the referral form is signed, you can mail/fax or give it to the diabetes educator who will be working with you on diabetes education. Programs are covered by most insurance groups including Medicare. Please confirm with your insurance provider to verify your benefits before scheduling an appointment. Continue reading >>
National Standards For Diabetes Self-management Education
Diabetes self-management education (DSME) is a critical element of care for all people with diabetes and is necessary in order to improve patient outcomes. The National Standards for DSME are designed to define quality diabetes self-management education and to assist diabetes educators in a variety of settings to provide evidence-based education. Because of the dynamic nature of health care and diabetes-related research, these Standards are reviewed and revised approximately every 5 years by key organizations and federal agencies within the diabetes education community. A Task Force was jointly convened by the American Association of Diabetes Educators and the American Diabetes Association in the summer of 2006. Additional organizations that were represented included the American Dietetic Association, the Veteran's Health Administration, the Centers for Disease Control and Prevention, the Indian Health Service, and the American Pharmaceutical Association. Members of the Task Force included a person with diabetes; several health services researchers/behaviorists, registered nurses, and registered dietitians; and a pharmacist. The Task Force was charged with reviewing the current DSME standards for their appropriateness, relevance, and scientific basis. The Standards were then reviewed and revised based on the available evidence and expert consensus. The committee convened on 31 March 2006 and 9 September 2006, and the Standards were approved 25 March 2007. Continue reading >>
National Standards For Diabetes Self-management Education And Support
By the most recent estimates, 18.8 million people in the U.S. have been diagnosed with diabetes and an additional 7 million are believed to be living with undiagnosed diabetes. At the same time, 79 million people are estimated to have blood glucose levels in the range of prediabetes or categories of increased risk for diabetes. Thus, more than 100 million Americans are at risk for developing the devastating complications of diabetes (1). Diabetes self-management education (DSME) is a critical element of care for all people with diabetes and those at risk for developing the disease. It is necessary in order to prevent or delay the complications of diabetes (2–6) and has elements related to lifestyle changes that are also essential for individuals with prediabetes as part of efforts to prevent the disease (7,8). The National Standards for Diabetes Self-Management Education are designed to define quality DSME and support and to assist diabetes educators in providing evidence-based education and self-management support. The Standards are applicable to educators in solo practice as well as those in large multicenter programs—and everyone in between. There are many good models for the provision of diabetes education and support. The Standards do not endorse any one approach, but rather seek to delineate the commonalities among effective and excellent self-management education strategies. These are the standards used in the field for recognition and accreditation. They also serve as a guide for nonaccredited and nonrecognized providers and programs. Because of the dynamic nature of health care and diabetes-related research, the Standards are reviewed and revised approximately every 5 years by key stakeholders and experts within the diabetes education community. In the fall Continue reading >>
Review Article Diabetes Self-management Education For Adults With Type 2 Diabetes Mellitus: A Systematic Review Of The Effect On Glycemic Control
Highlights • DSME appears most effective when group and individualized intervention are combined (74). • DSME appears most effective delivered by a team rather than single provider (65). • People in poor glycemic control benefit from participation in quality DSME (65). • More than 10 hours of DSME increases the likelihood of resulting in significant A1C improvement (84). • Time period over which DSME is delivered does not affect its impact on A1C (62). Abstract Assess effect of diabetes self-management education and support methods, providers, duration, and contact time on glycemic control in adults with type 2 diabetes. We searched MEDLINE, CINAHL, EMBASE, ERIC, and PsycINFO to December 2013 for interventions which included elements to improve participants’ knowledge, skills, and ability to perform self-management activities as well as informed decision-making around goal setting. This review included 118 unique interventions, with 61.9% reporting significant changes in A1C. Overall mean reduction in A1C was 0.74 and 0.17 for intervention and control groups; an average absolute reduction in A1C of 0.57. A combination of group and individual engagement results in the largest decreases in A1C (0.88). Contact hours ≥10 were associated with a greater proportion of interventions with significant reduction in A1C (70.3%). In patients with persistently elevated glycemic values (A1C > 9), a greater proportion of studies reported statistically significant reduction in A1C (83.9%). This systematic review found robust data demonstrating that engagement in diabetes self-management education results in a statistically significant decrease in A1C levels. The data suggest mode of delivery, hours of engagement, and baseline A1C can affect the likelihood of achieving stat Continue reading >>
- The effect of a low-carbohydrate, ketogenic diet versus a low-glycemic index diet on glycemic control in type 2 diabetes mellitus
- Glycaemic control in people with type 2 diabetes mellitus during and after cancer treatment: A systematic review and meta-analysis
- The interpretation and effect of a low-carbohydrate diet in the management of type 2 diabetes: a systematic review and meta-analysis of randomised controlled trials
What Is Diabetes Self-management Education?
Diabetes self-management education helps people to stay healthy and prevent costly complications, yet very few people with diabetes attend a course. Diabetes UK's Taking Control campaign aims to increase the provision and uptake of diabetes self-management education, so that everyone with diabetes has the skills and confidence to take control of their condition. This page gives healthcare professionals and local decision makers more information about patient education options. It includes resources to use with your patients and advice on improving uptake. People learn about their condition in different ways. A useful framework for understanding diabetes education, broadly based on a model used in Scotland, is in three levels: Level three: Structured education that meets nationally-agreed criteria (defined byNICE/SIGN), including an evidence-based curriculum, quality assurance of teaching standards and regular audit. Level two: Ongoing learning that may be quite informal, perhaps through a peer group. Level one: Information and one-to-one advice. Level three education: what is the evidence base? Diabetes education courses, often known as structured education, improve key outcomes, reduce the onset of complications and are cost effective or even cost saving. For a summary of the published evidence on structured education download Diabetes UK's reportDiabetes Education: the big missed opportunity in diabetes care (PDF, 285KB). Level three education: how to improve uptake and quality A short guide from Diabetes UK, including what your patients need to know about diabetes education and tips to improve attendance (see also key downloads).A short guide from Diabetes UK, including what your patients need to know about diabetes education and tips to improve attendance (see also Continue reading >>
The Effect Of Diabetes Self-management Education On Body Weight, Glycemic Control, And Other Metabolic Markers In Patients With Type 2 Diabetes Mellitus
The Effect of Diabetes Self-Management Education on Body Weight, Glycemic Control, and Other Metabolic Markers in Patients with Type 2 Diabetes Mellitus 1Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong 2School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong Received 22 April 2014; Revised 3 July 2014; Accepted 8 July 2014; Published 17 July 2014 Copyright 2014 Chuang Yuan et al. This is an open access article distributed under the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Aims. To comprehensively evaluate the effect of a short-term diabetes self-management education (DSME) on metabolic markers and atherosclerotic parameters in patients with type 2 diabetes. Methods. 76 patients with type 2 diabetes were recruited in this study. They were divided into the intervention group . The patients in the intervention group received a 3-month intervention, including an 8-week education on self-management of diabetes mellitus and subsequent 4 weeks of practice of the self-management guidelines. The patients in the control group received standard advice on medical nutrition therapy. Metabolic markers, carotid intima-media thickness (CIMT), and carotid arterial stiffness (CAS) of the patients in both groups were assessed before and after the 3-month intervention. Results. There was a significant reduction in hemoglobin A1c (HbA1c, ) in the intervention group as compared to the control group. However, no significant improvements were found in other metabolic markers, CIMT and CAS . Conclusions. DSME can improve HbA1c and body weight in patients with type 2 diabetes. D Continue reading >>
Health Insurance Coverage Laws For Diabetes Self-management Education And Training
More than 30 million U.S. adults have diabetes and about 84 million have prediabetes or are at an increased risk of developing type 2 diabetes. Teaching patients to monitor and manage their diabetes is an important method for controlling this disease. Many states require all public and private health insurance plans to cover diabetes self-management education and training (DSME/T). This map shows which states have laws that require such coverage for both private insurance plans and Medicaid, and provides information on legal requirements for, among other things, when DSME/T coverage is triggered, what specific activities are covered, and the standards that DSME/T must meet. Click any state below to view all data on that state's DSME/T laws. Click here to view D.C. specifically. Data collection for this map was conducted by the Policy Surveillance Program, ChangeLab Solutions and the National Health Law Program. Read more about DSME/T. Continue reading >>
Diabetes Self Management Education
Diabetes self-management education and support has been shown to be cost-effective by reducing hospital admissions and readmissions (10 (link is external)–12 (link is external)), as well as estimated lifetime health care costs related to a lower risk for complications (13 (link is external)). Given that the cost of diabetes in the U.S. in 2012 was reported to be $245 billion (14 (link is external)), DSME/S offers an opportunity to decrease these costs (11 (link is external),12 (link is external)). It has been projected that one in three individuals will develop type 2 diabetes by 2050 (15 (link is external)). The U.S. health care system will be unable to afford the costs of care unless incidence rates and diabetes-related complications are reduced. DSME/S improves hemoglobin A1c (HbA1c) by as much as 1% in people with type 2 diabetes (3 (link is external),7 (link is external),16 (link is external)–20 (link is external)). Besides this important reduction, DSME has a positive effect on other clinical, psychosocial, and behavioral aspects of diabetes. DSME/S is reported to reduce the onset and/or advancement of diabetes complications (21 (link is external),22 (link is external)), to improve quality of life (19 (link is external),23 (link is external)–26 (link is external)) and lifestyle behaviors such as having a more healthful eating pattern and engaging in regular physical activity (27 (link is external)), to enhance self-efficacy and empowerment (28 (link is external)), to increase healthy coping (29 (link is external)), and to decrease the presence of diabetes-related distress (16 (link is external),30 (link is external)) and depression (31 (link is external),32 (link is external)). These improvements clearly reaffirm the importance and value-added benefit of DSM Continue reading >>
