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Diabetes Self Management Education Program

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 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 And Education Program (dsmep)

Diabetes Self-management And Education Program (dsmep)

Diabetes Self-Management and Education Program (DSMEP) Mission:Improve the diabetes management and diabetes outcomes of uninsured diabetic Latino patients whose uncontrolled blood sugar levels pose a major threat to their health. DSMEP operates through the UC Irvine Outreach Clinic located at Lestonnac Free Clinic in the city of Orange, Orange County, CA in partnership with the Health Scholars Program. DSMEP is coordinated by UC Irvine medical students and Health Scholar volunteers. DSMEP is an eight-month program that meets one Saturday per month from October to May. There are approximately 12 patients and 12 HSP volunteers who are trained as case managers. Patients are partnered with a case manager for the eight months and get one-on-one counseling from the case manager in class and over the phone. Case managers facilitate patients medical appointments and assist patients in connecting with resources 8:00AM - All case managers arrive at the clinic to look over patients charts and help set up the room. 8:30AM Patients who have a physicians appointment arrive. 9:00-9:30AM All other patients arrive. Optional walking group. 9:30-10:00AM Patients and case managers meet one-on-one. Continue reading >>

National Standards For Diabetes Self-management Education And Support

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 >>

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Working more effectively with health care providers Participants will make weekly action plans, share experiences, and help each other solve problems they encounter in creating and carrying out their self-management program. Does the Program replace existing programs and treatments? The program does not conflict with existing programs or treatment. Treatment is not altered. For medical questions, participants are referred to their physicians or diabetes educators. If the content of the workshop conflicts with instructions they receive elsewhere, they are advised to follow their physicians' orders and discuss discrepancies with the physician. The original Diabetes Self-Management Program was developed in Spanish. After successful outcomes were found with that program, the Stanford Patient Education Research Center received a grant from theCalifornia HealthCare Foundationfor the randomized, controlled study to test the workshop's effectiveness for English-speakers. The study was completed in 2008. Six months after the workshop, participants had significant improvements in depression, symptoms of hypoglycemia, communication with physicians, healthy eating, and reading food labels. They also had significant improvements in patient activation and self-efficacy. At 12 months, DSMP participants continued to demonstrate improvements in depression, communication with physicians, healthy eating, patient activation, and self-efficacy. There were no significant changes in utilization or A1C (A1C values were already in the desirable range at the beginning of the study for most particpants).** Trainings for representatives of health care organizations are 4 days. We offer web-based cross-training for those who have already been trained to offer the Chronic Disease Self-Management Pr Continue reading >>

Diabetes Self-management Education Program

Diabetes Self-management Education Program

Diabetes Self-Management Education Program Our Diabetes self- management education (DSME) program is offered in both group and one-on-one settings for people diagnosed with type 1 and type 2 diabetes. The program provides comprehensive diabetes education for mastering the basic self-care skills for your lifelong journey: The program consists of two individual appointments and four classes (see schedule to below) over a three month time frame. All programs are led by our team of Certified Diabetes Educators,a registered nurse and/or a registered dietitiannutritionist. All classes will be held at: Braden Diabetes Center (1000 S. Eliseo Drive, Greenbrae, CA). Download the flyer complete with the schedule (Series 1, 2, 3) above. Download the flyer complete with the schedule (Series 4, 5, 6) above. Download the flyer complete with the schedule (Series 7, 8, 9) above. Download the flyer complete with the schedule (Series 10, 11, 12) above. Most insurance companies, including Medicare, cover diabetes education with a referral from your physician. We can review the specifics of your insurance or other payment options when you make your DSME appointment by calling 1-415-925-7370. Continue reading >>

Dsme Support In Diabetes

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 Program

Diabetes Self-management Education Program

We know that good self-management for diabetes is the key to health, well-being and prevention of complications associated with uncontrolled blood glucose levels. Whether a patient is newly diagnosed or has been dealing with diabetes for many years, our Diabetes Self-Management Education Program* provides excellent educational services (group and individual) for people who have been diagnosed with diabetes -- type 1, type 2, or gestational diabetes. Since we were established in 2001, we have obtained and maintained our American Diabetes Association (ADA) Education Program Recognition Certificate. The Certificate confirms that the Program meets National Standards, delivering high-quality education, an essential component of effective diabetes treatment. Our latest status will remain effective through 2019. All of our educators are Certified Diabetes Educators – registered nurses and registered dietitians who meet strict guidelines and are recertified every five years through testing or continuing education credits in order to remain current with new developments in diabetes care. For all patients, our Diabetes Self-Management Education Program* begins with a one-on-one assessment visit. Based on the patient’s individual needs, we provide the following types of education either individually or in a group setting, including core content as outlined by the National Standards for Diabetes Self Management Education: Diabetes overview Nutrition Medication management Exercise Blood glucose monitoring Acute and chronic complications Prevention Stress management Insulin injection instruction Insulin pump initiation training and follow up Continuous glucose sensor initiation training and follow up After the end of the program, we follow up with our participants; we check in to Continue reading >>

Diabetes Self Management Education

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 >>

Diabetes Self-management Education Program

Diabetes Self-management Education Program

Diabetes Self-Management Education Program Get more involved in your Diabetes plan of care and improve your health. The Diabetes Self Management Education (DSME) Program at ALMHis Nationally Accredited by the American Association of Diabetes Educators (AADE). Group and individual education is available to provide core standard diabetes education and promote the 7 Self-Care Behaviors. Diabetes 101 covers all of the basic concepts one needs to know related to managing diabetes. There are four, two-hour classes or two, four-hour classes in our program. An initial DSME Assessment helps determine what education plan you need. After completing the classes, individual follow-up appointments help you continue to meet your diabetes care plan goals and to improve your diabetes management skills. The connection between food and diabetes and the importance of healthy eating to managing diabetes; The importance of monitoring blood glucose, managing high and low blood glucose and how to use the results from monitoring to better manage diabetes; The natural course of diabetes, the medicine options that exist, what insulin is and how it works, long-term complications associated with diabetes, and the Key ABC's (A1C, blood pressure, cholesterol). Complete and fax the DSME Order with accompanying medicines, laboratory work and physician visit history (the last six months) to the ALMH Rehab office at 217-732-3101. Please fill out the DSME Patient Self Report and bring it with you to your Individual Initial DSME Assessment where you will be registered for the classes. If you are unable to complete the forms yourself or have any questions, please call Jennifer at 217-605-5500or email [email protected] Please check with our insurance company in advance for coverage as they may not pay Continue reading >>

Diabetes Self-management Education And Support (dsmes)

Diabetes Self-management Education And Support (dsmes)

Are you or a loved one having to think about or take care of diabetes? Don't go it alone! Helpful professionals will listen and help you make a plan to feel better, reduce diabetes complications and improve your health. It's called Diabetes Self-Management Education and Support (DSMES). What do diabetes educators do? They: Find out what your needs are for caring for or managing your diabetes. Find out what your personal goals are for managing or preventing diabetes, or its complications. Help you design a plan of action to make changes that meet your goals but still fit into your life. Give you the tools and know-how you need to take care of your diabetes. Support you now and in the future as you live with and manage diabetes. Diabetes Self-Management Education and Support sounds like a lot. But, really, it is all about YOU and what you want! Feel better when living with diabetes. Professional diabetes educators and DSMES can help! Hospital or Health Department Based Programs in Michigan (Accept Medicaid and Other Insurance) View a list sorted by hospital name Search for a program near you Who is Eligible? People with diabetes that are newly diagnosed have had a change in treatment or condition have never received comprehensive diabetes self-management education Meeting these conditions does not assure coverage. Most people can meet with their diabetes educator yearly as needed. Four Critical Times To Consider a Referral to DSMES In June, 2015, a joint statement regarding Diabetes Self-Management Education and Support was released by the American Diabetes Association, American Association of Diabetes Educators and the Academy of Nutrition and Dietetics. At Diagnosis: All newly diagnosed persons with type 2 diabetes should receive DSME. Annually: All persons with diabete Continue reading >>

Diabetes Self-management Education

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 >>

Disparities In Attendance At Diabetes Self-management Education Programs After Diagnosis In Ontario, Canada: A Cohort Study

Disparities In Attendance At Diabetes Self-management Education Programs After Diagnosis In Ontario, Canada: A Cohort Study

Disparities in attendance at diabetes self-management education programs after diagnosis in Ontario, Canada: a cohort study Cauch-Dudek et al.; licensee BioMed Central Ltd.2013 Patients newly-diagnosed with diabetes require self-management education to help them understand and manage the disease. The goals of the study were to determine the frequency of diabetes self-management education program utilization by newly-diagnosed patients, and to evaluate whether there were any demographic or clinical disparities in utilization. Using population-level health care data, all 46,553 adults who were diagnosed with any type of non-gestational diabetes in Ontario, Canada between January and June 2006 were identified. They were linked with a diabetes self-management education program registry to identify those who attended within 6 months of diagnosis. The demographic and clinical characteristics of attendees and non-attendees were compared. A total of 9,568 (20.6%) patients attended a diabetes self-management education program within 6 months of diagnosis. Younger age, increasing socioeconomic status, and the absence of mental health conditions or other medical comorbidity were associated with attendance. Patients living in rural areas, where access to physicians may be limited, were markedly more likely to attend. Recent immigrants were 40% less likely to attend self-management education programs than longer-term immigrants or nonimmigrants. Only one in five newly-diagnosed diabetes patients attended a diabetes self-management education program. Demographic and clinical disparities in utilization persisted despite a publicly-funded health care system where patients could access these services without direct charges. Primary care providers and education programs must ensure that Continue reading >>

National Standards For Diabetes Self-management Education

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 >>

Self-management Education: Learn More. Feel Better.

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

Support and Education 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 learn more about managing their diabetes. Referrals 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. Classes and Costs Programs are covered by most insurance groups including Medicare. Please confirm with your insurance provider to verify your benefits before scheduling an appointment. Click here for a map of all DSME practice locations Continue reading >>

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