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What Is Diabetes Self Management Education?

2017 National Standards For Diabetes Self-management Education And Support

2017 National Standards For Diabetes Self-management Education And Support

By the most recent estimates, 30.3 million people in the US have diabetes. An estimated 23.1 million have been diagnosed with diabetes and 7.2 million are believed to be living with undiagnosed diabetes. At the same time, 84.1 million people are at increased risk for type 2 diabetes. Thus, more than 114 million Americans are at risk for developing the devastating complications of diabetes.1 Diabetes self-management education and support (DSMES) is a critical element of care for all people with diabetes. Diabetes self-management education and support is the ongoing process of facilitating 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 his or her condition on an ongoing basis, beyond or outside of formal self-management training. In previous National Standards for Diabetes Self-Management Education and Support (Standards), DSMS and DSME were defined separately, but these Standards aim to reflect the value of ongoing support and multiple services. The Standards define timely, evidence-based, quality DSMES services that meet or exceed the Medicare diabetes self-management training (DSMT) regulations; however, these standards do not guarantee reimbursement. These Standards provide evidence for all diabetes self-management education providers, including those that do not plan to seek reimbursement for DSMES. The current Standards’ evidence clearly identifies the need to provide person-centered services that embrace the ever-increasing technological engagement platforms and systems. The hope is that payers will view these Standards as a tool for reviewing DSMES reimbursement requirements and consider change to align with the way their beneficiaries’ Continue reading >>

2017 National Standards For Diabetes Self-management Education And Support.

2017 National Standards For Diabetes Self-management Education And Support.

Beck J1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23, Greenwood DA1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23, Blanton L1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23, Bollinger ST1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23, Butcher MK1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23, Condon JE1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23, Cypress M1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23, Faulkner P1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23, Fischl AH1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23, Francis T1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23, Kolb LE1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23, Lavin-Tompkins JM1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23, MacLeod J1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23, Maryniuk M1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23, Mensing C1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23, Orzeck EA1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23, Pope DD1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23, Pulizzi JL1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23, Reed AA1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23, Rhinehart AS1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23, Siminerio L1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23, Wang J1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23; 2017 Standards Revision Task Force. Abstract Purpose 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- Continue reading >>

Diabetes Self-management Education

Diabetes Self-management Education

What is Diabetes Education? Diabetes education can help you understand why making some changes might better help you manage diabetes. The goal is to have an open discussion with a diabetes educator about what you believe you can do to make those changes. These classes benefit you and your loved ones whether you have Pre, Type 1, Type 2, or diabetes with pregnancy (Gestational Diabetes). Diabetes education takes place in a group class or 1:1 session, depending on your needs. What Will I Learn During Diabetes Education Sessions? During your diabetes education group classes or 1:1 sessions, your diabetes educator will teach you how to better control your diabetes. The following topics may be covered as part of your program: Group Classes For people with Pre or Type 2 Diabetes who are just beginning or need a refresher. Women with diabetes and pregnancy can also benefit from an initial group class. Individual (1:1) Sessions For people with type 1 diabetes or other diabetes on insulin. 1:1 sessions are also offered to people who have previously attended group class. What is Diabetes: How in the world did this happen? We will make it interesting and motivating. Physical Activity: All activity helps your blood sugar. Learn what is right for you. Healthy Eating: Find out which foods raise your blood sugar and the amount that is right for YOU. Rethink your relationship with food. Learn how to make your choices work for you! Monitor Blood Glucose: Know what to do with the results to make testing more meaningful. Coping: Suddenly, you are asked to do things you haven’t had to do before. Changing behavior is not easy. Support for you is here. Avoid Complications: Blindness, nerve damage, kidney, and heart disease. Controlling your diabetes is the #1 way to avoid these risks. Why Continue reading >>

Diabetes Self-management Education Standards

Diabetes Self-management Education Standards

The American Diabetes Association (ADA) and American Association of Diabetes Educators (AADE) have outlined the key education topics and program goals as required by the National Standards for Diabetes Self-management Education and Support. Listed below are the nine components of a diabetes self-management program and summarizes what people with diabetes are taught by diabetes educators. Diabetes disease and treatment processes3, 4, 5 The person with diabetes is taught: The definition of diabetes Types of diabetes Options for treating diabetes Incorporate nutritional management into lifestyle3, 4, 5 The person with diabetes is taught: The effects of food on glucose monitoring; specifically, food types, amounts, and timing Methods for meal planning and preparation Sources of carbohydrates, proteins, and fats How to make healthy food choices, read labels, adjust portion sizes, and count carbohydrates Incorporate physical activity into lifestyle3, 4, 5 The person with diabetes is taught: The effects of exercise on blood glucose levels; specifically, exercise types and durations How to address barriers to physical activity; specifically, physical, environmental, psychological, and time limitations How to develop an appropriate activity plan that balances food and medication with the level of activity Using medications safely3, 4, 5 The person with diabetes is taught: The action and effects of diabetes medications on diabetes Types of diabetes medications used to treat people with diabetes Potential side effects Appropriate timing and frequency of medication administration Effect(s) of missed and/or delayed doses Instructed how to prepare medication for injection, giving an injection (if the patient is prescribed injectable medications or insulin) How to store and travel wit 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 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 >>

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 >>

Diabetes Self Management Education

Diabetes Self Management Education

This program is for adults 18 and over. The program is designed to help those: Newly diagnosed with Type 1 or Type 2 diabetes Poorly controlled diabetes Wanting more information on how to balance your eating, medications and physical activity How will the program benefit me? The instructors will provide comprehensive education on: How to balance eating, physical activity medication and blood sugar monitoring How to integrate your lifestyle needs, such as cultural eating habits and exercise preferences into your diabetes management plan How to make eating out and traveling easier and healthier How to prevent, recognize and treat high and low blood sugars How to care for your diabetes when sick How to prevent or delay complications of diabetes, such as heart disease, blindness, kidney failure nerve damage and sexual problems How to decrease your healthcare costs by reducing the need for expensive hospital stays and treatment complications Class schedule The class is held on the 2nd and 4th Tuesdays of each month. The initial class consists of: An initial individualized assessment and four hours of group class The second class is four hours of group class Continue reading >>

Diabetes Self Management Education

Diabetes Self Management Education

Diabetes Self Management Education The best way to manage your diabetes is to take a diabetes self-management education (DSME) class. In Florida, DSME is covered by health insurance. Programs provided as a health benefit must meet national standards. DSME is NOT a 24-hour nurse hotline or a brochure. It is tailored to individual needs, but can be provided in a group setting. Group DSME classes provide a social networking component that increases success. DSME can be provided in person or via telehealth. Telehealth is the use of technology to deliver health information. How do you know you are receiving quality DSME? The Centers for Medicare and Medicaid Services (CMS) authorizes two organizations, the American Diabetes Association (ADA) and the American Association of Diabetes Educators (AADE) to certify DSME programs as meeting the national standards. The designation of ADA recognition or AADE accreditation assures participants in these DSME programs that they are receiving quality services. DSME is covered by insurance. If you have any difficulty with insurance coverage of diabetes self-management education, contact the Office of Insurance Regulation Consumer Hotline at 1-877-693-5236. Find an ADA-recognized DSME program near you: Find an AADE-accredited DSME program near you: Telehealth programs – Florida locations Currently, there are no locations in Florida which offer accredited or recognized DSME via telehealth. Programs will be listed here as they become available. Continue reading >>

Review Article Diabetes Self-management Education For Adults With Type 2 Diabetes Mellitus: A Systematic Review Of The Effect On Glycemic Control

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 >>

Diabetes Self-management Education

Diabetes Self-management Education

Diabetes Self-Management Education (DSME) programs are programs that assist the participant in achieving better blood glucose control by self-managing their diabetes through knowledge, skill, and their thinking regarding life choices. DSME is a crucial part of blood glucose control. Through DSME programs the participant will learn the knowledge and skills they need to keep their diabetes under control. DSME Programs These programs can go by many names. All consists of 7 self-management behaviors: Healthy eating- Making healthy food choices and portion sizes. Being active- Having daily physical activity is important for overall fitness, weight management, and blood glucose control. Monitoring blood glucose levels- Daily monitoring can assist the individual on adjustments they may need to make to have better control over their diabetes and lower their risk of complications. Problem Solving- Problem solving is crucial to the management of blood glucose levels by being able to make changes to daily activities regulate blood glucose levels Taking medications as prescribed- Effective drug therapy and taking medications correctly can reduce the risk of developing complications as well as elevated blood glucose levels Coping in a healthy way- Coping with diabetes is sometimes difficult and can make self-management harder for the individual. Reducing risks of developing complications-Risk reduction behavior such regular eye, foot, and dental examinations and regular blood glucose monitoring as well as smoking cessation can reduce the risk of complication development. By making these 7 behavior changes the participant will have a greater chance of controlling their diabetes. During the education course the participants are taught how to problem solve, make informed decisions, and 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 >>

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 >>

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 >>

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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