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…
By M. Powers, Joan K. Bardsley, M. Cypress, Paulina Duker, M. Funnell, Amy Hess Fischl, M. Maryniuk, L. Siminerio, E. Vivian. Diabetes Care, 2015
958 citations recorded by the source corpus.
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. View this table: Table 1 Key definitions 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 diabetes. The needs will be similar to those of people with other types of diabetes (type 1 diabetes, prediabetes, and gestational diabetes mellitus); however, the research and examples referred to in this article focus …
Subfields: Endocrinology, Diabetes and Metabolism, Epidemiology
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Citations in the corpus
- 2017 National Standards for Diabetes Self-Management Education and Support (2012, positive): “Current research continues to support nurses, dietitians, and pharmacists as providers of DSMES responsible for curriculum development.(13,14,94-98) Expert consensus supports the need for specialized clinical knowledge in diabetes and behavior change principles for DSMES team members.”
- 5. Lifestyle Management: Standards of Medical Care in Diabetes—2019 (2018, background): “at the four critical time points (described below) (1).”
- Nutrition Therapy for Adults With Diabetes or Prediabetes: A Consensus Report (2019, methodology): “therapy recommendations need to be adjusted regularly based on changes in an individual’s life circumstances, preferences, and disease course (1).”
- Exercise/Physical Activity in Individuals with Type 2 Diabetes: A Consensus Statement from the American College of Sports Medicine (2022, neutral): “Carbo-hydrate restriction reduces body weight and improves glycemia (165 – 168), and use of popular diet options (i.e., low carbohydrate, ketogenic diet) and other eating patterns (i.e., Mediterranean, vegan) are frequently followed for T2D management (169,170).”