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The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
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2022 National Standards for Diabetes Self-Management Education and Support.

Jody Davis1, Amy Hess Fischl2, Joni Beck3

  • 1Dignity Health, San Diego, California.

The Science of Diabetes Self-Management and Care
|January 20, 2022
PubMed
Summary

The updated National Standards for Diabetes Self-Management Education and Support (DSMES) emphasize person-centered care, incorporating social determinants of health and technology. These revisions aim to reduce administrative burden and promote health equity for all people with diabetes.

Keywords:
DSMESDSMTNational Standards for DSMESdiabetes educationguidelines for diabetes education

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Area of Science:

  • Diabetes care and education
  • Public health standards
  • Health services research

Background:

  • The National Standards for Diabetes Self-Management Education and Support (DSMES) are periodically revised to reflect advancements in diabetes research and healthcare.
  • A 2021 revision focused on minimizing administrative challenges in implementing DSMES across various settings.

Purpose of the Study:

  • To review and update the National Standards for DSMES based on current evidence and expert consensus.
  • To address the need for person-centered care, cultural sensitivity, and integration of technology in diabetes education.
  • To reduce administrative burden associated with DSMES implementation.

Main Methods:

  • Review of current National Standards for appropriateness, relevance, and scientific basis.
  • Incorporation of current evidence and expert consensus from stakeholders in diabetes care and education.
  • Task force charged with specific revision goals, including reducing administrative burden.

Main Results:

  • The 2022 National Standards highlight the importance of person-centered services, cultural competence, and addressing social determinants of health.
  • Emphasis on integrating technological platforms for diabetes engagement and support.
  • The updated standards are designed to be a universal, easily implementable document for the healthcare community.

Conclusions:

  • The 2022 National Standards advocate for modernized reimbursement policies to align with evolving patient and provider needs.
  • Promotes health equity to ensure universal access to DSMES, proven to improve diabetes-related and overall health outcomes.
  • Recommends collaborative DSMES teams with primary care to effectively manage therapeutic inertia in diabetes care.