Diabetes Management for Health Professionals
Managing diabetes requires lifestyle changes that may be difficult for patients. The following resources are for you, the health professional, to help your patients develop a plan to manage their disease.
- You Can Manage Diabetes Handout
- Diabetes Self-Management Education and Support (DSMES) Locator
- Diabetes Self-Management Education and Support Video
- DiabetesSmart, a Diabetes Self-Management and Education and Support Program
- Physician brochure for Eastern North Carolina (front, back)
- Physician brochure for Western North Carolina (front, back)
Research and Reports
- Nutrition Therapy for Adults With Diabetes or Prediabetes: A Consensus Report
- Coordination of Diabetes Programs Bi-Annual Report
- Diabetes Among People at Increased Risk
- Description and Frequently Asked Questions article
- North Carolina County Health Data Map
- Report of the Surgeon General and Best Practices Updates
- Screening for Abnormal Blood Glucose and Type 2 Diabetes Mellitus: U.S. Preventive Services Task Force (USPSTF) Recommendation Statement
In 2006 the Diabetes Prevention and Control Program created the Diabetes Education Recognition Program (DiabetesSmart) to increase access to diabetes self-management education and support (DSMES) in all areas of the state. North Carolina was the first to develop a statewide “umbrella” program where the Division of Public Health serves as the sponsoring agency, managing all the recognition requirements, while local health agencies are “multi-sites” for the program, providing diabetes self-management education and support to the people in their communities. In order to be eligible for Medicare/Medicaid reimbursement, DSMES programs must be recognized by a national accreditation organization. This recognition assesses the quality of programs using criteria established by the National Standards for DSMES. DiabetesSmart is an American Diabetes Association-recognized program, and the local health agencies under the DiabetesSmart umbrella may bill for DSMES services.
The purpose of DSMES is to prepare those affected by diabetes to:
- Make informed decisions.
- Cope with the demands of daily living with a complex chronic disease.
- Make changes in their behavior that support their self-management efforts and improve outcomes.
DSMES is reported to reduce the onset and/or advancement of diabetes complications, to improve quality of life and lifestyle behaviors (e.g. healthful eating, physical activity), to enhance self-efficacy and empowerment, to increase healthy coping, and to decrease the presence of diabetes-related distress and depression. DSMES has been shown to be cost-effective by reducing hospital admissions and readmissions, as well as reducing lifetime health care costs. DSMES has also been shown to improve hemoglobin A1c by as much as 1% for those participants who complete the program. The International Diabetes Federation has issued the following statement, “Diabetes self-management education is a critically important, fundamental and integral component of diabetes prevention and care and should be available and accessible to everyone.”