2022 National Standards for Diabetes Self-Management Education and Support

Abstract

Purpose: The National Standards for Diabetes Self-Management Education and Support (DSMES) provide guidance and evidence-based, quality practice for all DSMES services. Due to the dynamic nature of health care and diabetes research, the National Standards are reviewed and revised approximately every 5 years by key stakeholders and experts within the diabetes care and education community. For each revision, the Task Force is charged with reviewing the current National Standards for appropriateness, relevance, and scientific basis and making updates based on current evidence and expert consensus. In 2021, the group was tasked with reducing administrative burden related to DSMES implementation across diverse care settings. Conclusion: The evidence supporting the 2022 National Standards clearly identifies the need to provide person-centered services that embrace cultural differences, social determinants of health, and the ever-increasing technological engagement platforms and systems. Payers are invited to review the National Standards as a tool to inform and modernize DSMES reimbursement requirements and to align with the evolving needs of people with diabetes (PWD) and physicians/other qualified health care professionals. The American Diabetes Association and the Association of Diabetes Care & Education Specialists strongly advocate for health equity to ensure all PWD have access to this critical service proven to improve outcomes both related to and beyond diabetes. The 2022 National Standards update is meant to be a universal document that is easy to understand and can be implemented by the entire health care community. DSMES teams in collaboration with primary care have been shown to be the most effective approach to overcome therapeutic inertia.

Implementation of diabetes care and educational program via telemedicine in patients with COVID‐19 in home isolation in Thailand: A real‐worldexperience

“…The results from the 6th National Health Examination Survey (2019–2020) in Thailand revealed that only 26.3% of patients with diagnosed diabetes had good glycemic control as measured by fasting glucose levels 16 . Besides antihyperglycemic medications and insulin, diabetes self‐management education and support (DSMES) is recognized as an important strategy in managing diabetes and achieving glycemic control 17 . Unfortunately, it was estimated that <5% of Medicare Beneficiaries in the US utilized DSMES services 18 .…”

Diabetes Management after a Therapeutic Education Program: A Qualitative Study

“…Numerous studies have proven the benefits of Diabetes Self-Management Education and Support (DSMES), which include improved clinical outcomes and quality of life while reducing hospitalizations and health care costs [ 10 , 11 ]. To demonstrate the benefits of DSMES, it is important to measure relevant clinical outcomes, patient-reported outcomes, and psychosocial and behavioral outcomes [ 12 ].…”

Current and Emerging Trends in Diabetes Care and Education: 2021 National Practice and Workforce Survey

“…Given the rise in diabetes, prediabetes, and cardiometabolic conditions, a competent and diverse interprofessional care team is necessary to address US and global health care trends and to provide evidence-based care and integrated education and training that meets clinical practice guidelines. 4-7…”

“…Given the rise in diabetes, prediabetes, and cardiometabolic conditions, a competent and diverse interprofessional care team is necessary to address US and global health care trends and to provide evidencebased care and integrated education and training that meets clinical practice guidelines. [4][5][6][7] The Association of Diabetes Care & Education Specialists (ADCES) is an interprofessional membership organization that includes nurses, dietitians, pharmacists, health educators, and other health care professionals who integrate person-centered care and education into clinical management. The ADCES mission and strategic focus support specialty practice that spans prediabetes, diabetes, and cardiometabolic conditions, with goals to connect the health care team and offer holistic, accessible, and effective care integrated with essential education/training components.…”