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Diabetes Educ. 2019 Feb;45(1):34-49. doi: 10.1177/0145721718820941. Epub 2018 Dec 17.

2017 National Standards for Diabetes Self-Management Education and Support.

The Diabetes educator

Joni Beck, Deborah A Greenwood, Lori Blanton, Sandra T Bollinger, Marcene K Butcher, Jo Ellen Condon, Marjorie Cypress, Priscilla Faulkner, Amy Hess Fischl, Theresa Francis, Leslie E Kolb, Jodi M Lavin-Tompkins, Janice MacLeod, Melinda Maryniuk, Carolé Mensing, Eric A Orzeck, David D Pope, Jodi L Pulizzi, Ardis A Reed, Andrew S Rhinehart, Linda Siminerio, Jing Wang


  1. University of Oklahoma Health Sciences Center, College of Medicine, Oklahoma City, Oklahoma.
  2. Consultant, Granite Bay, California.
  3. Florida Hospital, Tampa, Florida.
  4. Health Priorities, Cape Girardeau, Missouri.
  5. Montana Diabetes Program, Lewistown, Montana.
  6. American Diabetes Association, Arlington, Virginia.
  7. Consultant, Albuquerque, New Mexico.
  8. University of Northern Colorado, Fort Collins, Colorado.
  9. University of Chicago, Chicago, Illinois.
  10. San Diego City College, San Diego, California.
  11. American Association of Diabetes Educators, Chicago, Illinois.
  12. HealthPartners, Minneapolis, Minnesota.
  13. WellDoc, Columbia, Maryland.
  14. Joslin Diabetes Center, Boston, Massachusetts.
  15. National Certification Board for Diabetes Educators, Arlington Heights, Illinois.
  16. Endocrinology Associates, Houston, Texas.
  17. Creative Pharmacists, Evans, Georgia.
  18. Livongo, Mountain View, California.
  19. TMF Health Quality Institute, Austin, Texas.
  20. Glytec, Abingdon, Virginia.
  21. University of Pittsburgh Diabetes Institute, Pittsburgh, Pennsylvania.
  22. The University of Texas Health Science Center at Houston, Houston, Texas.
  23. Technical Writer, Washington, DC.

PMID: 30558523 DOI: 10.1177/0145721718820941


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-based practices and utilization trends.

METHODS: The 10 Standards were divided among 20 interdisciplinary workgroup members. Members searched the current research for diabetes education and support, behavioral health, clinical, health care environment, technical, reimbursement, and business practice for the strongest evidence that guided the Standards revision.

RESULTS: Diabetes Self-Management Education and Support facilitates 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 their condition on an ongoing basis. The evidence indicates that health care providers and people affected by diabetes are embracing technology, and this is having a positive impact of DSMES access, utilization, and outcomes.

CONCLUSION: Quality DSMES continues to be a critical element of care for all people with diabetes. The DSMES services must be individualized and guided by the concerns, preferences, and needs of the person affected by diabetes. Even with the abundance of evidence supporting the benefits of DSMES, it continues to be underutilized, but as with other health care services, technology is changing the way DSMES is delivered and utilized with positive outcomes.

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