CDC COMMUNITY GUIDE: Diabetes Prevention and Control: Self-Management Education
CDC
An Evidence-Based Practice
Description
Diabetes self-management education (DSME) is the process of teaching people to manage their diabetes. The goals of DSME are to control the rate of metabolism (which affects diabetes-related health), to prevent short- and long-term health conditions that result from diabetes, and to achieve for clients the best possible quality of life, while keeping costs at an acceptable level.
DSME can be provided in a variety of community settings, including community gathering places, the home, recreational camps, worksites, and schools.
The Community Preventive Services Task Force recommends that diabetes self-management education (DSME) interventions be implemented in:
• Community gathering places on the basis of sufficient evidence of effectiveness in improving glycemic control for adults with Type 2 diabetes
• Homes of children and adolescents who have Type 1 diabetes on the basis of sufficient evidence of effectiveness in improving glycemic control among adolescents with Type 1 diabetes
DSME can be provided in a variety of community settings, including community gathering places, the home, recreational camps, worksites, and schools.
The Community Preventive Services Task Force recommends that diabetes self-management education (DSME) interventions be implemented in:
• Community gathering places on the basis of sufficient evidence of effectiveness in improving glycemic control for adults with Type 2 diabetes
• Homes of children and adolescents who have Type 1 diabetes on the basis of sufficient evidence of effectiveness in improving glycemic control among adolescents with Type 1 diabetes
Results / Accomplishments
Results from the Systematic Reviews:
DSME in community gathering places (Recommended for adults with Type 2 diabetes):
• Glycated hemoglobin (GHb) levels: mean decrease of 1.9 percentage points (95% CI:-2.4, -1.4) (4 studies)
• Fasting blood glucose (mmol/L): median decrease of 2.0(range: 1.3 to -4.0) (4 studies)
• Weight (lbs): median decrease of 5.2 lbs (range: -9.0 to -1.6) (6 studies)
• Blood pressure (mmHg): decreases in favor of the intervention (2 studies)
• Cholesterol (mg/dL): inconsistent findings (3 studies)
• All of the included studies involved adults with Type 2 diabetes.
DSME in the home (Recommended for adolescents with Type 1 diabetes):
• Glycated hemoglobin (GHb) levels: mean decrease of 1.1 percentage points among adolescents with Type 1 diabetes (95% CI: -1.6, -0.6) (4 studies).
DSME in community gathering places (Recommended for adults with Type 2 diabetes):
• Glycated hemoglobin (GHb) levels: mean decrease of 1.9 percentage points (95% CI:-2.4, -1.4) (4 studies)
• Fasting blood glucose (mmol/L): median decrease of 2.0(range: 1.3 to -4.0) (4 studies)
• Weight (lbs): median decrease of 5.2 lbs (range: -9.0 to -1.6) (6 studies)
• Blood pressure (mmHg): decreases in favor of the intervention (2 studies)
• Cholesterol (mg/dL): inconsistent findings (3 studies)
• All of the included studies involved adults with Type 2 diabetes.
DSME in the home (Recommended for adolescents with Type 1 diabetes):
• Glycated hemoglobin (GHb) levels: mean decrease of 1.1 percentage points among adolescents with Type 1 diabetes (95% CI: -1.6, -0.6) (4 studies).
About this Promising Practice
Primary Contact
The Community Guide
1600 Clifton Rd, NE
MS E69
Atlanta, GA 30329
(404) 498-1827
communityguide@cdc.gov
https://www.thecommunityguide.org/
1600 Clifton Rd, NE
MS E69
Atlanta, GA 30329
(404) 498-1827
communityguide@cdc.gov
https://www.thecommunityguide.org/
Topics
Health / Diabetes
Source
Community Guide Branch Epidemiology and Analysis Program Office, Centers for Disease Control and Prevention
Location
USA
For more details
https://www.thecommunityguide.org/sites/default/fi...
https://www.thecommunityguide.org/sites/default/fi...
https://www.thecommunityguide.org/sites/default/fi...
Target Audience
Teens, Adults, Women, Men, Families, Racial/Ethnic Minorities