1
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Powers MA, Bardsley JK, Cypress M, Funnell MM, Harms D, Hess-Fischl A, Hooks B, Isaacs D, Mandel ED, Maryniuk MD, Norton A, Rinker J, Siminerio LM, Uelmen S. Diabetes Self-management Education and Support in Adults With Type 2 Diabetes: A Consensus Report of the American Diabetes Association, the Association of Diabetes Care and Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association. J Acad Nutr Diet 2021; 121:773-788.e9. [DOI: 10.1016/j.jand.2020.04.020] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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2
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Powers MA, Bardsley JK, Cypress M, Funnell MM, Harms D, Hess-Fischl A, Hooks B, Isaacs D, Mandel ED, Maryniuk MD, Norton A, Rinker J, Siminerio LM, Uelmen S. Diabetes Self-management Education and Support in Adults With Type 2 Diabetes: A Consensus Report of the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association. Sci Diabetes Self Manag Care 2021; 47:54-73. [PMID: 34078207 DOI: 10.1177/0145721720987936] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Affiliation(s)
| | - Joan K Bardsley
- Medstar Health Research Institute, MedStar Diabetes Institute and MedStar Health System Nursing, Hyattsville, Maryland
| | | | | | - Dixie Harms
- MercyOne Clive Internal Medicine, Clive, Iowa
| | - Amy Hess-Fischl
- Section of Adult and Pediatric Endocrinology, Diabetes, and Metabolism, University of Chicago, Chicago, Illinois
| | | | - Diana Isaacs
- Cleveland Clinic Diabetes Center, Cleveland, Ohio
| | | | | | | | - Joanne Rinker
- Association of Diabetes Care & Education Specialists, Chicago, Illinois
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3
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Beck J, Greenwood DA, Blanton L, Bollinger ST, Butcher MK, Condon JE, Cypress M, Faulkner P, Fischl AH, Francis T, Kolb LE, Lavin-Tompkins JM, MacLeod J, Maryniuk M, Mensing C, Orzeck EA, Pope DD, Pulizzi JL, Reed AA, Rhinehart AS, Siminerio L, Wang J. 2017 National Standards for Diabetes Self-Management Education and Support. Sci Diabetes Self Manag Care 2021; 47:14-29. [PMID: 34078205 DOI: 10.1177/0145721720987926] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
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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Affiliation(s)
- Joni Beck
- From the University of Oklahoma Health Sciences Center, College of Medicine, Oklahoma City, Oklahoma.,Technical Writer, Washington, DC (Wahowiak)
| | - Deborah A Greenwood
- Consultant, Granite Bay, California.,Technical Writer, Washington, DC (Wahowiak)
| | - Lori Blanton
- Florida Hospital, Tampa, Florida.,Technical Writer, Washington, DC (Wahowiak)
| | - Sandra T Bollinger
- Health Priorities, Cape Girardeau, Missouri.,Technical Writer, Washington, DC (Wahowiak)
| | - Marcene K Butcher
- Montana Diabetes Program, Lewistown, Montana.,Technical Writer, Washington, DC (Wahowiak)
| | - Jo Ellen Condon
- American Diabetes Association, Arlington, Virginia.,Technical Writer, Washington, DC (Wahowiak)
| | - Marjorie Cypress
- Consultant, Albuquerque, New Mexico.,Technical Writer, Washington, DC (Wahowiak)
| | - Priscilla Faulkner
- University of Northern Colorado, Fort Collins, Colorado.,Technical Writer, Washington, DC (Wahowiak)
| | - Amy Hess Fischl
- University of Chicago, Chicago, Illinois.,Technical Writer, Washington, DC (Wahowiak)
| | - Theresa Francis
- San Diego City College, San Diego, California.,Technical Writer, Washington, DC (Wahowiak)
| | - Leslie E Kolb
- American Association of Diabetes Educators, Chicago, Illinois.,Technical Writer, Washington, DC (Wahowiak)
| | | | - Janice MacLeod
- WellDoc, Columbia, Maryland.,Technical Writer, Washington, DC (Wahowiak)
| | - Melinda Maryniuk
- Joslin Diabetes Center, Boston, Massachusetts.,Technical Writer, Washington, DC (Wahowiak)
| | - Carolé Mensing
- National Certification Board for Diabetes Educators, Arlington Heights, Illinois.,Technical Writer, Washington, DC (Wahowiak)
| | - Eric A Orzeck
- Endocrinology Associates, Houston, Texas.,Technical Writer, Washington, DC (Wahowiak)
| | - David D Pope
- Creative Pharmacists, Evans, Georgia.,Technical Writer, Washington, DC (Wahowiak)
| | - Jodi L Pulizzi
- Livongo, Mountain View, California.,Technical Writer, Washington, DC (Wahowiak)
| | - Ardis A Reed
- TMF Health Quality Institute, Austin, Texas.,Technical Writer, Washington, DC (Wahowiak)
| | | | - Linda Siminerio
- University of Pittsburgh Diabetes Institute, Pittsburgh, Pennsylvania.,Technical Writer, Washington, DC (Wahowiak)
| | - Jing Wang
- The University of Texas Health Science Center at Houston, Houston, Texas.,Technical Writer, Washington, DC (Wahowiak)
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4
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Powers MA, Bardsley JK, Cypress M, Funnell MM, Harms D, Hess-Fischl A, Hooks B, Isaacs D, Mandel ED, Maryniuk MD, Norton A, Rinker J, Siminerio LM, Uelmen S. Diabetes Self-management Education and Support in Adults With Type 2 Diabetes: A Consensus Report of the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association. Diabetes Care 2020; 43:1636-1649. [PMID: 32513817 DOI: 10.2337/dci20-0023] [Citation(s) in RCA: 156] [Impact Index Per Article: 39.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Affiliation(s)
| | - Joan K Bardsley
- Medstar Health Research Institute, MedStar Diabetes Institute, and MedStar Health System Nursing, Hyattsville, MD
| | | | | | | | - Amy Hess-Fischl
- Section of Adult and Pediatric Endocrinology, Diabetes, and Metabolism, University of Chicago, Chicago, IL
| | | | | | | | | | | | - Joanne Rinker
- Association of Diabetes Care & Education Specialists, Chicago, IL
| | | | - Sacha Uelmen
- Association of Diabetes Care & Education Specialists, Chicago, IL
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5
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Powers MA, Bardsley JK, Cypress M, Funnell MM, Harms D, Hess-Fischl A, Hooks B, Isaacs D, Mandel ED, Maryniuk MD, Norton A, Rinker J, Siminerio LM, Uelmen S. Diabetes Self-management Education and Support in Adults With Type 2 Diabetes: A Consensus Report of the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association. Diabetes Educ 2020; 46:350-369. [PMID: 32510275 DOI: 10.1177/0145721720930959] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Affiliation(s)
| | - Joan K Bardsley
- Medstar Health Research Institute, MedStar Diabetes Institute and MedStar Health System Nursing, Hyattsville, Maryland
| | | | | | - Dixie Harms
- MercyOne Clive Internal Medicine, Clive, Iowa
| | - Amy Hess-Fischl
- Section of Adult and Pediatric Endocrinology, Diabetes, and Metabolism, University of Chicago, Chicago, Illinois
| | | | - Diana Isaacs
- Cleveland Clinic Diabetes Center, Cleveland, Ohio
| | | | | | | | - Joanne Rinker
- Association of Diabetes Care & Education Specialists, Chicago, Illinois
| | | | - Sacha Uelmen
- Association of Diabetes Care & Education Specialists, Chicago, Illinois
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6
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Beck J, Greenwood DA, Blanton L, Bollinger ST, Butcher MK, Condon JE, Cypress M, Faulkner P, Fischl AH, Francis T, Kolb LE, Lavin-Tompkins JM, MacLeod J, Maryniuk M, Mensing C, Orzeck EA, Pope DD, Pulizzi JL, Reed AA, Rhinehart AS, Siminerio L, Wang J. 2017 National Standards for Diabetes Self-Management Education and Support. Diabetes Educ 2019; 46:46-61. [PMID: 31874594 DOI: 10.1177/0145721719897952] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
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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Affiliation(s)
- Joni Beck
- University of Oklahoma Health Sciences Center, College of Medicine, Oklahoma City, Oklahoma
| | | | | | | | | | | | | | | | | | | | - Leslie E Kolb
- American Association of Diabetes Educators, Chicago, Illinois
| | | | | | | | - Carolé Mensing
- National Certification Board for Diabetes Educators, Arlington Heights, Illinois
| | | | | | | | | | | | - Linda Siminerio
- University of Pittsburgh Diabetes Institute, Pittsburgh, Pennsylvania
| | - Jing Wang
- University of Texas Health Science Center at Houston, Houston, Texas.,Technical Writer, Washington, DC
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7
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Beck J, Greenwood DA, Blanton L, Bollinger ST, Butcher MK, Condon JE, Cypress M, Faulkner P, Fischl AH, Francis T, Kolb LE, Lavin-Tompkins JM, MacLeod J, Maryniuk M, Mensing C, Orzeck EA, Pope DD, Pulizzi JL, Reed AA, Rhinehart AS, Siminerio L, Wang J. 2017 National Standards for Diabetes Self-Management Education and Support. Diabetes Educ 2018; 45:34-49. [PMID: 30558523 DOI: 10.1177/0145721718820941] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
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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Affiliation(s)
- Joni Beck
- University of Oklahoma Health Sciences Center, College of Medicine, Oklahoma City, Oklahoma
| | | | | | | | | | | | | | | | | | | | - Leslie E Kolb
- American Association of Diabetes Educators, Chicago, Illinois
| | | | | | | | - Carolé Mensing
- National Certification Board for Diabetes Educators, Arlington Heights, Illinois
| | | | | | | | | | | | - Linda Siminerio
- University of Pittsburgh Diabetes Institute, Pittsburgh, Pennsylvania
| | - Jing Wang
- The University of Texas Health Science Center at Houston, Houston, Texas
- Technical Writer, Washington, DC
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8
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Beck J, Greenwood DA, Blanton L, Bollinger ST, Butcher MK, Condon JE, Cypress M, Faulkner P, Fischl AH, Francis T, Kolb LE, Lavin-Tompkins JM, MacLeod J, Maryniuk M, Mensing C, Orzeck EA, Pope DD, Pulizzi JL, Reed AA, Rhinehart AS, Siminerio L, Wang J. 2017 National Standards for Diabetes Self-Management Education and Support. Diabetes Educ 2018; 44:35-50. [DOI: 10.1177/0145721718754797] [Citation(s) in RCA: 91] [Impact Index Per Article: 15.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
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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Affiliation(s)
- Joni Beck
- University of Oklahoma Health Sciences Center, College of Medicine, Oklahoma City, Oklahoma
| | | | | | | | | | | | | | | | | | | | - Leslie E. Kolb
- American Association of Diabetes Educators, Chicago, Illinois
| | | | | | | | - Carolé Mensing
- National Certification Board for Diabetes Educators, Arlington Heights, Illinois
| | | | | | | | | | | | - Linda Siminerio
- University of Pittsburgh Diabetes Institute, Pittsburgh, Pennsylvania
| | - Jing Wang
- The University of Texas Health Science Center at Houston, Houston, Texas
- Technical Writer, Washington, DC (Wahowiak)
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9
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Beck J, Greenwood DA, Blanton L, Bollinger ST, Butcher MK, Condon JE, Cypress M, Faulkner P, Fischl AH, Francis T, Kolb LE, Lavin-Tompkins JM, MacLeod J, Maryniuk M, Mensing C, Orzeck EA, Pope DD, Pulizzi JL, Reed AA, Rhinehart AS, Siminerio L, Wang J. 2017 National Standards for Diabetes Self-Management Education and Support. Diabetes Spectr 2017; 30:301-314. [PMID: 29151721 PMCID: PMC5687107 DOI: 10.2337/ds17-0067] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
This article was copublished in Diabetes Care 2017;40:1409-1419 and The Diabetes Educator 2017;43:449-464 and is reprinted with permission. The previous version of this article, also copublished in Diabetes Care and The Diabetes Educator, can be found at Diabetes Care 2012;35:2393-2401 (https://doi.org/10.2337/dc12-1707).
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Affiliation(s)
- Joni Beck
- College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK
| | | | | | | | | | | | | | | | | | | | | | | | | | | | - Carolé Mensing
- National Certification Board for Diabetes Educators, Arlington Heights, IL
| | | | | | | | | | | | | | - Jing Wang
- The University of Texas Health Science Center at Houston, Houston, TX
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10
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Beck J, Greenwood DA, Blanton L, Bollinger ST, Butcher MK, Condon JE, Cypress M, Faulkner P, Fischl AH, Francis T, Kolb LE, Lavin-Tompkins JM, MacLeod J, Maryniuk M, Mensing C, Orzeck EA, Pope DD, Pulizzi JL, Reed AA, Rhinehart AS, Siminerio L, Wang J. 2017 National Standards for Diabetes Self-Management Education and Support. Diabetes Care 2017; 40:1409-1419. [PMID: 28754780 DOI: 10.2337/dci17-0025] [Citation(s) in RCA: 187] [Impact Index Per Article: 26.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Affiliation(s)
- Joni Beck
- College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK
| | | | | | | | | | | | | | | | | | | | - Leslie E Kolb
- American Association of Diabetes Educators, Chicago, IL
| | | | | | | | - Carolé Mensing
- National Certification Board for Diabetes Educators, Arlington Heights, IL
| | | | | | | | | | | | | | - Jing Wang
- The University of Texas Health Science Center at Houston, Houston, TX
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11
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Beck J, Greenwood DA, Blanton L, Bollinger ST, Butcher MK, Condon JE, Cypress M, Faulkner P, Fischl AH, Francis T, Kolb LE, Lavin-Tompkins JM, MacLeod J, Maryniuk M, Mensing C, Orzeck EA, Pope DD, Pulizzi JL, Reed AA, Rhinehart AS, Siminerio L, Wang J. 2017 National Standards for Diabetes Self-Management Education and Support. Diabetes Educ 2017; 43:449-464. [PMID: 28753378 DOI: 10.1177/0145721717722968] [Citation(s) in RCA: 106] [Impact Index Per Article: 15.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
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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Affiliation(s)
- Joni Beck
- University of Oklahoma Health Sciences Center, College of Medicine, Oklahoma City, Oklahoma (Dr Beck)
| | | | | | | | | | - Jo Ellen Condon
- American Diabetes Association, Arlington, Virginia (Ms Condon)
| | | | | | | | | | - Leslie E Kolb
- American Association of Diabetes Educators, Chicago, Illinois (Ms Kolb)
| | | | | | | | - Carolé Mensing
- National Certification Board for Diabetes Educators, Arlington Heights, Illinois (Mensing)
| | | | | | | | - Ardis A Reed
- TMF Health Quality Initiative, Austin, Texas (Reed)
| | | | - Linda Siminerio
- University of Pittsburgh Diabetes Institute, Pittsburgh, Pennsylvania (Siminerio)
| | - Jing Wang
- The University of Texas Health Science Center at Houston, Houston, Texas (Wang)
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12
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Rosivall L, Cypress M, Navar LG. Editorial. Physiol Int 2017; 104:91-96. [PMID: 28665195 DOI: 10.1556/2060.104.2017.2.9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- L Rosivall
- 1 Institute of Pathophysiology, International Nephrology Research and Training Center, Semmelweis University , Budapest, Hungary
| | - M Cypress
- 2 Department of Physiology, Tulane University , New Orleans, LA, USA
| | - L G Navar
- 2 Department of Physiology, Tulane University , New Orleans, LA, USA
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13
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Powers MA, Bardsley J, Cypress M, Duker P, Funnell MM, Fischl AH, Maryniuk MD, Siminerio L, Vivian E. Diabetes Self-management Education and Support in Type 2 Diabetes. Diabetes Educ 2017; 43:40-53. [DOI: 10.1177/0145721716689694] [Citation(s) in RCA: 204] [Impact Index Per Article: 29.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Affiliation(s)
- Margaret A. Powers
- International Diabetes Center at Park Nicollet, Minneapolis, Minnesota (Dr Powers)
- MedStar Health Research Institute and MedStar Nursing, Hyattsville, Maryland (Ms Bardsley)
- ABQ Health Partners, Albuquerque, New Mexico (Dr Cypress)
- LifeScan, a Johnson & Johnson Diabetes Solutions Company, Dubai, United Arab Emirates (Ms Duker)
- University of Michigan Medical School, Ann Arbor, Michigan (Ms Funnell)
| | - Joan Bardsley
- International Diabetes Center at Park Nicollet, Minneapolis, Minnesota (Dr Powers)
- MedStar Health Research Institute and MedStar Nursing, Hyattsville, Maryland (Ms Bardsley)
- ABQ Health Partners, Albuquerque, New Mexico (Dr Cypress)
- LifeScan, a Johnson & Johnson Diabetes Solutions Company, Dubai, United Arab Emirates (Ms Duker)
- University of Michigan Medical School, Ann Arbor, Michigan (Ms Funnell)
| | - Marjorie Cypress
- International Diabetes Center at Park Nicollet, Minneapolis, Minnesota (Dr Powers)
- MedStar Health Research Institute and MedStar Nursing, Hyattsville, Maryland (Ms Bardsley)
- ABQ Health Partners, Albuquerque, New Mexico (Dr Cypress)
- LifeScan, a Johnson & Johnson Diabetes Solutions Company, Dubai, United Arab Emirates (Ms Duker)
- University of Michigan Medical School, Ann Arbor, Michigan (Ms Funnell)
| | - Paulina Duker
- International Diabetes Center at Park Nicollet, Minneapolis, Minnesota (Dr Powers)
- MedStar Health Research Institute and MedStar Nursing, Hyattsville, Maryland (Ms Bardsley)
- ABQ Health Partners, Albuquerque, New Mexico (Dr Cypress)
- LifeScan, a Johnson & Johnson Diabetes Solutions Company, Dubai, United Arab Emirates (Ms Duker)
- University of Michigan Medical School, Ann Arbor, Michigan (Ms Funnell)
| | - Martha M. Funnell
- International Diabetes Center at Park Nicollet, Minneapolis, Minnesota (Dr Powers)
- MedStar Health Research Institute and MedStar Nursing, Hyattsville, Maryland (Ms Bardsley)
- ABQ Health Partners, Albuquerque, New Mexico (Dr Cypress)
- LifeScan, a Johnson & Johnson Diabetes Solutions Company, Dubai, United Arab Emirates (Ms Duker)
- University of Michigan Medical School, Ann Arbor, Michigan (Ms Funnell)
| | - Amy Hess Fischl
- International Diabetes Center at Park Nicollet, Minneapolis, Minnesota (Dr Powers)
- MedStar Health Research Institute and MedStar Nursing, Hyattsville, Maryland (Ms Bardsley)
- ABQ Health Partners, Albuquerque, New Mexico (Dr Cypress)
- LifeScan, a Johnson & Johnson Diabetes Solutions Company, Dubai, United Arab Emirates (Ms Duker)
- University of Michigan Medical School, Ann Arbor, Michigan (Ms Funnell)
| | - Melinda D. Maryniuk
- International Diabetes Center at Park Nicollet, Minneapolis, Minnesota (Dr Powers)
- MedStar Health Research Institute and MedStar Nursing, Hyattsville, Maryland (Ms Bardsley)
- ABQ Health Partners, Albuquerque, New Mexico (Dr Cypress)
- LifeScan, a Johnson & Johnson Diabetes Solutions Company, Dubai, United Arab Emirates (Ms Duker)
- University of Michigan Medical School, Ann Arbor, Michigan (Ms Funnell)
| | - Linda Siminerio
- International Diabetes Center at Park Nicollet, Minneapolis, Minnesota (Dr Powers)
- MedStar Health Research Institute and MedStar Nursing, Hyattsville, Maryland (Ms Bardsley)
- ABQ Health Partners, Albuquerque, New Mexico (Dr Cypress)
- LifeScan, a Johnson & Johnson Diabetes Solutions Company, Dubai, United Arab Emirates (Ms Duker)
- University of Michigan Medical School, Ann Arbor, Michigan (Ms Funnell)
| | - Eva Vivian
- International Diabetes Center at Park Nicollet, Minneapolis, Minnesota (Dr Powers)
- MedStar Health Research Institute and MedStar Nursing, Hyattsville, Maryland (Ms Bardsley)
- ABQ Health Partners, Albuquerque, New Mexico (Dr Cypress)
- LifeScan, a Johnson & Johnson Diabetes Solutions Company, Dubai, United Arab Emirates (Ms Duker)
- University of Michigan Medical School, Ann Arbor, Michigan (Ms Funnell)
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14
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Powers MA, Bardsley J, Cypress M, Duker P, Funnell MM, Fischl AH, Maryniuk MD, Siminerio L, Vivian E. Diabetes Self-management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Clin Diabetes 2016; 34:70-80. [PMID: 27092016 PMCID: PMC4833481 DOI: 10.2337/diaclin.34.2.70] [Citation(s) in RCA: 154] [Impact Index Per Article: 19.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Affiliation(s)
| | - Joan Bardsley
- MedStar Health Research Institute and MedStar Nursing, Hyattsville, MD
| | | | - Paulina Duker
- Lifescan, a Johnson & Johnson Diabetes Solutions Company, Dubai, United Arab Emirates
| | | | | | | | - Linda Siminerio
- School of Medicine, University of Pittsburgh, Pittsburgh, PA
| | - Eva Vivian
- University of Wisconsin–Madison, Madison, WI
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Powers MA, Bardsley J, Cypress M, Duker P, Funnell MM, Hess Fischl A, Maryniuk MD, Siminerio L, Vivian E. Diabetes Self-management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Diabetes Care 2015; 38:1372-82. [PMID: 26048904 DOI: 10.2337/dc15-0730] [Citation(s) in RCA: 265] [Impact Index Per Article: 29.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Affiliation(s)
| | - Joan Bardsley
- MedStar Health Research Institute and MedStar Nursing, Hyattsville, MD
| | | | - Paulina Duker
- LifeScan, a Johnson & Johnson Diabetes Solutions Company, Dubai, United Arab Emirates
| | | | | | | | - Linda Siminerio
- School of Medicine, University of Pittsburgh, Pittsburgh, PA
| | - Eva Vivian
- University of Wisconsin-Madison, Madison, WI
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Powers MA, Bardsley J, Cypress M, Duker P, Funnell MM, Fischl AH, Maryniuk MD, Siminerio L, Vivian E. Diabetes Self-management Education and Support in Type 2 Diabetes. Diabetes Educ 2015; 41:417-30. [DOI: 10.1177/0145721715588904] [Citation(s) in RCA: 121] [Impact Index Per Article: 13.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Affiliation(s)
- Margaret A. Powers
- International Diabetes Center at Park Nicollet, Minneapolis, Minnesota (Dr Powers)
- MedStar Health Research Institute and MedStar Nursing, Hyattsville, Maryland (Ms Bardsley)
- ABQ Health Partners, Albuquerque, New Mexico (Dr Cypress)
- LifeScan, a Johnson & Johnson Diabetes Solutions Company, Dubai, United Arab Emirates (Ms Duker)
- University of Michigan Medical School, Ann Arbor, Michigan (Ms Funnell)
| | - Joan Bardsley
- International Diabetes Center at Park Nicollet, Minneapolis, Minnesota (Dr Powers)
- MedStar Health Research Institute and MedStar Nursing, Hyattsville, Maryland (Ms Bardsley)
- ABQ Health Partners, Albuquerque, New Mexico (Dr Cypress)
- LifeScan, a Johnson & Johnson Diabetes Solutions Company, Dubai, United Arab Emirates (Ms Duker)
- University of Michigan Medical School, Ann Arbor, Michigan (Ms Funnell)
| | - Marjorie Cypress
- International Diabetes Center at Park Nicollet, Minneapolis, Minnesota (Dr Powers)
- MedStar Health Research Institute and MedStar Nursing, Hyattsville, Maryland (Ms Bardsley)
- ABQ Health Partners, Albuquerque, New Mexico (Dr Cypress)
- LifeScan, a Johnson & Johnson Diabetes Solutions Company, Dubai, United Arab Emirates (Ms Duker)
- University of Michigan Medical School, Ann Arbor, Michigan (Ms Funnell)
| | - Paulina Duker
- International Diabetes Center at Park Nicollet, Minneapolis, Minnesota (Dr Powers)
- MedStar Health Research Institute and MedStar Nursing, Hyattsville, Maryland (Ms Bardsley)
- ABQ Health Partners, Albuquerque, New Mexico (Dr Cypress)
- LifeScan, a Johnson & Johnson Diabetes Solutions Company, Dubai, United Arab Emirates (Ms Duker)
- University of Michigan Medical School, Ann Arbor, Michigan (Ms Funnell)
| | - Martha M. Funnell
- International Diabetes Center at Park Nicollet, Minneapolis, Minnesota (Dr Powers)
- MedStar Health Research Institute and MedStar Nursing, Hyattsville, Maryland (Ms Bardsley)
- ABQ Health Partners, Albuquerque, New Mexico (Dr Cypress)
- LifeScan, a Johnson & Johnson Diabetes Solutions Company, Dubai, United Arab Emirates (Ms Duker)
- University of Michigan Medical School, Ann Arbor, Michigan (Ms Funnell)
| | - Amy Hess Fischl
- International Diabetes Center at Park Nicollet, Minneapolis, Minnesota (Dr Powers)
- MedStar Health Research Institute and MedStar Nursing, Hyattsville, Maryland (Ms Bardsley)
- ABQ Health Partners, Albuquerque, New Mexico (Dr Cypress)
- LifeScan, a Johnson & Johnson Diabetes Solutions Company, Dubai, United Arab Emirates (Ms Duker)
- University of Michigan Medical School, Ann Arbor, Michigan (Ms Funnell)
| | - Melinda D. Maryniuk
- International Diabetes Center at Park Nicollet, Minneapolis, Minnesota (Dr Powers)
- MedStar Health Research Institute and MedStar Nursing, Hyattsville, Maryland (Ms Bardsley)
- ABQ Health Partners, Albuquerque, New Mexico (Dr Cypress)
- LifeScan, a Johnson & Johnson Diabetes Solutions Company, Dubai, United Arab Emirates (Ms Duker)
- University of Michigan Medical School, Ann Arbor, Michigan (Ms Funnell)
| | - Linda Siminerio
- International Diabetes Center at Park Nicollet, Minneapolis, Minnesota (Dr Powers)
- MedStar Health Research Institute and MedStar Nursing, Hyattsville, Maryland (Ms Bardsley)
- ABQ Health Partners, Albuquerque, New Mexico (Dr Cypress)
- LifeScan, a Johnson & Johnson Diabetes Solutions Company, Dubai, United Arab Emirates (Ms Duker)
- University of Michigan Medical School, Ann Arbor, Michigan (Ms Funnell)
| | - Eva Vivian
- International Diabetes Center at Park Nicollet, Minneapolis, Minnesota (Dr Powers)
- MedStar Health Research Institute and MedStar Nursing, Hyattsville, Maryland (Ms Bardsley)
- ABQ Health Partners, Albuquerque, New Mexico (Dr Cypress)
- LifeScan, a Johnson & Johnson Diabetes Solutions Company, Dubai, United Arab Emirates (Ms Duker)
- University of Michigan Medical School, Ann Arbor, Michigan (Ms Funnell)
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Powers MA, Bardsley J, Cypress M, Duker P, Funnell MM, Fischl AH, Maryniuk MD, Siminerio L, Vivian E. Diabetes Self-Management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. J Acad Nutr Diet 2015; 115:1323-34. [PMID: 26054423 DOI: 10.1016/j.jand.2015.05.012] [Citation(s) in RCA: 141] [Impact Index Per Article: 15.7] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2015] [Indexed: 01/15/2023]
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Yancy WS, Dunbar SA, Boucher JL, Cypress M, Evert AB, Franz MJ, Mayer-Davis EJ, Neumiller JJ, Urbanski P, Verdi CL, Nwankwo R. Response to comments on Evert et al. Nutrition therapy recommendations for the management of adults with diabetes. Diabetes care 2013;36:3821-3842. Diabetes Care 2014; 37:e102-3. [PMID: 24757235 DOI: 10.2337/dc14-0077] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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20
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Evert AB, Boucher JL, Cypress M, Dunbar SA, Franz MJ, Mayer-Davis EJ, Neumiller JJ, Nwankwo R, Verdi CL, Urbanski P, Yancy WS. Nutrition therapy recommendations for the management of adults with diabetes. Diabetes Care 2014; 37 Suppl 1:S120-43. [PMID: 24357208 DOI: 10.2337/dc14-s120] [Citation(s) in RCA: 415] [Impact Index Per Article: 41.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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21
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Evert AB, Boucher JL, Cypress M, Dunbar SA, Franz MJ, Mayer-Davis EJ, Neumiller JJ, Nwankwo R, Verdi CL, Urbanski P, Yancy WS. Nutrition therapy recommendations for the management of adults with diabetes. Diabetes Care 2013; 36:3821-42. [PMID: 24107659 PMCID: PMC3816916 DOI: 10.2337/dc13-2042] [Citation(s) in RCA: 356] [Impact Index Per Article: 32.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
There is no standard meal plan or eating pattern that works universally for all people with diabetes. In order to be effective, nutrition therapy should be individualized for each patient/client based on his or her individual health goals; personal and cultural preferences; health literacy and numeracy; access to healthful choices; and readiness, willingness, and ability to change. Nutrition interventions should emphasize a variety of minimally processed nutrient dense foods in appropriate portion sizes as part of a healthful eating pattern and provide the individual with diabetes with practical tools for day-to-day food plan and behavior change that can be maintained over the long term.
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22
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Saltiel-Berzin R, Cypress M, Gibney M. Translating the research in insulin injection technique: implications for practice. Diabetes Educ 2012; 38:635-43. [PMID: 22895525 DOI: 10.1177/0145721712455107] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
PURPOSE Glucose variability leading to suboptimal glycemic control is common among people using injection therapies. Advanced technology and new studies have identified important issues related to injection technique: needle length and gauge, body mass index, skin and subcutaneous tissue thickness, adequate resuspension of cloudy insulins, leakage, choice of injection site and rotation, pinching a skinfold, and lipohypertrophy. All these issues can affect pain and bruising, insulin absorption, and blood glucose levels. The purpose of this article is to review current and past research regarding insulin injection therapy and to provide practical, translational information regarding injection technique, teaching/learning techniques specific to insulin administration, and implications for diabetes self-management education and support. CONCLUSION International injection recommendations for patients with diabetes have recently been published and have identified specific recommendations for health care professionals. This article provides an evidence-based translational and practical review of the research regarding injection technique and teaching/learning theory. Diabetes educators need to reevaluate how they provide instruction for the administration of insulin and other injectable medications. Research regarding skin and subcutaneous thickness reveals that shorter needles may be appropriate for the majority of patients regardless of body mass index. Periodic reassessment of injection technique, including suspension of cloudy insulins and inspection of injection sites for lipohypertrophy, is a critical aspect of the role of the diabetes educator. An injection checklist is provided as a guide for diabetes educators.
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Affiliation(s)
- Rita Saltiel-Berzin
- BD Medical–Diabetes Care, Department of Medical Affairs, Franklin Lakes, New Jersey (Ms Saltiel-Berzin and Mr Gibney)
| | | | - Michael Gibney
- BD Medical–Diabetes Care, Department of Medical Affairs, Franklin Lakes, New Jersey (Ms Saltiel-Berzin and Mr Gibney)
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Mensing C, Boucher J, Cypress M, Weinger K, Mulcahy K, Barta P, Hosey G, Kopher W, Lasichak A, Lamb B, Mangan M, Norman J, Tanja J, Yauk L, Wisdom K, Adams C. National standards for diabetes self-management education. Diabetes Care 2007; 30 Suppl 1:S96-S103. [PMID: 17192388 DOI: 10.2337/dc07-s096] [Citation(s) in RCA: 53] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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Abstract
The microvascular complications of diabetes are serious, and can be life threatening. They involve injury to the blood vessels in the retina, kidney, nervous system, gingiva, and skin. Controlling the risk factors for microvascular complications involves controlling glucose level, blood pressure, and lipids, along with healthy lifestyle changes. Early identification of these complications can promote early interventions and prevent of slow progression of these diseases. Nurses can play a major role through patient care and self-management education.
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Affiliation(s)
- Marjorie Cypress
- University of New Mexico College of Nursing, Albuquerque, NM 87107, USA.
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25
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Mensing C, Boucher J, Cypress M, Weinger K, Mulcahy K, Barta P, Hosey G, Kopher W, Lasichak A, Lamb B, Mangan M, Norman J, Tanja J, Yauk L, Wisdom K, Adams C. National standards for diabetes self-management education. Diabetes Care 2006; 29 Suppl 1:S78-85. [PMID: 16373939] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Affiliation(s)
- Carolé Mensing
- Task Force to Review and Revise the National Standards for Diabetes Self-Management Education Programs, American Diabetes Association, 1701 North Beauregard Street, Alexandria, VA 22311, USA
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26
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Mensing C, Boucher J, Cypress M, Weinger K, Mulcahy K, Barta P, Hosey G, Kopher W, Lasichak A, Lamb B, Mangan M, Norman J, Tanja J, Yauk L, Wisdom K, Adams C. National standards for diabetes self-management education. Diabetes Care 2005; 28 Suppl 1:S72-9. [PMID: 15618119 DOI: 10.2337/diacare.28.suppl_1.s72] [Citation(s) in RCA: 46] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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27
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Mensing C, Boucher J, Cypress M, Weinger K, Mulcahy K, Barta P, Hosey G, Kopher W, Lasichak A, Lamb B, Mangan M, Norman J, Tanja J, Yauk L, Wisdom K, Adams C. National standards for diabetes self-management education. Diabetes Care 2004; 27 Suppl 1:S143-50. [PMID: 14693955 DOI: 10.2337/diacare.27.2007.s143] [Citation(s) in RCA: 50] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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28
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Mensing C, Boucher J, Cypress M, Weinger K, Mulcahy K, Barta P, Hosey G, Kopher W, Lasichak A, Lamb B, Mangan M, Norman J, Tanja J, Yauk L, Wisdom K, Adams C. National standards for diabetes self-management education. Diabetes Care 2003; 26 Suppl 1:S149-56. [PMID: 12502650 DOI: 10.2337/diacare.26.2007.s149] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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Cypress M. Acute complications. RN 2001; 64:26-31; quiz 32. [PMID: 12033003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/25/2023]
Abstract
Critically high or low blood sugar in a patient with diabetes is a medical emergency. You'll need to be able to quickly identify and know how to manage the acute complications of diabetes to help a patient avoid a tragic outcome. Here's how.
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Affiliation(s)
- M Cypress
- Lovelace Health Systems, Albuquerque, N.M., USA
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30
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Mensing C, Boucher J, Cypress M, Weinger K, Mulcahy K, Barta P, Hosey O, Kopher W, Lasichak A, Lamb B, Mangan M, Norman J, Tanja J, Yauk L, Wisdom K, Adams C. National Standards for Diabetes Self-Management Education. Diabetes Educ 2000. [DOI: 10.1177/014572170002600407] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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31
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Mensing C, Boucher J, Cypress M, Weinger K, Mulcahy K, Barta P, Hosey G, Kopher W, Lasichak A, Lamb B, Mangan M, Norman J, Tanja J, Yauk L, Wisdom K, Adams C. National standards for diabetes self-management education. Task Force to Review and Revise the National Standards for Diabetes Self-Management Education Programs. Diabetes Care 2000; 23:682-9. [PMID: 10834430 DOI: 10.2337/diacare.23.5.682] [Citation(s) in RCA: 101] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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Cypress M, McCloskey B. A summary of the certification examinations from 1996 and 1997. Diabetes Educ 1998; 24:703-6. [PMID: 10025293 DOI: 10.1177/014572179802400606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- M Cypress
- Lovelace Health Systems, Lovelace Regional Diabetes Program, Albuquerque, New Mexico (Ms Cypress)
| | - B McCloskey
- Baylor Medical Center of Irving, Pharmacy Department, Texas (Dr McCloskey)
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Friedman NM, Gleeson JM, Kent MJ, Foris M, Rodriguez DJ, Cypress M. Management of diabetes mellitus in the Lovelace Health Systems' EPISODES OF CARE program. Eff Clin Pract 1998; 1:5-11. [PMID: 10345262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
OBJECTIVE To design and implement the Lovelace Diabetes EPISODES OF CARE program in a managed care setting. This program is intended to address the complex needs of patients with type 2 diabetes mellitus by using specific physician-provider and patient interventions. DESIGN Observational study. SETTING Lovelace Health Systems, the second-largest and most fully integrated health care delivery system in New Mexico. The main facility is located in Albuquerque. PARTICIPANTS Lovelace Health Plan members with type 2 diabetes. INTERVENTIONS Physician-provider interventions included practice guidelines medical profile screens, and provider support reports. Patients interventions included diabetes education; improved access to care, with focused diabetes clinic visits and "Diabetes Days"; and reminder systems. MAIN OUTCOME MEASURES Glycohemoglobin values, dilated eye examination rates, and access to education. RESULTS Significant lowering of glycohemoglobin values, dilated eye examination rates exceeding benchmark measures, and increases in educational access rates have occurred since the Lovelace Diabetes EPISODES OF CARE program was implemented. CONCLUSIONS An integrated health care delivery system with a comprehensive, diabetes disease management program can substantially improve outcomes.
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Affiliation(s)
- N M Friedman
- Lovelace Healthcare Innovations and Lovelace Health Systems, NM, USA
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Affiliation(s)
- M Cypress
- Lovelace Health Systems, Albuquerque, New Mexico (Ms Cypress)
| | - S Ponder
- Scott & White Clinic, Temple, Texas (Dr Ponder)
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Walker EA, Wylie-Rosett J, Shamoon H, Engel S, Basch CE, Zybert P, Cypress M. Program development to prevent complications of diabetes. Assessment of barriers in an urban clinic. Diabetes Care 1995; 18:1291-3. [PMID: 8612449 DOI: 10.2337/diacare.18.9.1291] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Affiliation(s)
- E A Walker
- Albert Einstein College of Medicine, Bronx, New York 10461, USA
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Wylie-Rosett J, Basch C, Walker EA, Zybert P, Shamoon H, Engel S, Cypress M. Ophthalmic referral rates for patients with diabetes in primary-care clinics located in disadvantaged urban communities. J Diabetes Complications 1995; 9:49-54. [PMID: 7734744 DOI: 10.1016/1056-8727(94)00005-9] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
The level of adherence with recommended standards for ophthalmic examinations was assessed in a purposive sample of diabetic patient charts (n = 350) from four clinics in medically underserved areas. All of the clinics referred patients with diabetes to off-site services for comprehensive eye examinations (dilation, visual acuity, and intraocular pressure); adherence with the standard of care was defined as a chart note indicating a referral for an ophthalmic examination. Overall, 86% of the patients were from high-risk minority groups (black or Hispanic) for diabetes and its complications. Mean age and duration of diabetes were 57.7 and 8.8 years, respectively. Referrals for ophthalmic exams were noted in 18% of the charts during the year preceding the review and in 28.6% of the charts during the 2 preceding years. Annual referrals in the preceding 2 years were noted in 3.1% of the charts. Eye disease was noted as a diagnosis in 22%. Patients who had a diagnosis of eye disease noted in their charts had a 7.5-fold increase in the odds of having a referral noted. The increased likelihood of being referred in patients with known eye disease may be due to follow-up of current eye problems.
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Affiliation(s)
- J Wylie-Rosett
- Department of Epidemiology and Social Medicine, Albert Einstein College of Medicine, Bronx, NY 10461, USA
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Wylie-Rosett J, Cypress M, Basch C. Diabetes quality assurance checklist: assessment of inter-rater and intra-rater reliability. Diabetes Educ 1992; 18:411-5. [PMID: 1296891 DOI: 10.1177/014572179201800508] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
The Diabetes Quality Assurance (DQA) Checklist was developed to measure adherence to standards of diabetes care. Two raters simultaneously scored a convenience sample of 23 charts of patients with diabetes. These raters scored each chart again 5-7 weeks later. Data obtained were used to assess inter-rater and intra-rater reliability. Inter-rater reliability was estimated for basic assessment at Time 1 (r = 0.94, 95% CI 0.86-0.97) and at Time 2 (r = 0.91, 95% CI 0.81-0.96); and for high-risk assessment at Time 1 (r = 0.88, 95% CI 0.73-0.95). Intra-rater reliability for the basic assessment was estimated for Reviewer 1 (r = 0.84, 95% CI 0.65-0.93) and for Reviewer 2 (r = 0.75, 95% CI 0.49-0.89); the high-risk estimate for Review 1 was 0.60 (95% CI 0.25-0.81) and for Reviewer 2 0.97 (95% CI 0.94-0.99). The DQA Checklist is useful for monitoring and assessing diabetes care.
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Wylie-Rosett J, Cypress M, Walker E, Engel S, D'Eramo-Melkus G, DiLorenzo T. Assessment of nutrition care provided to patients with diabetes in primary-care clinics. J Am Diet Assoc 1992; 92:854-6. [PMID: 1497752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- J Wylie-Rosett
- Diabetes Research and Training Center, Albert Einstein College of Medicine, Bronx, NY 10461
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Abstract
A survey of 108 members of a local metropolitan AADE chapter was conducted to assess (1) current roles and responsibilities of diabetes educators with respect to medical management and patient education, and (2) the use of behavioral strategy techniques among diabetes educators. Nurses and dietitians specializing in diabetes care performed a range of responsibilities. Approximately 75% of the nurses performed standard patient education roles and 20% performed the majority of roles traditionally considered to be in the medical domain, including insulin adjustment. More than half of the respondents had not received formal training in the use of behavioral strategies. Formal training was positively associated with greater use of behavioral techniques. Training for diabetes educators should include behavioral intervention strategies. Nurses specializing in diabetes care may also need training regarding physical assessment for chronic complications, and knowledge regarding adjustment of insulin and oral hypoglycemic medications.
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Wylie-Rosett J, Cypress M, Shamoon H. Testing of blood glucose. Diabetes Care 1991; 14:75. [PMID: 2036101 DOI: 10.2337/diacare.14.1.75] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
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Cypress M, Gross J. Let patients be partners in their care. RN 1989; 52:17-20. [PMID: 2913628] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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