- Division of Diabetes Treatment and Prevention (DDTP)
- Clinical Resources
- Diabetes Standards of Care and Resources for Clinicians and Educators
- Diabetes Self-Management Education and Support
Diabetes Standards of Care and Resources for Clinicians and Educators
Diabetes Self-Management Education and Support
Diabetes self-management education and support (DSMES) is an integral part of diabetes care. The goal of DSMES is to improve clinical outcomes, health status, and quality of life for people with diabetes. It provides knowledge and builds skills and abilities needed for effective self-care through informed decision making, problem solving, and collaboration with the health care team. Person-centered, culturally appropriate DSMES helps individuals manage their diabetes care over time. It is especially important if they experience lifestyle challenges, medication changes, disease progression, and stress-related conditions.
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Diabetes Care Topics
Recommendations At-a-Glance
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Clinical Practice Recommendations
Recommendations for Diabetes Self-Management Education and Support
- Offer referral for individualized DSMES at diagnosis, and then annually. DSMES should:
- Follow the National Standards for Diabetes Self-Management Education. Exit Disclaimer: You Are Leaving www.ihs.gov
- Focus on one or more of the Association of Diabetes Care and Education Specialists ADCES7 Self-Care Behaviors for diabetes self-management: healthy eating, being active, blood glucose monitoring, taking medications, risk reduction, healthy coping, and problem solving.
- Evaluate the need for DSMES when not meeting treatment goals, when complicating factors (e.g. health conditions, physical limitations, emotional factors, or basic living needs) that influence self-management develop, or when transitions in life and care occur.
DSMES services may be offered through a formal education program or through brief encounters that focus on the individual needs of the patient and/or family member/caregiver. DSMES can be a Medicare-reimbursable service when provided by an accredited program. DSMES accredited programs are available in some American Indian and Alaska Native communities.
Clinician and Educator Resources
Featured Diabetes Self-Management Education and Support Resources
Diabetes Education Recognition Programs
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Education Recognition Program Exit Disclaimer: You Are Leaving www.ihs.gov |
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Diabetes Education Accreditation Program (DEAP) Exit Disclaimer: You Are Leaving www.ihs.gov |
Patient Education Resources
Diabetes Self-Management Education and Support Patient Education Resources
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Education Materials and Resources (Online Catalog) |
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Managing Diabetes Exit Disclaimer: You Are Leaving www.ihs.gov Preventing Diabetes Problems Exit Disclaimer: You Are Leaving www.ihs.gov Healthy Living with Diabetes Exit Disclaimer: You Are Leaving www.ihs.gov |
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ADCES7 Self-Care Behaviors Exit Disclaimer: You Are Leaving www.ihs.gov |
CME Training
Diabetes Self-Management Education and Support CME Trainings
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Update on Biosimilar Insulins for Diabetes Management Exit Disclaimer: You Are Leaving www.ihs.gov
Kristy Klinger, PharmD, PhC, CDCES, BC-ADMUSPHS – Indian Health Service (retired) Gallup Community Health (Originally presented on 05/29/24) |
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Reclaiming Indigenous Health: Embracing traditional values, culture, and history to reduce cancer burden Exit Disclaimer: You Are Leaving www.ihs.gov
Wyatt Pickner, MPHResearch Manager American Indian Cancer Foundation (Originally presented on 05/01/24) |
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Applying the ADCES 7-Self Care Behaviors in Navajo Communities Exit Disclaimer: You Are Leaving www.ihs.gov
Denee Bex, MPH, RD, CDCESTumbleweed Nutrition LLC Founder & Owner (Originally presented on 04/03/24) |
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Results from the 2023 IHS Diabetes Care and Outcomes Audit Exit Disclaimer: You Are Leaving www.ihs.gov
Karen Sheff, MSBiostatistician Richard Arakaki, MD Clinical Consultant IHS Division of Diabetes Treatment and Prevention (DDTP) (Originally presented on 11/08/23) |
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Diabetes Motivational Interviewing in Integrated Care Settings Exit Disclaimer: You Are Leaving www.ihs.gov
Anthony Fleg, MD, MPHFamily Medicine Physician Sister Sky, Inc. (Originally presented on 10/12/23) |
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Using Everyday Words to Communicate Health and Wellness Exit Disclaimer: You Are Leaving www.ihs.gov
Alberta Becenti, MPHPublic Health Advisor, Health Promotion/Disease Prevention Consultant (Originally presented on 10/11/23) |
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Jane K. Dickinson, RN, PhD, CDCES Program Director/Senior Lecturer Teachers College Columbia University (Originally presented on 09/13/23) |
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Health Coaching: Practitioner Perspectives in Improving Health Outcomes Exit Disclaimer: You Are Leaving www.ihs.gov
Jill Breyen, MS,RDN,CDCES, Health and Wellness CoachRed Lake Comprehensive Health Services Red Lake Indian Hospital (Originally presented on 09/06/23) |
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New The Medical Neighborhood: Connecting Care to Improve Health Outcomes Exit Disclaimer: You Are Leaving www.ihs.gov
Carol Greenlee MD MACPWestern Slope Endocrinology (Originally presented on 07/12/23) |
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New Motivational Interviewing: Assisting Patients with Self-Directed Health Decisions Exit Disclaimer: You Are Leaving www.ihs.gov
Chandima Deegala, B.S., PharmD, cTTSPharmacist Practitioner/Health Educator Northern Navajo Medical Center (Originally presented on 06/07/23) |
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Michelle Archuleta, MA, MS Public Health Advisor, CHR Program Lead HQs Indian Health Service Alyssa Fine, RN, MSN, CDCES, CNL Wellness & Diabetes Program Coordinator, Cowlitz Indian Tribe Health Clinic LCDR, US Public Health Service (Originally presented on 05/24/23) |
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New Management of Type 2 Diabetes: An Update and Review of Non-Injectable Pharmacological Treatment Exit Disclaimer: You Are Leaving www.ihs.gov
Richard Arakaki, M.D., EndocrinologistClinical Consultant, IHS DDTP and Professor Emeritus, University of Hawaii (Originally presented on 05/03/23) |
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New Case Management: Practicing Population Health to Engage Patients as Partners in Care Exit Disclaimer: You Are Leaving www.ihs.gov
Krista Haven, RN, MSN, CDEDiabetes Nurse Specialist (Originally presented on 11/02/22.) |
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Aimee C. Reinhard, Pharm D, NCPS, Clinical Pharmacist, Diabetes Care and Education (Originally presented on 10/12/22.) |
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New Helping Your Patients with Diabetes Slow the Progression of Diabetic Kidney Disease in T2DM; Part 1 – Screening, Diagnosis & Monitoring Exit Disclaimer: You Are Leaving www.ihs.gov
Carol Greenlee MD MACPWestern Slope Endocrinology (Originally presented on 08/03/22.) |
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Dr. Richard Arakaki Endocrinologist and Professor Emeritus, University of Hawaii Clinical Consultant, IHS Division of Diabetes (Originally presented on 04/20/22.) |
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New What Can I Eat? Diabetes Nutrition Education Curriculum for American Indian and Alaska Native Adults with Type 2 Diabetes Exit Disclaimer: You Are Leaving www.ihs.gov
Sarah Stotz, PhD, MS, RDN, CDEResearch Assistant Professor Centers for American Indian and Alaska Native Health Colorado School of Public Health (Originally presented on 03/01/22.) |
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| Helping Your Patient with Diabetes: Engagement and Communication Strategies to Optimize Your Approach Exit Disclaimer: You Are Leaving www.ihs.gov M. Carol Greenlee, MD, MACP, FACE (Immediate-past) Chair, Counsel of Subspecialty Societies, American College of Physicians Chair, Share the Care Work Group, American College of Physicians (Originally presented on 11/16/21.) |
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