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Diabetes Self-management Education and Support in Adults With Type 2 Diabetes
Κλίκ για μεγέθυνση
Πέμπτη 22 Ιούλ 2021
Margaret A. Powers, Joan K. Bardsley,Marjorie Cypress, Martha M. Funnell,
Dixie Harms, Amy Hess-Fischl,Beulette Hooks,  Diana Isaacs, Ellen D. Mandel, Melinda D. Maryniuk, Anna Norton, Joanne Rinker, Linda M. Siminerio, Sacha Uelmen
The Diabetes EDUCATOR Volume 46, Number 4, August 2020

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.


Introduction
Diabetes is a complex and challenging disease that requires daily self-management decisions made by the person with diabetes. Diabetes self-management education and support (DSMES) addresses the comprehensive blend of clinical, educational, psychosocial, and behavioral aspects of care needed for daily self-management and provides the foundation to help all people with diabetes navigate their daily self-care with confidence and improved outcomes.
The prevalence of diagnosed diabetes is projected to increase in the U.S. from 22.3 million (9.1% of the total population) in 2014, to 39.7 million (13%) in 2030, and to 60.6 million (17%) in 2060. Approximately 90-95% of those with diabetes have type 2 diabetes.
Diabetes is an expensive disease, and the medical costs of health care alone for a person with diabetes are 2.3 times more than for a person without diabetes. Confounding the diabetes epidemic and high costs, therapeutic targets are not being met. There is a lack of improvement in reaching clinical target goals since 2005 despite advancements in medication and technology treatment modalities. Indeed, between 2010 and 2016, improved outcomes stalled or reversed.

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