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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

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).

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/
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...
Target Audience
Teens, Adults, Women, Men, Families, Racial/Ethnic Minorities

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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.