Table 1

Key components of DSMES (21,2325)

• Evidence-based
• Individualized to the needs of the person, including language and culture
• Has a structured theory-driven written curriculum with supporting materials
• Delivered by trained and competent individuals (educators) who are quality assured
• Delivered in group or individual settings
• Aligns with the local population needs
• Supports the person and their family in developing attitudes, beliefs, knowledge, and skills to self-manage diabetes
• Includes core content; i.e., diabetes pathophysiology and treatment options; medication usage; monitoring, preventing, detecting, and treating acute and chronic complications; healthy coping with psychological issues and concerns; problem solving and dealing with special situations (i.e., travel, fasting)
• Available to patients at critical times (i.e., at diagnosis, annually, when complications arise, and when transitions in care occur)
• Includes monitoring of patient progress, including health status, quality of life
• Quality audited regularly
  • DSMES is a critical element of care for all people with diabetes and is the ongoing process of facilitating the knowledge, skills, and ability necessary for diabetes self-care as well as activities that assist a person implementing and sustaining behaviors needed to manage their diabetes on an ongoing basis. National organizations in the U.S. and Europe have published standards to underpin DSMES. In the U.S., these are defined as DSMES “services,” whereas in Europe they are often referred to as “programs.” Nevertheless, the broad components are similar.