Table 3

Comparing the benefits of DSMES/MNT vs. metformin therapy (17)

CriteriaBenefits rating
DSMES/MNTMetformin
EfficacyHighHigh
Hypoglycemia riskLowLow
WeightNeutral/lossNeutral/loss
Side effectsNoneGastrointestinal
CostLow/savingsLow
Psychosocial benefits*HighN/A
  • N/A, not applicable. *Psychosocial benefits include improvements to quality of life, self-efficacy, empowerment, healthy coping, knowledge, self-care behaviors, meal planning, healthier food choices, more activity, use of glucose monitoring, lower blood pressure and lipids and reductions in problems in managing diabetes, diabetes distress, and the risk of long-term complications (and prevention of acute complications).