DSMES Consensus Report recommendations
| DSMES improves health outcomes, quality of life, and is cost effective, and people with diabetes deserve the right to DSMES services. Therefore, it is recommended that: |
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| Providers |
| 1. Discuss with all persons with diabetes the benefits and value of initial and ongoing DSMES. |
| 2. Initiate referral to and facilitate participation in DSMES at the 4 critical times: 1) at diagnosis, 2) annually and/or when not meeting treatment targets, 3) when complicating factors develop, and 4) when transitions in life and care occur. |
| 3. Ensure coordination of the medical nutrition therapy plan with the overall management strategy, including the DSMES plan, medications, and physical activity on an ongoing basis. |
| 4. Identify and address barriers affecting participation with DSMES services following referral. |
| Health policy, payers, health systems, providers, and health care teams |
| 5. Expand awareness, access, and utilization of innovative and nontraditional DSMES services. |
| 6. Identify and address barriers influencing providers’ referrals to DSMES services. |
| 7. Facilitate reimbursement processes and other means of financial support in consideration of cost savings related to the benefits of DSMES services. |