Implementing diabetes self-management training programs: breaking through the barriers in primary care.

Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
Linda M Siminerio

Abstract

To review issues, examples, and recommendations for the delivery of diabetes self-management training (DSMT) services in the primary care setting. Barriers to provision of DSMT at the point of care and strategies to overcome such challenges are discussed. In addition, new avenues to support continuing diabetes education are presented. Diabetes is a complex disease that requires education, monitoring, and medication adjustment to achieve treatment goals. Unfortunately, adequate support is seldom available for the increased time and effort needed for optimal management of diabetes. Health-care delivery systems are designed to provide a response to acute illnesses and are poorly configured to meet the needs of patients with complex chronic illnesses. Although team care and DSMT have proved to be effective, they have infrequently been integrated in primary care offices, where most patients with diabetes receive treatment. It is encouraging that the studies conducted to date have generally found office-based counseling and educational strategies to be effective for the vast majority of patients with diabetes. Community-based programs that extend DSMT have also been successful. Diabetes is a chronic disease that requires providers to...Continue Reading

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Citations

Jun 22, 2012·Primary Health Care Research & Development·Anne-Marie BagnallAlan K White
Mar 19, 2008·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·M Carrington ReidKarl Pillemer
Dec 14, 2011·Pharmacotherapy·Kyle R Peters
Jan 6, 2009·Diabetes Care·UNKNOWN American Diabetes Association
Jan 14, 2011·Diabetes Care·UNKNOWN American Diabetes Association
Jan 10, 2008·Diabetes Care·UNKNOWN American Diabetes Association

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