Diabetes Self-Management Education (DSME) is an ongoing process to
facilitate a person’s knowledge, skill, and ability for self-care. This process
incorporates the needs, goals, and life experiences of the person with diabetes
and is guided by evidence-based standards. Objectives are to support informed
and shared decision making, self-care behaviors, problem solving, and active
collaboration with the health care team to improve clinical outcomes, health
status, and quality of life. Diabetes educators and others in the health care
team can help people living with or at risk for diabetes to:
the diabetes disease process and the risks and benefits of treatment options.
healthy eating behaviors into their lifestyles.
physical activity into their lifestyles.
how to use medications safely and effectively.
self-monitoring of blood pressure when prescribed.
self-monitoring of blood glucose when prescribed and demonstrate how to
interpret and use the results for self-management decision making.
how to prevent, detect, and treat high and low blood glucose.
self-management needs during illness or medical procedures.
detect, and treat chronic diabetes complications.
personal strategies to address psychosocial issues and concerns.
personal strategies to promote health and behavior change.
American Diabetes Association/American Association of Diabetes
Educators National Standards
Standards of Practice and Standards of Professional Performance
for Registered Dietitians (Generalist, Specialty, and Advanced) in Diabetes
 Cochran J, Conn VS. Meta-analysis of quality of life outcomes
following diabetes self-management training. Diabetes Educ. 2008;34:815–23.