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Challenges and Opportunities in Diabetes Education

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Abstract

Diabetes education started with Elliott P. Joslin’s efforts to provide comprehensive care for people with diabetes. In the early insulin era, he developed the role of the diabetes teaching nurse or nurse educator. Diabetes education has grown significantly since that time, with excellent and diverse models evolving around the world. This chapter outlines the components of diabetes education and describes various methods of delivery. This chapter also presents the evidence for diabetes education as a vital resource for people with diabetes in reducing acute and chronic diabetes-related complications and improving other health measures. In addition, existing challenges and future opportunities are discussed.

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References

  1. Allen NA. The history of diabetes nursing. Diabetes Educ. 2003;29(6):976–89.

    Article  Google Scholar 

  2. National standards for diabetes self-management education programs. Diabetes Care. 1995;18(1):141.

    Article  Google Scholar 

  3. Haas L. National standards for diabetes self-management education and support. Diabetes Care. 2013;36(s1):S100.

    Article  Google Scholar 

  4. Beck J, Greenwood DA, Blanton L, Bollinger ST, Butcher MK, Condon JE, et al. 2017 national standards for diabetes self-management education and support. Diabetes Educ. 2017. https://doi.org/10.1177/0145721717722968.

  5. Diabetes Canada. Diabetes standards. 2017. Retrieved 07/03/2017, from http://www.diabetes.ca/membership/cda-professional-section/standards-recognition-program/diabetes-educator-section/diabetes-standards-recognition-program/about-standards-for-diabetes-education-in-canada.

  6. Chrvala CA, Sherr D, Lipman RD. Diabetes self-management education for adults with type 2 diabetes mellitus: a systematic review of the effect on glycemic control. Patient Educ Couns. 2016;99(6):926–43. https://doi.org/10.1016/j.pec.2015.11.003.

    Article  PubMed  Google Scholar 

  7. Cooke D. Structured type 1 diabetes education delivered within routine care: impact on glycemic control and diabetes-specific quality of life. Diabetes Care. 2013;36(2):270.

    Article  Google Scholar 

  8. North SL, Palmer GA. Outcome analysis of hemoglobin A1c, weight, and blood pressure in a VA diabetes education program. J Nutr Educ Behav. 2015;47(1):28–35. https://doi.org/10.1016/j.jneb.2014.07.006.

    Article  PubMed  Google Scholar 

  9. Rotberg B, Greene R, Ferez-Pinzon AM, Mejia R, Umpierrez G. Improving diabetes care in the Latino population: the Emory Latino diabetes education program. Am J Health Educ. 2016;47(1):1–7. https://doi.org/10.1080/19325037.2015.1111177.

    Article  Google Scholar 

  10. Ruiz-González I, Fernández-Alcántara M, Guardia-Archilla T, Rodríguez-Morales S, Molina A, Casares D, De los Santos-Roig M. Long-term effects of an intensive-practical diabetes education program on HbA1c and self-care. Appl Nurs Res. 2016;31:13–8. https://doi.org/10.1016/j.apnr.2015.12.008.

    Article  PubMed  Google Scholar 

  11. Surucu HA, Kizilci S, Ergor G. The impacts of diabetes education on self care agency, self-care activities and HbA1c levels of patients with type 2 diabetes: a randomized controlled study. Int J Caring Sci. 2017;10(1):479–89.

    Google Scholar 

  12. He X. Diabetes self-management education reduces risk of all-cause mortality in type 2 diabetes patients: a systematic review and meta-analysis. Endocrine. 2017;55(3):712.

    Article  CAS  Google Scholar 

  13. Colson S. An integrative review of the quality and outcomes of diabetes education programs for children and adolescents. Diabetes Educ. 2016;42(5):549.

    Article  Google Scholar 

  14. Luan LL, Yang J, He YF, Huang ZX, Liu L, Huang ZS. Impact of diabetes education and self-management support on the 4D series of diabetes patients. Biomed Res (India). 2017;28(3):1172–7.

    Google Scholar 

  15. Cooke D, Bond R, Lawton J, Rankin D, Heller S, Clark M, Speight J. Modeling predictors of changes in glycemic control and diabetes-specific quality of life amongst adults with type 1 diabetes 1 year after structured education in flexible, intensive insulin therapy. J Behav Med. 2015;38(5):817–29. https://doi.org/10.1007/s10865-015-9649-y.

    Article  PubMed  Google Scholar 

  16. Mohamed OMI. Can structured education improve metabolic outcome and quality of life in diabetes? A systematic review of randomised controlled trials. Middle East J Fam Med. 2016;14(2):31.

    Article  Google Scholar 

  17. American Diabetes Association. Standards of medical care in diabetes – 2017. Diabetes Care. 2017b;40(1):S1–S135.

    Google Scholar 

  18. Australia, Diabetes. Education. 2017. Retrieved 07/06/2017, from http://www.diabetes.co.uk/education/.

  19. Diabetes UK. Diabetes education: the big missed opportunity in diabetes care. London: Diabetes UK; 2015.

    Google Scholar 

  20. NICE. 2017. Retrieved 08/30/2017, from https://www.nice.org.uk/guidance/conditions-and-diseases/diabetes-and-other-endocrinal%2D%2Dnutritional-and-metabolic-conditions/diabetes.

  21. About DAWN2. 2015. Retrieved 08/26/2017, from http://www.dawnstudy.com/dawn2/about-dawn2.html.

  22. National Certification Board for Diabetes Educators. Eligibility requirements. 2017b. Retrieved 08/29/2017, from https://www.ncbde.org/certification_info/eligibility-requirements/.

  23. Sherr D, Lipman RD. The diabetes educator and the diabetes self-management education engagement: the 2015 national practice survey. Diabetes Educ. 2015;41(5):616–24. https://doi.org/10.1177/0145721715599268.

    Article  PubMed  Google Scholar 

  24. International Diabetes Federation. Diabetes network for health professionals. 2017. Retrieved 08/29/2017, from https://d-net.idf.org/en/library/159-international-standards-for-education-of-diabetes-health-professionals.html.

  25. American Association of Diabetes Educators. Competencies for diabetes educators. 2016a. Retrieved 08/29/2017, from https://www.diabeteseducator.org/practice/practice-documents/competencies-for-diabetes-educators.

  26. American Association of Diabetes Educators. Practice levels. 2016b. Retrieved 08/29/2017, from https://www.diabeteseducator.org/docs/default-source/practice/practice-resources/praclev20168f0edb36a05f68739c53ff0000b8561d.pdf?sfvrsn=6.

  27. Powers MA, Bardsley J, Cypress M, Duker P, Funnell MM, Fischl AH, et al. Diabetes self-management education and support in type 2 diabetes: a joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Diabetes Educ. 2015;43(1):40–53. https://doi.org/10.1177/0145721715588904.

    Article  Google Scholar 

  28. World Health Organization. Diabetes. 2017. Retrieved 07/24/2017, from http://www.who.int/mediacentre/factsheets/fs312/en/.

  29. Powers MA. If DMSE were a pill, would you prescribe it? Diabetes Care. 2016;39:2101–7.

    Article  Google Scholar 

  30. National Certification Board for Diabetes Educators. 2017 Count of CDEs by state and other statistics. 2017a. Retrieved 08/30/2017, from https://www.ncbde.org/2017-count-of-cdes-by-state-and-other-statistics/.

  31. Centers for Disease Control. Diabetes fact sheets. 2017. Retrieved 08/29/2017, from https://www.cdc.gov/diabetes/library/factsheets.html.

  32. American Association of Diabetes Educators. About AADE. 2017b. 07/07/2017, from https://www.diabeteseducator.org/about-aade.

  33. National Certification Board for Diabetes Educators. History. 2017c. Retrieved 06/30/2017, from https://www.ncbde.org/about/history/.

  34. Dickinson JK, Lipman RD, O’Brian CA. Diabetes education as a career choice. Diabetes Educ. 2015;41(6):665–76. https://doi.org/10.1177/0145721715608952.

    Article  PubMed  Google Scholar 

  35. Dehkordi LM. Diabetes self-management education; experience of people with diabetes. J Caring Sci. 2017;6(2):111.

    Article  Google Scholar 

  36. American Diabetes Association. Diabetes education. 2017a. Retrieved 07/12/2017, from https://professional.diabetes.org/diabetes-education.

  37. American Association of Diabetes Educators. Diabetes education accreditation program. 2017c. Retrieved 07/12/2017, from https://www.diabeteseducator.org/practice/diabetes-education-accreditation-program-(deap).

  38. Dickinson JK. The experience of diabetes-related language in diabetes care. Diabetes Spectr. in press.

    Google Scholar 

  39. Dickinson JK, Guzman SJ, Maryniuk MD, O’Brian CA, Kadohiro JK, Jackson RA, et al. The use of language in diabetes care and education. Diabetes Care. in press.

    Google Scholar 

  40. Celeste-Harris S, Maryniuk M. Educating Medical Office Staff: enhancing diabetes care in primary care practices. Diabetes Spectr. 2006;19(2):84–9.

    Article  Google Scholar 

  41. Mokdad AH, Ruffaha M, Hanlon M, El Bcheraoui C, Daoud F, Al Saeedi M, Alrasheedy AA, Al Hussein MA, Memish ZA, Basulaiman M. Cost of diabetes in the kingdom of Saudi Arabia, 2014. J Diabetes Metab. 2015;6:575–81.

    Google Scholar 

  42. Armian H, Maryniuk MD, Imershein SG, Bonsignore P, Hsu W, Bayoumi A, Turkistani SA, Alharbi MY. Pharmacist-led diabetes education improves awareness, self-management, and glycemic control. 2016.

    Google Scholar 

  43. Rickheim PL, Weaver TW, Flader JL, Kendall DM. Assessment of group versus individual diabetes education. Diabetes Care. 2002;25(2):269–74.

    Article  Google Scholar 

  44. Ghafoor E, Riaz M, Eichorst B, Fawwad A, Basit A. Evaluation of diabetes conversation maps education tools for diabetes self-management education. Diabetes Spectr. 2015;28(4):230–5.

    Article  Google Scholar 

  45. Balagopal P, Kamalamma N, Patel TG, Misra R. A community based participatory diabetes prevention and management intervention in rural India using community health workers. Diabetes Educ. 2012;38(6):822–34.

    Article  Google Scholar 

  46. American Association of Diabetes Educators. Community health workers in diabetes management and prevention. 2015. Retrieved 08/26/2017, from https://www.diabeteseducator.org/docs/default-source/default-document-library/community-health-workers-in-diabetes-management-and-prevention.pdf?sfvrsn=0.

  47. Peers for Progress. 2017. Retrieved 08/26/2017, from http://peersforprogress.org/.

  48. Yamada. Diabetes education. 2017. Retrieved 08/26/2017, from http://yamada-ec.jp/en/education

  49. IDEEL. International diabetes educator e-learning. 2017. Retrieved 08/26/2017, from http://www.ideel.org/.

  50. American Association of Diabetes Educators. AADE career path certificate program. 2017a. Retrieved 08/29/2017, from https://www.diabeteseducator.org/education-career/career-path-certificate.

  51. McDonald JE, Dickinson JK. Visualizing change: diabetes educators screening for retinopathy. AADE Pract. 2016;4(1):28032.

    Google Scholar 

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Correspondence to Jane K. Dickinson .

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Dickinson, J.K., Maryniuk, M.D., Powers, M. (2019). Challenges and Opportunities in Diabetes Education. In: Rodriguez-Saldana, J. (eds) The Diabetes Textbook. Springer, Cham. https://doi.org/10.1007/978-3-030-11815-0_25

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  • DOI: https://doi.org/10.1007/978-3-030-11815-0_25

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-030-11815-0

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