Diabetes to Go

Diabetes to Go

Overview

Diabetes self-management education and support (DSMES) is key to reducing the burden of diabetes both on those living with this chronic, complex condition and on the healthcare system.1 DSMES is defined as the ongoing process of facilitating the knowledge, skills, and ability necessary for diabetes self-care.2–4 Effective delivery and patient uptake of DSMES has been shown to improve outcomes, including reduction in hemoglobin A1C, diabetes-related complications 5,6 and acute care encounters,7 and to promote adoption of healthy lifestyle behaviors.3,8–10

Research confirms that DSMES is largely underutilized. For example, less than 5% of Medicare beneficiaries access their DSMES benefits,11 and as few as 7% of patients with private insurance receive DSMES within the one-year after diabetes diagnosis.12 Innovative approaches for reaching patients with T2DM and successfully engaging them in DSMES are required to optimize its potential impact.

Diabetes survival skills education (DSSE), a component of DSMES, is the process of facilitating the core knowledge, skills, and ability necessary for safe and effective diabetes self-care in the short term.14–16 The goal of DSSE is to keep patients safe and stable during transitions of care (e.g., from hospital to home) and for patients with T2DM to be able to recognize when their diabetes is not well managed (e.g., hypo or hyperglycemic events).

Approaches to effectively deliver standardized self-care management education and support for adults living with Type 2 diabetes (T2DM) are needed to enable optimal outcomes.

Diabetes To Go is the education program of the MedStar Diabetes Institute.

This program has been developed by our diabetes specialists, including Endocrinologists and nurses, nutritionists, nurse practitioners and pharmacist who are diabetes educators, in partnership with our Primary Care Physicians. Our patients and a health literacy specialist helped develop and reviewed the program.

The Diabetes To Go Booklet covers diabetes survival skills – or the basics about diabetes.

The Diabetes To Go Pocket Guide is a brief summary of the same content that is found in the booklet.

The Diabetes To Go program has a full set of companion videos.  A few samples of these videos are found below for viewing.

 


For Patients

Know About Your Diabetes: Full Guide

Survival Skills Basics Pocket Guide

 


Diabetes to Go Sample Videos

 

Application Process: Logic Chart for Video Playlists

 


For Staff & Clincians

Process Chart for Education Delivery

Tablet Cleaning Job Aid

Create a Patient Account

Script: Invite a Patient to Join in Education

Survival Skills Basics Pocket Guide

 


MedStar Diabetes and Research Institutes’ “Diabetes To Go-Inpatient Study” was funded by the National Institutes of Health-NIDDK R34 DK-105903 Award. This grant funded redesign of the MDI’s Diabetes To Go education materials .


References

  1. Powers MA, Bardsley J, Cypress M, et al. Diabetes Self-management Education and Support in Type 2 Diabetes. Diabetes Educ. 2017;43(1):40-53. doi:10.1177/0145721716689694
  2. Armstrong C. ADA Updates Standards of Medical Care for Patients with Diabetes Mellitus. Am Fam Physician. 2017;95(1):40-43. http://www.ncbi.nlm.nih.gov/pubmed/28075100. Accessed May 5, 2017.
  3. Powers MA, Bardsley J, Cypress M, 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. J Acad Nutr Diet. 2015;115(8):1323-1334. doi:10.1016/j.jand.2015.05.012
  4. Beck J, Greenwood DA, Blanton L, et al. 2017 National Standards for Diabetes Self-Management Education and Support. Diabetes Educ. 2017;43(10):1409-1419. doi:10.2337/dci17-0025
  5. Steinsbekk A, Rygg L, Lisulo M, Rise MB, Fretheim A. Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis. BMC Health Serv Res. 2012;12(1):213. doi:10.1186/1472-6963-12-213
  6. Rise MB, Pellerud A, Rygg LØ, Steinsbekk A. Making and Maintaining Lifestyle Changes after Participating in Group Based Type 2 Diabetes Self- Management Educations: A Qualitative Study. PLoS One. 2013;8(5):e64009. doi:10.1371/journal.pone.0064009
  7. Healy SJ, Black D, Harris C, Lorenz A, Dungan KM. Inpatient diabetes education is associated with less frequent hospital readmission among patientswith poor glycemic control. Diabetes Care. 2013;36(10):2960-2967. doi:10.2337/dc13-0108
  8. 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;99:926-943. doi:10.1016/j.pec.2015.11.003
  9. Magee M, Bowling A, Copeland J, Fokar A, Pasquale P, Youssef G. The ABCs of diabetes: diabetes self-management education program for African Americans affects A1C, lipid-lowering agent prescriptions, and emergency department visits. Diabetes Educ. 37(1):95-103. doi:10.1177/0145721710392246
  10. Gurková E, Čáp J, Žiaková K. Quality of life and treatment satisfaction in the context of diabetes self-management education. Int J Nurs Pract. 2009;15(2):91-98. doi:10.1111/j.1440-172X.2009.01733.x
  11. Strawbridge LM, Lloyd JT, Meadow A, Riley GF, Howell BL. One-Year Outcomes of Diabetes Self-Management Training Among Medicare Beneficiaries Newly Diagnosed With Diabetes. Med Care. 2017;55(4):391-397. doi:10.1097/MLR.0000000000000653
  12. Li R, Shrestha SS, Lipman R, et al. Diabetes self-management education and training among privately insured persons with newly diagnosed diabetes--United States, 2011-2012. MMWR Morb Mortal Wkly Rep. 2014;63(46):1045-1049. http://www.ncbi.nlm.nih.gov/pubmed/25412060. Accessed July 8, 2019.
  13. Ferguson S, Swan M, Smaldone A. Does Diabetes Self-management Education in Conjunction With Primary Care Improve Glycemic Control in Hispanic Patients? Diabetes Educ. 2015;41(4):472-484. doi:10.1177/0145721715584404
  14. Hardee SG, Osborne KC, Njuguna N, et al. Interdisciplinary diabetes care: A new model for inpatient diabetes education. Diabetes Spectr. 2015;28(4):276-282. doi:10.2337/diaspect.28.4.276
  15. Youssef G, Ip EH, Magee M, et al. Validity and Reliability of a (Brief) Diabetes “Survival Skills” Knowledge Test: KNOW Diabetes. Diabetes Educ. 2019;45(2):184-193. doi:10.1177/0145721719828064
  16. Lewis VR, Benda N, Nassar C, Magee MF. Successful Patient Diabetes Education in the Emergency Department. Diabetes Educ. 2015;41(3):343-350. doi:10.1177/0145721715577484