Diabetes is a complex and burdensome disease that requires the person with diabetes to make numerous daily decisions regarding food, physical activity, and medications.


It also necessitates that the person be proficient in a number of self-management skills (35,75,76). In order for people to learn the skills necessary to be effective self-managers, DSME is critical in laying the foundation with ongoing support to maintain gains made during education.

Despite proven benefits and general acceptance, the numbers of patients who are referred to and receive DSME/S are disappointingly small. This position statement and algorithm provide the evidence and strategies for the provision of education and support services to all adults living with type 2 diabetes.


It is imperative that the health care community, responsible for delivering quality care, mobilizes efforts to address the barriers and explores resources for DSME/S in order to meet the needs of adults living with and managing type 2 diabetes.


PMC: 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