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DIABETES
SELF-MANAGEMENT EDUCATION (DSME)

 

 

Diabetes is a disease that occurs when your blood glucose, also called blood sugar, is too high. Blood glucose is your main energy source and comes from your food. Insulin, a hormone made by the pancreas, helps glucose from food get into your cells to be used for energy. Sometimes your body doesn't make enough or any insulin or doesn't use insulin well. Glucose then stays in your blood and doesn't reach your cells. 

What Is Diabetes?

Out-Of-Control Blood Sugar Leads To Increase Risk For:

 

 

  • Heart disease

  • Chronic kidney disease

  • Nerve damage

  • Blindness

  • Stroke

  • Other problems with feet, oral health, hearing and mental health

How Can You Improve Diabetes Outcomes?

You have the power to manage your diabetes through diet, physical activity, checking blood sugar, taking your medication, and having regular check-ups. However, it can be hard to handle on your own. 

To help make it easier to manage, your provider will refer you to a diabetes educator for a diabetes self-management education (DSME) program, mainly located out of the office or in hospital settings. However, ShineMed will provide an on-site customized diabetes education, created and provided by your primary care provider to help manage your chronic conditions. 

Why Do You Have To Receive Diabetes Education?

 

 

A DSME program is an ongoing process for facilitating the knowledge, skills, and ability necessary for diabetes self-care. Includes activities that assist in implementing and sustaining the behaviors needed to manage diabetes. Recent research provided that 60% of people with diabetes have never received formal diabetes self-management education.

Evidence shows diabetes education:

  • Decreases hemoglobin A1C

  • Reduces hospital admission and re-admissions

  • Improves medication adherence

  • Increases knowledge of the disease

  • Increases healthful eating patterns and regular activity

  • Improves quality of life

  • Improves coping

  • 21% reduction in diabetes-related death

  • 14% reduction in heart attack

  • 37% reduction in kidney disease and blindness

  • Reduced healthcare cost

When Do I Need To Receive Diabetes Education?

  1. Newly diagnosed

  2. Annually

  3. Complications

  4. Changes in providers or medications

How Can I Find Diabetes Education Services?

Your provider may refer you to a specific diabetes education program, or you can visit the Associate of diabetes care & education specialists (AADE) or the American Diabetes Association (ADA) to find a program near you. However, most providers lack knowledge and understanding of this benefit and often do not refer patients to the service.  The program is often provided in hospital settings, where you should go outside of your doctor's office.  Patients also may feel uncomfortable receiving the services outside of their provider's office.

Will My Insurance Cover Diabetes Education Services?

Insurance coverage of the program varies, but many plans cover diabetes education. Medicare covers up to 10 hours of this program if you've been diagnosed in the past year. However, the program is so underutilized because its current delivery model presents major barriers. To be eligible for insurance coverage, you should get a referral by your health care provider to accredited programs, which are delivered by certified diabetes educators. However, ShineMed will offer on-site education program, directly provided by your provider as part of diabetes management.  You can pay as same as a regular office visit. 

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