Send to

Choose Destination
Diabet Med. 2020 Mar;37(3):436-447. doi: 10.1111/dme.14256.

Trends in diabetes self-management education: where are we coming from and where are we going? A narrative review.

Author information

Research Institute Diabetes Academy Mergentheim (FIDAM), Bad Mergentheim, Germany.
Department of Clinical Psychology and Psychotherapy, University of Bamberg, Bamberg, Germany.
Diabetes Clinic Mergentheim, Bad Mergentheim, Germany.



To summarize the history, development and efficacy of diabetes self-management education on glycaemic control and mental health in adults and children or adolescents with type 1 diabetes and people with type 2 diabetes. A further aim was to review the status of implementation of diabetes self-management education into routine care and outline current gaps in implementation and research.


We searched PubMed and Google scholar for German- and English-language articles regarding diabetes self-management education, glycaemic control and mental health, and restricted this search to meta-analyses.


Diabetes education has evolved from a compliance- and knowledge-oriented approach to an empowerment- and self-management-oriented approach. Diabetes self-management education seems to have a greater impact on glycaemic outcomes than on mental health outcomes, but the latter are rarely assessed. Technological development and digitalization can provide chances and challenges for diabetes self-management education. Digital solutions show promising results and great potential for improving the efficacy of diabetes self-management education further and providing ongoing support. The implementation of diabetes self-management education into routine clinical care frequently remains a challenge.


Diabetes self-management education has been acknowledged as an essential part of diabetes therapy; however, current gaps regarding the efficacy of diabetes self-management education on mental health, and the need for education on the use of diabetes technology, are future avenues for research.


Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center