Format

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

1
Research Institute Diabetes Academy Mergentheim (FIDAM), Bad Mergentheim, Germany.
2
Department of Clinical Psychology and Psychotherapy, University of Bamberg, Bamberg, Germany.
3
Diabetes Clinic Mergentheim, Bad Mergentheim, Germany.

Abstract

AIMS:

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.

METHODS:

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.

RESULTS:

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.

CONCLUSION:

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.

PMID:
32017188
DOI:
10.1111/dme.14256

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center