title: Diabetes education: looking through the kaleidoscope.
abstract: BACKGROUND
  Diabetes self-management education (DSME) is a critical element of care for all people with diabetes and those at risk for developing diabetes. In spite of growing evidence of the value of DSME in reducing hospitalization costs, improvement in glucose, weight and medication adherence, DSME remains an underutilized insurance benefit and access to qualified diabetes educators is problematic.
  
  
  OBJECTIVE
  This paper reviews the current challenges, principles and evidence of DSME, importance of integration of diabetes education with clinical care, and the future of diabetes educators and education in the emerging health care delivery models.
  
  
  METHODS
  Scientific literature review, Pub Med, EBP websites and other online literature databases and resources.
  
  
  CONCLUSIONS
  This is not a systematic literature review or meta-analysis of diabetes education.
  
  
  CONCLUSIONS
  Because diabetes is a complex condition reaching pandemic proportions, which requires self-management of the chronic disease on a daily basis, the future of DSME faces challenges in the current fee for service environment. The National Standards for Diabetes self-management education and support and the American Association of Diabetes Educators Practice Guidelines offers new concepts for meeting the future demand of diabetes educators and education.
authors.affiliation: Endocrinology and Diabetes Education, ABQ Health Partners, Albuquerque, NM 87108, USA. dtomky@xmission.com
authors.forename: Donna
authors.initials: D
authors.lastname: Tomky
mesh_terms: D003695:Delivery of Health Care / Q000379:methods; D003920:Diabetes Mellitus / Q000628:therapy*; D018588:Fee-for-Service Plans; D006801:Humans; D007342:Insurance Benefits / Q000191:economics; D010353:Patient Education as Topic / Q000191:economics / Q000379:methods*; D017410:Practice Guidelines as Topic; D012648:Self Care / Q000379:methods*