title: Sustaining self-management in diabetes mellitus.
abstract: Successful management of diabetes depends on the individual's ability to manage and control symptoms. Self-management of diabetes is believed to play a significant role in achieving positive outcomes for patients. Adherence to self-management behaviors supports high-quality care, which reduces and delays disease complications, resulting in improved quality of life. Because self-management is so important to diabetes management and involves a lifelong commitment for all patients, health care providers should actively promote ways to maintain and sustain behavior change that support adherence to self-management. A social ecological model of behavior change (McLeroy, Bibeau, Steckler, & Glanz, 1988) helps practitioners provide evidence-based care and optimizes patients' clinical outcomes. This model supports self-management behaviors through multiple interacting interventions that can help sustain behavior change. Diabetes is a complex chronic disease; successful management must use multiple-level interventions.
authors.forename: Fay
authors.initials: F
authors.lastname: Mitchell-Brown
mesh_terms: D003920:Diabetes Mellitus / Q000628:therapy*; D015438:Health Behavior; D006293:Health Promotion; D006801:Humans; D008962:Models, Theoretical; D012648:Self Care