![]() This equates to the person with diabetes (PWD) spending less than 1% of their life with their healthcare professionals ( 10). To further illustrate, PWD generally visit their primary care physician (PCP)/other qualified healthcare professional two to four times per year, where the average appointment lasts 15–20 min and addresses four or more health conditions ( 10). The National Standards for Diabetes Self-Management Education and Support (hereinafter referred to as the National Standards) encourage the DSMES team to acknowledge and address the emotional burden of living with and managing diabetes-diabetes distress-and to consider the multitude of daily demands and decisions required of PWD, their families, and caregivers ( 6– 9). PWD are at risk for distress, life stress, and clinical depression, which can lead to poor health outcomes ( 5). Now, more than ever, the provision of DSMES is a vital component of the full treatment for diabetes. Despite progress in diabetes treatment modalities, glycemic and cardiometabolic outcomes continue to decline in the U.S. DSMES interventions include activities that support PWD to implement and sustain the self-management behaviors and strategies to improve diabetes and related cardiometabolic conditions and quality of life on an ongoing basis. ![]() This includes collaborating with their healthcare team, making informed decisions, solving problems, developing personal goals and action plans, and coping with emotions and life stresses” ( 3). “The purpose of DSMES is to give PWD the knowledge, skills, and confidence to accept responsibility for their self-management. Diabetes self-management education and support (DSMES) is a critical element of care for all people with diabetes (PWD). Thus, more than 122 million Americans are at risk for developing devastating complications associated with chronic hyperglycemia ( 1). also sees an increasing prevalence of both type 1 and type 2 diabetes in children and adolescents ( 2). At the same time, 88 million people are at increased risk for developing type 2 diabetes. By the most recent estimates, 34.2 million people in the U.S.
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