Adherence
Diabetes Self-Management Education and Support (DSMES) is a cost-effective intervention that significantly improves clinical and psychological outcomes, glycemic control, and reduces all-cause mortality in type 2 diabetes.
Ask your doctor for a referral to a Diabetes Self-Management Education and Support (DSMES) program. Look for a program that offers at least 10 hours of face-to-face instruction. This is not just 'learning about diabetes'; it's a proven way to lower your A1c, stay out of the hospital, and live longer.
DSMES significantly improves clinical and psychological outcomes, improves glycemic control, reduces hospital admissions, improves patient knowledge, and reduces the risk of all-cause mortality (22,26–31).
Why this rating
Based on multiple RCTs and systematic reviews showing consistent benefits, though effect sizes vary by program quality.
Source
Management of Hyperglycemia in Type 2 Diabetes, 2018. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)
Melanie J. Davies et al. · Diabetes Care · 2018
DOI 10.2337/dci18-0033
More from this paper
- For patients with type 2 diabetes and established atherosclerotic cardiovascular disease (ASCVD), sodium-glucose cotransporter 2 (SGLT2) inhibitors or glucagon-like peptide 1 (GLP-1) receptor agonists with proven cardiovascular benefit are recommended as part of glycemic management, regardless of baseline HbA1c.Strong
- For patients with type 2 diabetes and chronic kidney disease (CKD), SGLT2 inhibitors are recommended to reduce CKD progression, with GLP-1 receptor agonists as an alternative if SGLT2 inhibitors are contraindicated.Strong
Related findings · Adherence
- Regular physical activity (at least 150 minutes/week of moderate-intensity) reduces all-cause and cardiovascular mortality by 20-30% and lowers the risk of type 2 diabetes by 25-35%.Strong
- Increasing physical activity from a sedentary lifestyle to an active one in middle adulthood significantly reduces the risk of coronary events compared to remaining sedentary.Strong
- Resistance exercise is the only intervention capable of consistently restoring muscle function and strength in sarcopenia, partially overcoming age-related anabolic resistance.Strong
This is one finding among thousands. Every one is graded and traced to its source, so you can see what the evidence actually supports. Browse the research →