Diabetes Self-Management Education (DSME)

EDC LogoDSME is a free program that helps people with diabetes take better care of their health. The classes help people understand diabetes and its risks, as well as the importance of diet, exercise, keeping regular physician exams, receiving annual foot and eye exams, managing medications and much more. DSME teaches participants how to live healthier in a fun, non-threatening community-based environment. DSME does not conflict with other programs or treatment and participants are referred to their physicians for all medical questions.
There are several types of DSME. States within the Quality Insights Quality Innovation Network use either the Diabetes Empowerment Education Program (DEEP) or the Diabetes Self-Management Program (DSMP), originally developed at Stanford University School of Medicine. Both incorporate the needs, goals and life experiences of the person with diabetes and are evidence-based models.

Diabetes Empowerment Education Program (DEEP)

The University of Illinois at Chicago developed the DEEP program to help participants better understand diabetes and its management. Diabetes can be complicated and confusing. DEEP uses plain language to help participants gain a better understanding of diabetes self-care. The following topics are covered during DEEP classes:
  •     Understanding the Human Body
  •     Risk factors and complications — the good, the bad and the ugly
  •     Monitoring Your Body
  •     Eating for Health
  •     Medications and Medical Care
  •     Get Up and Move — Living with Diabetes
Classes are held once a week for 6 weeks. Each session lasts approximately 2 hours in community settings such as senior residences, community centers, churches and libraries. DEEP can be taught by people in the community who have been trained as certified DEEP peer educators. DEEP is being used in Louisiana, Pennsylvania and West Virginia.

Diabetes Self-Management Program (DSMP)

DSMP, originally developed at Stanford University School of Medicine, is a six-week workshop for adults with type 2 diabetes, their family members and caregivers. Trained instructors guide the workshops. Workshops meet once a week for 2 ½ hours in community settings, such as senior centers, libraries or churches. Workshops can also be held in a health care provider’s office.
Subjects covered include:
  •     Techniques to deal with the symptoms of chronic disease, fatigue, pain, depression and stress
  •     Appropriate exercise for maintaining and improving strength and endurance
  •     Healthy eating
  •     Appropriate use of medication
  •     Making action plans
  •     Working effectively with health care providers
  •     Problem solving
DSMP is being used in Delaware, New Jersey and Pennsylvania.