Self-management Education

1. Self-management Education Key Messages • Self-management education (SME) that incorporates knowledge and skills development, as well as cognitive-behavioural interventions, should be implemented for all individuals with diabetes. • The content of SME programs must be individualized according to the individual’s type of diabetes, current state of metabolic stability, treatment recommendations, readiness for change, learning style, ability, resources and motivation.

2. Self-management Education Key Messages • SME is a fundamental component of diabetes care and is most effective when ongoing diabetes education and comprehensive healthcare occur together.

5. Self-management Education 2008 CPG Recommendations • People with diabetes should be offered timely diabetes education that is tailored to enhance self-care practices and behaviours [Grade A, Level 1A]. • All people with diabetes who are able should be taught how to self-manage their diabetes, including SMBG [Grade A, Level 1A].

6. Self-management Education 2008 CPG Recommendations • Self-management education that incorporates cognitive behavioural interventions such as problem-solving, goal-setting and self-monitoring of health parameters should be implemented in addition to didactic education programming for all individuals with diabetes[Grade B, Level 2]. • Interventions that increase patients’ participation and collaboration in healthcare decision-making should be used by providers [Grade B, Level 2].

7. Self-management Education 2008 CPG Recommendations • SME interventions should be offered in small group and/or one-on-one settings, as both are effective for people with type 2 diabetes [Grade A, Level 1A]. • Interventions that target families’ ability to cope with stress or diabetes-related conflict should be considered in education interventions when indicated [Grade B, Level 2].