Assessing the value of the diabetes educator

Duncan, Ian; Ahmed, Tamim; Li, Qijuan (Emily); Stetson, Barbara; Ruggiero, Laurie; Burton, Kathryn; Rosenthal, Dawn; Fitzner, Karen

doi:10.1177/0145721711416256

Cited by 174Diabetes Management and EducationDiabetes Management and ResearchChronic Disease Management Strategies

Assessing the value of the diabetes educator

Duncan, Ian, Ahmed, Tamim, Li, Qijuan (Emily), Stetson, Barbara, Ruggiero, Laurie, Burton, Kathryn, Rosenthal, Dawn, Fitzner, Karen·2011·The Diabetes Educator

DOI 10.1177/0145721711416256

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Abstract

PURPOSE: The purpose of this study was to evaluate the effectiveness of diabetes self-management education or training provided by diabetes educators in reducing complications and improving quality of life. METHODS: Commercial and Medicare payer-derived claims data were used to assess the relationship between DSME/T and cost. Unlike the prior study that examined diabetes education provided by all professionals, the current study focused on the value of interventions performed as part of formal accredited/recognized diabetes education programs provided by diabetes educators only. Specifically, the current study focused on diabetes education delivered in diabetes self-management training programs based on 2 codes (G0108 and G0109). RESULTS: Results of the study provide insights into the differences in trends between participants and nonparticipants in DSMT. People with diabetes who had DSMT encounters provided by diabetes educators in accredited/recognized programs are likely to show lower cost patterns when compared with a control group of people with diabetes without DSMT encounters. People with diabetes who have multiple episodes of DSMT are more likely to receive care in accordance with recommended guidelines and to comply with diabetes-related prescription regimens, resulting in lower costs and utilization trends. Conclusions and Policy Implications The collaboration between diabetes educators and patients continues to demonstrate positive clinical quality outcomes and cost savings. This analysis shows that repeated DSMT encounters over time result in a dose-response effect on positive outcomes.

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Diabetes self-management education and support is associated with reduced health care costs.
“DSMES is associated with improved diabetes knowledge and self-care behaviors (17), lower A1C (17-21), lower selfreported weight (22), improved quality of life (19,23,24), reduced all-cause mortality risk (25), positive coping behaviors (5,26), and reduced health care costs (27)(28)(29).”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:Standards of Care in Diabetes—2023 (2023) · cites this paper as [28]
People with diabetes who participate in diabetes self-management education and support have lower Medicare and insurance claim costs.
“People with diabetes who participate in DSMES are more likely to follow best practice treatment recommendations, particularly those with Medicare, and have lower Medicare and insurance claim costs (28,31).”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:Standards of Care in Diabetes—2023 (2023) · cites this paper as [28]
People with diabetes who participate in diabetes self-management education and support are more likely to follow best practice treatment recommendations, particularly those with Medicare.
“People with diabetes who participate in DSMES are more likely to follow best practice treatment recommendations, particularly those with Medicare, and have lower Medicare and insurance claim costs (28,31).”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:Standards of Care in Diabetes—2023 (2023) · cites this paper as [28]

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Assessing the value of diabetes education
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Authors: Duncan, I., Ahmed, T., Li, Q. (., Stetson, B., Ruggiero, L., Burton, K., Rosenthal, D., & Fitzner, K.
Affiliations: University of Louisville (US)
Corresponding author: Duncan, Ian
ORCID: Duncan, Ian
Li, Qijuan (Emily)
Ruggiero, Laurie
Venue: The Diabetes Educator
Publisher: SAGE Publications
Published: 2011-08-30
Volume: 37
Issue: 5
Pages: 638-657
ISSN: 0145-7217 (ISSN-L)
1554-6063
DOI: 10.1177/0145721711416256
OpenAlex: W2167779257
Cited by: 174
References: 16
Citations by year: 2026: 2 · 2025: 7 · 2024: 6 · 2023: 10 · 2022: 11 · 2021: 17 · 2020: 18 · 2019: 15 · 2018: 11 · 2017: 13 · 2016: 14 · 2015: 20 · 2014: 11 · 2013: 9 · 2012: 9
FWCI: 7.86
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: The Science of Diabetes Self-Management and Care (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
Keywords: diabetes self-management education, diabetes educators, cost reduction, quality of life, diabetes complications, Medicare claims data, dose-response relationship, medication adherence, guideline adherence, health care utilization
MeSH terms: Accreditation, Cost-Benefit Analysis, Diabetes Mellitus, Medicare, Humans, Longitudinal Studies, Patient Education as Topic, Quality of Life, Self Care, United States, Program Evaluation, Case-Control Studies, Health Care Costs, Health Educators, Medication Adherence

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Assessing the value of the diabetes educator

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