The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.
Assessing the Value of the Diabetes Educator
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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In the citing paper
“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]
In the citing paper
“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]
In the citing paper
“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]
Citations
Cites
International Diabetes Federation 2017
Carracher, A. M., Marathe, P. H., & Close, K. L. (2018) · Journal of Diabetes · doi:10.1111/1753-0407.12644 · Cited by 13,379
Self-Management Education for Adults With Type 2 Diabetes
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National Standards for Diabetes Self-Management Education
Funnell, M. M., Brown, T. L., Childs, B. P., Haas, L. B., Hosey, G. M., Jensen, B., Maryniuk, M. D., Peyrot, M. F., Piette, J. D., Reader, D., et al. (2008) · Diabetes Care · doi:10.2337/dc09-s087 · Cited by 1,363
National Standards for Diabetes Self-Management Education
Funnell, M. M., Brown, T. L., Childs, B. P., Haas, L. B., Hosey, G. M., Jensen, B., Maryniuk, M. D., Peyrot, M. F., Piette, J. D., Reader, D., et al. (2007) · Diabetes Care · doi:10.2337/dc08-s097 · Cited by 499
American Association of Diabetes Educators 2017
Carracher, A. M., Marathe, P. H., & Close, K. L. (2017) · Journal of Diabetes · doi:10.1111/1753-0407.12603 · Cited by 300
National Standards for Diabetes Self-Management Education
Funnell, M. M., Brown, T. L., Childs, B. P., Haas, L. B., Hosey, G. M., Jensen, B., Maryniuk, M. D., Peyrot, M. F., Piette, J. D., Reader, D., et al. (2009) · Diabetes Care · doi:10.2337/dc10-s089 · Cited by 212
The Continuing Increase of Diabetes in the U.S.
Mokdad, A. H., Ford, E. S., Bowman, B. A., Nelson, D. E., Engelgau, M. M., Vinicor, F., & Marks, J. S. (2001) · Diabetes Care · doi:10.2337/diacare.24.2.412 · Cited by 199
Costs and Benefits Associated With Diabetes Education A Review of the Literature
Boren, S. A., Fitzner, K. A., Panhalkar, P. S., & Specker, J. E. (2009) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721708326774 · Cited by 171
Assessing the value of diabetes education
Duncan, I., Birkmeyer, C., Coughlin, S., Li, Q., Sherr, D., & Boren, S. (2009) · The Diabetes Educator · doi:10.1177/0145721709343609 · Cited by 170
Access to Diabetes Self-management Education
Peyrot, M. F., Rubin, R. R., Funnell, M. M., & Siminerio, L. M. (2009) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721708329546 · Cited by 134
Diabetes self-management education: A review of published studies
Clark, M. (2008) · Primary care diabetes · doi:10.1016/j.pcd.2008.04.004 · Cited by 122
AADE Guidelines for the Practice of Diabetes Self-Management Education and Training (DSME/T)
American Association of Diabetes Educators (2009) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721709352436 · Cited by 119
Cost-effectiveness of Diabetes Self-management Programs in Community Primary Care Settings
Brownson, C. A., Hoerger, T. J., Fisher, E. B., & Kilpatrick, K. E. (2009) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721709340931 · Cited by 94
Cost-Effectiveness of Diabetes Education
Urbanski, P., Wolf, A., & Herman, W. H. (2008) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2008.01.019 · Cited by 41
Siminerio, L. M., Siminerio, L. M., Drab, S. R., Gabbay, R. A., Gold, K., McLaughlin, S., Piatt, G., Solowiejczyk, J. N., Weil, R., & DEJESUS, C. (2008) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721708316627 · Cited by 36
Diabetes: Successes and Opportunities for Population-Based Prevention and Control: At a Glance 2011
(2011) · PsycEXTRA Dataset · doi:10.1037/e407172008-001 · Cited by 29
Cited by
Sorted by citations
Standards of medical care in diabetes—2014
American Diabetes Association (2014) · Diabetes Care · doi:10.2337/dc14-s014 · Cited by 4,572
Standards of medical care in diabetes—2013
American Diabetes Association (2013) · Diabetes Care · doi:10.2337/dc13-s011 · Cited by 4,369
Standards of Medical Care in Diabetes—2012
(2012) · Diabetes Care · doi:10.2337/dc12-s011 · Cited by 2,240
5. Lifestyle Management:Standards of Medical Care in Diabetes—2019
American Diabetes Association (2019) · Diabetes Care · doi:10.2337/dc19-s005 · Cited by 700
National Standards for Diabetes Self-Management Education and Support
Haas, L. B., Maryniuk, M. D., Beck, J. K., Cox, C. E., Duker, P. N., Edwards, L. J., Fisher, E. B., Hanson, L., Kent, D., Kolb, L. E., et al. (2012) · Diabetes Care · doi:10.2337/dc12-1707 · Cited by 686
Metadata
- 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
- 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
- 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
- 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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