This systematic review found robust data demonstrating that engagement in diabetes self-management education results in a statistically significant decrease in A1C levels .
PRACTICE IMPLICATION S The data suggest mode of delivery , hours of engagement , and baseline A1C can affect the likelihood of achieving statistically significant and clinical ly meaningful improvement in A1C
OBJECTIVE Assess effect of diabetes self-management education and support methods , providers , duration , and contact time on glycemic control in adults with type 2 diabetes .
Use of Medicare’s Diabetes Self-Management Training Benefit
Medicare began reimbursing for outpatient diabetes self-management training ( DSMT ) in 2000 ; however , little is known about program utilization . Individuals diagnosed with diabetes in 2010 were identified from a 20 % r and om selection of the Medicare fee-for-service population ( N = 110,064 ) . Medicare administrative and cl aims files were used to determine DSMT utilization . Multivariate logistic regression analyses evaluated the association of demographic , health status , and provider availability factors with  DSMT utilization . Approximately 5 % of Medicare beneficiaries with newly diagnosed diabetes used  DSMT services . The adjusted odds of any utilization were lower among men compared with women , older individuals compared with younger , non-Whites compared with Whites , people dually eligible for Medicare and Medicaid compared with nondual eligibles , and patients with comorbidities compared with individuals without those conditions . Additionally , the adjusted odds of utilizing DSMT  increased as the availability of providers who offered DSMT services increased and varied by Census region . Utilization of DSMT  among Medicare beneficiaries with newly diagnosed diabetes is low . There appear to be marked disparities in access to  DSMT  by demographic and health status factors and availability of DSMT providers . In light of the increasing prevalence of diabetes , future research should identify barriers to DSMT access , describe DSMT providers , and explore the impact of DSMT services . With preventive services being increasingly covered by insurers , the low utilization of  DSMT  , a preventive service benefit that has existed for almost 15 years , highlights the challenges that may be encountered to achieve widespread dissemination and uptake of the new services
This systematic review found robust data demonstrating that engagement in diabetes self-management education results in a statistically significant decrease in A1C levels .
PRACTICE IMPLICATION S The data suggest mode of delivery , hours of engagement , and baseline A1C can affect the likelihood of achieving statistically significant and clinical ly meaningful improvement in A1C
OBJECTIVE Assess effect of diabetes self-management education and support methods , providers , duration , and contact time on glycemic control in adults with type 2 diabetes .