ADA and ADCES Update National Standards for Diabetes Self-Management Education and Support

The new guidelines include the most significant changes since the standards were introduced, including easier documentation of services and clarity around reporting results

ARLINGTON, Va. and CHICAGO, January 20, 2022 /PRNewswire/ — New updates to the National Standards for Diabetes Self-Management Education and Support (National Standards) call for addressing health equity by improving access to education services and Diabetes Self-Management Support (DSMES), a renewed focus on increasing and sustaining person-centred care and reducing administrative burden.

American Diabetes Association and Association of Diabetes Care & Education Specialists Release Updated National Standards for Diabetes Self-Management Education and Support

Published by the American Diabetes Association® (ADA) and the Association of Diabetes Care & Education Specialists (ADCES), the 2022 update — featuring some of the most significant changes since the national standards were introduced in 1984 — will be published in the February issues of The Science of Diabetes Self-Management and Care and Diabetic treatments.

“The recently revised national standards include revisions to help reduce the administrative burden for the diabetes care and education specialist while allowing more time and focus on providing patient-centred education and care. the person to the person with diabetes,” said Leslie Kolb, RN, BSN, MBA, ADCES Head of Science, Practice and Education. “These changes respond to the current and future evolution of the healthcare workforce and landscape.”

Diabetes is a complex disease that requires daily self-care to effectively manage glucose levels and help prevent life-threatening and costly complications. DSMES provides people with diabetes and caregivers with the knowledge, skills and abilities essential for effective diabetes self-management and helps people with diabetes implement and maintain the behaviors needed to more effectively manage their condition throughout the life of diabetes. throughout their life.

DSMES services are guided by national standards, and the guidelines are updated and published every five years.

According to the most recent estimates from the Centers for Disease Control and Prevention, 34.2 million people – 10.5% of the US population – had diabetes (diagnosed or undiagnosed) in 2018. An estimated 84 million people are running an increased risk of developing type 2 diabetes1.

“The National Standards for DSMES provide specialists in diabetes care and education with a framework to guide their services. A timely review by our diabetes care and education colleagues aligns the standards with current evidence-based practice and usage trends,” says Dr. Laura Hieronymus, DNP, MSEd, RN, MLDE, BC-ADM, CDCES, FADCES, ADA Vice President, Health Care Programs. “These updates reflect research on diabetes education and support, behavioral health, clinical and health care environment, technique and sustainability of business practices.”

ADCES and ADA use national standards criteria to accredit DSMES services. The standards are required for Medicare-specific reimbursement and provide recommendations for the process, structure, and outcomes related to high-quality DSMES services.

The 2022 National Standards Update provides recommendations and guidelines applicable to DSMES in small solo practices, as well as large multi-center facilities; care coordination programs; population health programs; and technology-enabled models of care.

Updates to national standards that aim to increase access and improve health equity by reducing barriers to this essential service include:

  • Rationalization to reduce the number of standards from 10 to 6

  • Consolidate the quality coordinator and the DSMES team under one standard to reflect the important role that the whole care team plays. More clearly defined qualifications and requirements for DSMES team members are also included.

  • Place more emphasis on the personalization of the DSMES and on the ongoing support and monitoring of patients.

  • Reduce administrative burden by providing a clear documentation structure for DSMES services that can be implemented in any paper or electronic system, as well as emphasizing the importance of communication and collaboration within the care team.

  • Emphasis on the importance of organizational support for DSMES services.

  • Clarity around reporting metrics and results for continuous quality improvement.

The 2022 National Standards Review Task Force was comprised of 22 specialists in diabetes care and education who are experts in many health professional disciplines, including doctors, nurses, pharmacists, dietitians and people with diabetes. The group has based the National Standards on extensive and comprehensive documentation.

The full Standards will be published online at Diabetic treatments at and in The Science of Diabetes Self-Management and Care at to Thursday, January 20, 2022.

About the American Diabetes Association
The American Diabetes Association (ADA) is the nation’s leading voluntary health organization fighting to bend the curve of the diabetes epidemic and help people with diabetes thrive. For 81 years, the ADA has driven discovery and research to treat, manage and prevent diabetes while working tirelessly for a cure. Through advocacy, program development and education, we aim to improve the quality of life for the nearly 122 million Americans with diabetes or prediabetes. Diabetes brought us together. What we do next will make us connected for life. To learn more or to get involved, visit us at or call 1-800-DIABETES (1-800-342-2383). Join the fight with us on Facebook (American Diabetes Association), Spanish Facebook (Asociación Americana de la Diabetes), Twitter (@AmDiabetesAssn) and Instagram (@AmDiabetesAssn).

On The Science of Diabetes Self-Management and Care
The Science of Diabetes Self-Management and Care (TSO) is the official journal of the Association of Diabetes Care & Education Specialists. It is a semi-monthly peer-reviewed publication that publishes articles on aspects of patient education and professional training and serves as a reference for the art and science of diabetes management.

On Diabetic treatments®
Diabetes Care, an ADA monthly journal, is the highest-ranked peer-reviewed journal in the field of diabetes treatment and prevention. Dedicated to increasing knowledge, stimulating research and promoting better health care for people with diabetes, the journal publishes original articles on human studies in clinical care, education and nutrition; epidemiology, health services and psychosocial research; emerging treatments and technologies; and pathophysiology and complications. Diabetes Care also publishes ADA guidelines and statements, clinically relevant review articles, editorials, and commentaries. Topics covered are of interest to physicians, researchers, epidemiologists, psychologists, diabetes care and education specialists, and other healthcare professionals.

About the Association of Diabetes Care and Education Specialists
ADCES is an interdisciplinary professional organization dedicated to improving prediabetes, diabetes, and cardiometabolic care through innovative education, management, and support. With more than 12,000 professional members, including nurses, dietitians, pharmacists and others, ADCES has an extensive network of practitioners working to optimize care and reduce complications. ADCES supports an integrated care model that lowers the cost of care, improves experiences, and helps its members lead so that better outcomes follow. Learn more at or visit us on Facebook or LinkedIn (Association of Diabetes Care & Education Specialists), Twitter (@ADCESdiabetes) and Instagram (@ADCESdiabetes).

Contact: daisy diaz, 703-253-4807
[email protected]

Diana Pihos, 312-601-4864
[email protected]

1 Centers for Control and Prevention of Disasters. National Diabetes Statistics Report, 2020. Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services; 2020.

(PRNewsFoto/American Diabetes Association)

(PRNewsFoto/American Diabetes Association)



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SOURCE American Diabetes Association

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