What goals would the nurse establish with the diabetic person who is given an exercise program

If you are one of the millions of people living with diabetes, we have good news to help you live a better quality of life. Participating in a self-management education (SME) program can help you learn skills to manage your diabetes more effectively by checking blood sugar regularly, eating healthy food, being active, taking medicines as prescribed, and handling stress.

The bottom line is that people who have the information and support they need to manage their diabetes are healthier than people who do not. Find out how an SME program can help you learn more and feel better.

Diabetes Self-Management Education and Support (DSMES)

Cost: The cost can vary depending on if it is covered by private insurance, Medicare, or Medicaid in some states.
Format: The programs can be taught in a group or individual setting and can be offered in person, online, or by phone.

Diabetes Self-Management Education and Support (DSMES) services provide information and skills for people to manage their diabetes and related conditions. DSMES is tailored to your individual needs, goals, and life experiences and is guided by evidence-based standards. You’ll learn how to eat healthy, be physically active, monitor blood sugar levels, take medication, problem solve, reduce risk for other health conditions, cope with the emotional side of diabetes, and improve your health and quality of life. DSMES is led by a diabetes educator like a registered nurse, registered dietician, or pharmacist.

It’s important to receive DSMES services when you’re first diagnosed. There are three other times DSMES can help you manage your diabetes that include at your yearly follow-up visits with your doctor, if health complications arise, and when changes in your care occur.

Topics include:

• Understanding diabetes and diabetes treatment.
• Healthy eating.
• Being physically active.
• Taking medicine.
• Checking your blood sugar.
• Reducing your risk for other health problems.
• Learning to cope with stress, depression, and other concerns.

Your doctor may refer you to a specific program. If not, visit the American Association of Diabetes Educators website to find a program in your areaExternal.

Diabetes Self-Management Program

Cost: The cost varies by organization, but rarely is more than $50.
Format: This course is offered as an in-person workshop.

About the Program

The Diabetes Self-Management Program (DSMP) is a 6-week group program for people with type 2 diabetes. The program was developed by Stanford University to help you manage your diabetes symptoms, tiredness, pain, and emotional issues, by helping you learn skills to better manage your diabetes day to day.

Program Details

This interactive workshop meets for 2.5 hours a week in various community locations. It is delivered by two trained leaders, one or both of whom have diabetes.

Topics include:

• Ways to deal with diabetes symptoms, fatigue, pain, hyper/hypoglycemia, stress, and emotional problems such as depression, anger, fear, and frustration.
• Exercise for maintaining and improving strength and endurance.
• Healthy eating.
• Taking medications as prescribed.
• Working more effectively with health care providers.

Visit the Self-Management Resource Center website to learn more about the Diabetes Self-Management Program.External Locate a program in your area on the Evidence-Based Leadership CouncilExternal website.

Programa de Manejo Personal de la Diabetes (Spanish Diabetes Self-Management Program) 

Cost: Varies by organization, rarely more than $50.
Format: In-person workshop.

About the Program

Programa de Manejo Personal de la Diabetes, also known as Spanish Diabetes Self-Management Program (SDSMP), is a 6-week group program for Spanish-speaking people with type 2 diabetes. Stanford University developed this program to help people with diabetes learn how to eat and sleep better and manage daily activities more effectivel. Learning these self-management skills can help you deal with the symptoms of diabetes, including tiredness, pain, and emotional issues.

Program Details

All the workshop sessions are in Spanish. It is very similar to the Diabetes Self-Management Program (DSMP), but is developed to be culturally appropriate for Spanish speaking adults.  The interactive workshops are 2.5 hours per week in convenient community locations.

Topics include:

• Techniques to deal with the symptoms of diabetes– fatigue, pain, hyper/hypoglycemia, stress, and emotional problems such as depression, anger, fear, and frustration.
• Appropriate exercise for maintaining and improving strength and endurance.
• Healthy eating.
• Taking medications as prescribed.
• Working more effectively with health care providers.

Visit the Self-Management Resource Center website to learn more about the Programa de Manejo Personal de la Diabetes.External Locate a program in your area on the Evidence-Based Leadership Council website.

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