Managing diabetes is about more than taking medications—it’s about understanding your condition, making informed daily choices, and staying committed to long-term health. That’s where Diabetes Self-Management Education and Support (DSMES) comes in. Whether you’re newly diagnosed or have been living with diabetes for years, participating in DSMES services can support improved blood sugar control, reduce complications, and enhance your overall well-being.*
What Is DSMES and Why Does It Matter?
DSMES refers to structured programs that provide education and support to people with diabetes. These services are guided by evidence-based standards established by the American Diabetes Association (ADA) and the Association of Diabetes Care & Education Specialists (ADCES).
DSMES helps individuals gain the knowledge, skills, and confidence needed to manage their diabetes effectively, with a focus on real-life challenges like:
- Learning how and when to take diabetes medications
- Monitoring blood sugar levels
- Setting and achieving healthy eating and physical activity goals
- Managing blood pressure, cholesterol, and other risk factors
- Problem solving in day-to-day situations
- Coping with the emotional aspects of diabetes
Benefits of Diabetes Self-Management Education
According to the CDC, people who participate in DSMES may experience:
- Better blood sugar (A1C) control
- Lower blood pressure and cholesterol
- Reduced risk of complications like kidney disease, heart problems, and vision loss
- Improved quality of life and emotional well-being
- Fewer hospital visits and emergency room stays
DSMES can empower people with diabetes to live fuller, healthier lives by helping them recognize symptoms early, stay on top of their condition, and communicate more effectively with their care team.

Who Provides DSMES?
DSMES programs are typically led by a certified diabetes care and education specialist (CDCES)—often a registered dietitian, nurse, pharmacist, or other trained healthcare professional. These experts work with individuals to develop personalized care plans that reflect their medical history, lifestyle, culture, and goals.
Medical nutrition therapy is also often included in DSMES, giving individuals the tools to make food choices that support their health while still enjoying what they eat.
When Should You Participate in DSMES?
The ADA and CDC recommend participating in DSMES during four key moments:
- At diagnosis – To build a foundation of understanding
- Annually – For updates and reinforcement of skills
- When complications arise – Such as changes in medication or health status
- During life transitions – Like pregnancy, aging, or changes in insurance or living situations
If you’re unsure whether it’s time for DSMES, talk with your healthcare provider about what’s best for your needs.*
How to Access DSMES Support
By participating in DSMES, you’re taking an active step toward managing your diabetes with greater confidence. These programs are designed to give you practical tools, emotional support, and guidance tailored to your lifestyle and needs.
If you think DSMES could be helpful for you or a loved one, talk with your doctor about how to get started. Many programs are covered by Medicare, Medicaid, and most private insurance plans. Services are often provided by certified specialists—such as nurses, dietitians, and diabetes educators—who can work closely with you to create a personalized care plan.
Access to DSMES can often be found through local hospitals, clinics, or diabetes care teams. If you’re looking for education services near you, your primary care provider can help you connect with a certified program.
Important Note:
This content is for informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider with any questions regarding a medical condition or treatment plan. No doctor-patient relationship is established by reading or interacting with this content.
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