According to a 2014 CDC/AADE analysis of health claims from people with private health plans and newly diagnosed type 2 diabetes, less than 7% of patients were ever referred for DSMES, though 83% of those who are referred end up participating in diabetes education programs.
In 2015, the American Diabetes Association (ADA), Association of Diabetes Care & Education Specialists (ADCES), and the Academy of Nutrition and Dietetics issued a joint position statement on the importance of DSME in type 2 diabetes. The position statement includes an evidence-based diabetes education algorithm that visually depicts when to refer people with type 2 diabetes to DSME and defines four critical times for delivery of DSMES:
During annual assessment
When a person with diabetes has new complicating factors
Upon transitions in care
Below is a full-page version of the Diabetes Self-Management Education and Support for Adults with Type 2 Diabetes: ALGORITHM ACTION STEPS.