Implications of diabetes self-management education in metabolic control

Keywords: Education, Self-management, Diabetes, Metabolic control

Abstract

Diabetes is a chronic, progressive and disabling disease that affects millions of people around the world, with a high mortality rate derived from poor control. The paradigm of the treatment of diabetes has shifted to focus on empowering the person with diabetes to manage the disease successfully and to improve their quality of life. Diabetes self-management education, or DSME, is a process where people with diabetes gain the knowledge and skills needed to make informed decisions, modify their behaviour and to self-manage, in collaboration with health personnel, successfully the disease and its related conditions. To achieve these goals a structured educational program is used, in 4 stages which include assessment, planning, implementation and evaluation; to carry on this program, the model of the seven self-care behaviours known as AADE7®, developed by the American Association of Diabetes Educators, is used as a frame of reference. The objective of this paper is to analyse the components of the education program for diabetes self-care as well as its reference framework, the AADE7® model, and its importance in the metabolic control of diabetes.

Downloads

Download data is not yet available.

References

Han Cho N, Kirigia J, Mbanya JC, Ogurstova K, Guariguata L, Rathman W, et al. Diabetes por regiones. In: Karuranga S, da Rocha Fernandes J, Huang Y, Malanda B, editors. Diabetes Atlas de la FID. 8th ed; 2017: 40-65.

Hernández Jiménez S, Hernández Ávila M, Hernández Ávila JE. La educación en diabetes. In: Aguilar Salinas C, editor. Acciones para enfrentar a la diabetes. Documento de postura. 1st ed. México: ANM; 2015: 351-392.

Hernández-Ávila M, Gutiérrez JP, Reynoso-Noverón N. Diabetes mellitus en México. El estado de la epidemia. Salud Publica Mex. 2013; 55(supl 2): S129-S136.

Instituto Nacional de Salud Pública. Encuesta Nacional de Salud y Nutrición de Medio Camino 2016. [Document on the Internet]. 2018. [Updated October 31, 2016; cited 4 Feb 2018]. Available from: https://www.gob.mx/cms/uploads/attachment/file/209093/ENSANUT.pdf

American Diabetes Association. Classification and Diagnosis of Diabetes: Standars of Medical Care in Diabetes – 2019. Diabetes Care. 2019; 42(supl 1): S13-S28.

Secretaría de Salud. NOM-015-SSA2-2010, Para la prevención, tratamiento y control de la diabetes mellitus. [Document on the Internet]. 2018. [Updated January 18, 2001; cited 4 Feb 2018]. Available from: http://www.salud.gob.mx/unidades/cdi/nom/015ssa24.html

Mazze RS, Strock ES, Simonson GD, Bergenstal RM. Introduction to Staged Diabetes Management. In: Matrex editor. A Systematic Approach. 2nd ed. England; 2006: 3-23.

Bolaños E, Sarría-Santamera A. Perspectiva de los pacientes sobre la diabetes tipo 2 y relación con los profesionales sanitarios de atención primaria: un estudio cualitativo. Aten. Primaria. 2003; 32(4): 195-202.

López López E, Ortiz Gress AA, López Carbajal MJ. Intervención educativa sobre el nivel de conocimientos en pacientes con diabetes y baja o nula escolaridad. Inv. Ed. Med. 2016; 5(17): 11-16.

Romero Baquedano I, dos Santos MA, Martins TA, Zanetti ML. Autocuidado de personas con Diabetes Mellitus atendidas en un servicio de urgencia en México. Rev. Latino-Am. Enfermagem. 2010; 18(6): 1-10.

Lerman I, López-Ponce A, Villa RA, Escobedo M, Caballero EA, Velasco ML, et al. Estudio piloto de dos diferentes estrategias para reforzar conductas de autocuidado y adherencia al tratamiento en pacientes de bajos

recursos económicos con diabetes tipo 2. Gac. Méd. Méx. 2009; 145(1): 15-19.

Vargas Santillán ML, Rodríguez García C, Amador Velázquez R, Oviedo Zúñiga AM, García Lavalley FJ, Mendieta Vargas A. Estudio comparativo en dos grupos de pacientes con Diabetes Mellitus tipo 2 que se someten a una intervención educativa de autocuidado en el instituto de salud del estado de México. Waxapa. 2012; 1(6): 50-56.

Joslin Diabetes Center. From "Wandering Nurse" to Certified Diabetes Educator. [Document on the Internet]. 2019. [Updated 2019; cited 24 March 2019]. Available from: https://www.joslin.org/about/from_wandering_nurse_to_certified_diabetes_educator.html

Hevia VP. Educación en diabetes. Rev. Med. Clin. Condes. 2016; 27(2): 271-276.

Allen NA. The History of Diabetes Nursing, 1914-1936. Diabetes Educ. 2003; 29(6): 976-989.

Galindo Rubio M. Educación terapéutica básica. Diabetes Práctica. 2016; 07(supl 4): S1-S56.

Pichardo-Hernández JH, Elizaldi-Lozano NE. Alcances de una estrategia educativa en pacientes diabéticos de una unidad de medicina familiar. Aten. Fam. 2015; 22(4): 108-110.

Pérez-Pasten E, Bonilla-Islas A. Diseño del programa educativo. In: Pérez-Pasten E, editor. Educación en diabetes, manual de apoyo. 2nd ed. México: AMD; 2015: 113-158.

Vera Delgado A. Humanismo y medicina. Algunas reflexiones pertinentes. Acta Med. Colomb. 2004; 29(4): 297-301.

Chacón Pizano WL, Mejía Rodríguez O, Paredes Saralegui JG, Gómez Alonso C. Impacto de una intervención educativa prevenimss en el estilo de vida en hombres de 20 a 59 años. Aten. Fam. 2012; 19(3): 53-57.

Carrasco E, Flores G, Gálvez C, Miranda D, Pérez ML, Rojas G. El autocontrol de la diabetes. In: Flip-Axis ltda, editors. Manual para educadores en diabetes mellitus. 1st ed. Santiago, Chile; 2007: 19-32.

Chrvala CA, Sherr D, Lipman RD. Diabetes self-management education for adults with type 2 diabetes mellitus: A systematic review of the effect on glycemic control. Patient Educ. Couns. 2016; 99(6): 926–943.

Vahdat S, Hamzehgardeshi L, Hessam S, Hamzehgardeshi Z. Patient Involvement in Health Care Decision Making: A Review. Iran. Red. Crescent. Med. J. 2014; 16(1): e12454.

Powers MA, Bardsley J, Cypress M, Duker P, Funnell MM, Fischl AH, et al. Diabetes Self-management Education and Support in Type 2 Diabetes. A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. J. Acad. Nutr. Diet. 2015; 115(8): 1323-1334.

Centro de Orientación Alimentaria. Revisión científica sobre educación en diabetes. [Document on the Internet]. 2015. [Updated 2015; cited 4 Feb 2019]. Available from: http://www.coa-nutricion.com/argumentaciones/ArgumentacionTecnica_EenD.pdf

American Association of Diabetes Educators. AADE7™ Self-Care Behaviors. AADE Position Statement. [Document on the Internet]. 2014. [Updated December 03, 2014; cited 4 Feb 2019]. Available from: https://www.diabeteseducator.org/docs/default-source/legacy-docs/_resources/pdf/publications/aade7_position_statement_final.pdf?sfvrsn=4

Burke SD, Sherr D, Lipman RD. Partnering with diabetes educators to improve patient outcomes. Diabetes Metab. Syndr. Obes. 2014; 7: 45-53.

American Association of Diabetes Educators. AADE Position Statement. AADE7TM Self-Care Behaviors. Diabetes Educ. 2008; 34(3): 445-449.

Martínez-Castañeda D, Mota-Sanhua V, Olmos-Bringas M, Jácome-Mondragón JA, Moreno-Mendoza BR, Pérez-Rosas P, et al. Modificación de indicadores clínicos en pacientes con prediabetes o Diabetes Mellitus tipo 2 por medio de un programa educativo. Aten. Fam. 2016; 23(3): 89-94.

Álvarez Martínez EM. Herramientas para la educación alimentaria. In: Alfil, editors. Manual de nutrición en diabetes para profesionales de la salud. 1st ed. México; 2012: 157-167.

American Association of Diabetes Educators. Guidelines for the Practice of Diabetes Self-Management Education and Training (DSME/T). Diabetes Educ. 2009; 35(supl 3): S85-S107.

Yépez A, Velasco ML, Ramírez C, Cuevas D, Almeda Valdés P, Joya J, et al. Guías prácticas para el uso de la insulina. Sociedad Mexicana de Nutrición y Endocrinología. [Document on Internet]. 2009. [Updated Jul 01, 2009; cited 8 Feb 2019]. Available from: http://www.cmon.mx/autoadministrable/diplomadousers/modulos/Guias%20practicas%20para%20el%20uso%20de%20insulina.pdf

Federación Mexicana de Diabetes. Los 7 comportamientos. Diplomado de educadores en diabetes en línea en México. [Document on Internet]. 2008. [Updated 2008; cited 14 Feb 2019]. Available from: fmdiabetes.org/los-7-comportamientos-para-el-autocuidado-en-diabetes/

Gagliardino JJ, Turatti L, Davidson JA, Rosas Guzmán J, Castañeda Limones R, Ramos Hernández N. Manual de automonitoreo de la Asociación Latinoamericana de Diabetes (ALAD). Documentos selectos de posición y consenso de ALAD. [Document on Internet]. [Cited 8 Feb 2019]. Available from: http://www.aladamericalatina.org/wpcontent/uploads/2016/10/AUTOMONITOREO-PARA-DIABETES.pdf

Pisano González MM, González Pisano A. La modificación de los hábitos y la adherencia terapéutica, clave para el control de la enfermedad crónica. Enferm. Clin. 2014; 24(1): 59-66.

Glasgow RE, Toobert DJ, Barrera M Jr, Stryker LA. Assessment of problem solving: a key to successful diabetes self-management. J. Behav. Med. 2004; 27(5): 477-490.

Fisher EB, Thorpe CT, Devellis BM, Devellis RF. Healthy coping, negative emotions, and diabetes management: A systematic review and appraisal. Diabetes Educ. 2007; 33(6): 1080-1103.

American Diabetes Association. Lifestyle Management: Standards of Medical Care in Diabetes – 2019. Diabetes Care. 2019; 42(supl 1): S46-S60.

Galindo Rubio M, Jansa Morató M, Menéndez Torre E. Therapeutic education and self-care: Results from the cross-sectional study Diabetes, Attitudes, Wishes and Needs 2 (DAWN2) in Spain. Endocrinol. Nutr. 2015; 62(8): 391-399.

Tricco AC, Ivers NM, Grimshaw JM, Moher D, Turner L, Galipeau J, et al. Effectiveness of quality improvement strategies en the management of diabetes: a systematic review and meta-analysis. Lancet. 2012; 379(9833): 2252-2261.

Norris SL, Engelgau MM, Narayan KM. Effectiveness of selfmanagement training in type 2 diabetes: A systemic review of randomized controlled trials. Diabetes Care. 2001; 24(3): 561-587.

Compeán Ortiz LG, Gallegos Cabriales EC, González González JG, Gómez Meza MV. Conductas de autocuidado e indicadores de salud en adultos con diabetes tipo 2. Rev. Latino-Am. Enfermagem. 2010; 18(4): 1-7.

Abbate SL. Changing systems, changing lives: Improving the quality of diabetes care. Diabetes Spectr. 2004; 17(2): 89-90.

Consejo Nacional de Educadores en Diabetes A.C. Misión y visión. CONED. [Document on Internet]. 2014. [Updated 2019; cited 14 Feb 2019]. Available from: http://www.coned.org.mx/indexc1af.html?option=com_content&view=article&id=84&Itemid=1317

Published
2020-07-05
How to Cite
López González, A. L. (2020). Implications of diabetes self-management education in metabolic control. Mexican Journal of Medical Research ICSA, 8(16), 72-80. https://doi.org/10.29057/mjmr.v8i16.3911