Building positive health behaviors and maintaining psychological well-being are foundational for achieving diabetes management goals and maximizing quality of life.
| Essential tasks to help people with diabetes achieve their health goals: | |||
|---|---|---|---|
| Refer for diabetes self-management education and support (DSMES) |
| Counsel on and support cessation of tobacco products and vaping |
| Refer for medical nutrition therapy (MNT) |
| Counsel on health behaviors |
| Counsel on routine physical activity |
| Support and refer to behavior health professionals for psychosocial care |
| Essential tasks to help people with diabetes achieve their health goals: | |||
|---|---|---|---|
| Refer for diabetes self-management education and support (DSMES) |
| Counsel on and support cessation of tobacco products and vaping |
| Refer for medical nutrition therapy (MNT) |
| Counsel on health behaviors |
| Counsel on routine physical activity |
| Support and refer to behavior health professionals for psychosocial care |
DSMES Is Critical
Diabetes Distress
The ongoing demands of diabetes self-care and the possibility or reality of disease progression are directly linked to reported diabetes distress.
High levels of distress:
Significantly affect medication-taking behavior- Are linked to higher A1C, lower self-efficacy, and less-optimal eating and exercise behavior
MNT
There is a no one-size-fits-all eating pattern. Successful MNT programs are:
Key Nutrition Principles:
| Support positive health behavior through: | |||
|---|---|---|---|
| Motivational interviewing |
| Problem-solving |
| Patient activation |
| Encouragement of health behavior self-monitoring, with or without clinician feedback |
| Goal-setting and action-planning |
| Identification of social support resources |
| Support positive health behavior through: | |||
|---|---|---|---|
| Motivational interviewing |
| Problem-solving |
| Patient activation |
| Encouragement of health behavior self-monitoring, with or without clinician feedback |
| Goal-setting and action-planning |
| Identification of social support resources |
Importance of 24-Hour Physical Behaviors for Type 2 Diabetes
Davies MJ, Aroda VR, Collins BS, et al. Management of hyperglycemia in type 2 diabetes, 2022. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care 2022;45:2753–2786.
