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News From the Centers for Disease Control and Prevention
January 27, 2015

Avoiding Diabetes Self-management

JAMA. 2015;313(4):348. doi:10.1001/jama.2014.17597

Few privately insured people with newly diagnosed diabetes participate in diabetes self-management education and training (DSMT), jeopardizing their ability to improve glycemic control and reduce the risk of complications and hospitalizations. The American Diabetes Association recommends starting DSMT when patients are first diagnosed and most receptive to the education.

Using the MarketScan Commercial Claims and Encounters database, researchers found that only 6.8% of privately insured adults aged 18 to 64 years attended DSMT within 12 months of their diagnosis from 2011 to 2012. Based on actual DSMT claims, participation rates were higher among patients 45 years or older, those who were prescribed insulin, those who lived in close proximity to a city, or those enrolled in fee-for-service health plans. But fewer than 15% of these subgroups participated in DSMT (Li R et al. MMWR Morb Mortal Wkly Rep. 2014;63[46]:1045-1049).