Quick Reference Guide

Promote Self-Management Education

PROMOTE SELF-MANAGEMENT

Self-Management Education (SME) should be discussed at every diabetes-focused visit and individualized according to type of diabetes, patient ability, and motivation for learning and change.

Set S.M.A.R.T. Goals

Specific    Measurable    Achievable    Realistic    Timely

 

Self-Management Areas of Focus Collaborate with your patient to create an action plan on their identified area of focus
Diabetes Education Enable timely, culturally and literacy appropriate diabetes education and resources
Nutrition Encourage to follow Eating Well with Canada’s Food Guide and refer for dietary counseling
Physical Activity Minimum 150 minutes aerobic per week and resistance exercise 2-3 times per week
Weight loss (5-10% of initial weight) Can substantially improve glycemic control and cardiovascular disease risk factors in overweight patients
Medication Counsel about adherence (dose, timing, frequency), anticipated effects, and mechanism of action
Hypoglycemia Counsel about the prevention, recognition, and treatment of drug-induced hypoglycemia
Self-Monitoring Blood Glucose (SMBG) Not on insulin: Individualized to type of antihyperglycemic agents, level of control, and risk of hypoglycemia
On insulin only once a day: SMBG ≥ once a day at variable times
On insulin > once a day: SMBG ≥ 3 times per day including pre- and post-prandial values
Foot care Educate on proper foot care including daily foot inspection
Mental Health & Mood Disorders Screen for depressive and anxious symptoms by interview or standardized questionnaire (eg. PHQ-9) www.phqscreeners.com
Smoking Cessation Include formal smoking prevention and cessation counseling

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