Diabetes & Nutrition
Health & Wellness (Diabetes & Nutrition Management)
Diabetes education, also known as diabetes self-management training (DSMT) or diabetes self-management education (DSME), is a collaborative process through which anyone who has or is at risk for diabetes will gain the knowledge and skills needed to modify behavior and successfully manage the disease and its related conditions.
DSMT/DSME is an interactive, ongoing process involving the person with diabetes (or the caregiver or family) and diabetes educators. The intervention aims to achieve optimal health status, better quality of life and reduce the need for costly health care. Diabetes education focuses on seven things patients can do that are essential for improved health status and greater quality of life:
- Healthy eating
- Being active
- Taking medication
- Problem solving
- Healthy coping
- Reducing risks
Our diabetes educators give people with diabetes the knowledge, skills and tools they need to successfully manage their diabetes and avoid many of the complications associated with the disease. Vibrant Health offers free classes monthly to patients who have been diagnosed with pre-diabetes.
Pre-diabetes is diagnosed if someone has a fasting (no food for 8 hours) blood sugar of 100-125 mg/dL or a random blood sugar of 140-199 mg/dL (2 hours or longer since last food). We offer a pre-diabetes class once/month (see brochure for details). Medicare does not pay for a patient with a diagnosis of pre-diabetes to see a certified diabetes educator or a registered dietitian. Some commercial insurance carriers do pay for these visits, but each individual should check with their insurance carrier regarding their coverage.
Diabetes is diagnosed if a person has 2 values in the diagnostic range, as follows: fasting blood sugar of 126 mg/dL and above, or a random blood sugar of 200 mg/dL and above. Medicare does pay for 10 hours of diabetes education in the first 12 months from their date of diagnosis and 3 to 5 hours of education every year after that. Most commercial insurance carriers have similar coverage, but each individual should check with their insurance carrier regarding their coverage. It is recommended that anyone with a diagnosis of diabetes be seen by an educator at least yearly for the purpose of education updates. Studies show that patients with diabetes that see an educator at least yearly have better outcomes.