Implementation rate of diabetic self ‐management education and support for Japanese people with diabetes using the National Database

We investigated the implementation rates of diabetes self-management education and support in outpatients using the National Database of claims data. We showed that care related to diabetes self-management education and support might not be adequately provided for Japanese patients with diabetes. Nutrition guidance (5.6%) was the most frequently provided care type, and insulin users and patients visiting large medical institutions were associated with higher implementation rates of nutrition guidance. AbstractPeople with diabetes are encouraged to receive diabetes self-management education and support (DSMES) appropriately. However, in Japan, the implementation rates of DSMES are not known. DSMES implementation rates were calculated using the National Database of claims data, which included nearly all insurance-covered medical procedures. The study enrolled participants who received regular antidiabetic medications between April 2017 and March 2018. The implementation rates of DSMES-related care were calculated by characteristics, visiting medical facilities and prefectures. In 4,465,513 participants receiving antidiabetic medications (men, 57.8%; insulin use, 14.1%), nutrition guidance (5.6%) was the most frequently provided care type. Insulin users and participants visiting Japan Diabetes Society-certified and large medical institutions had higher implementation rates of nutrition guidance. DSMES-related care might not be provided adequately for Japanese people with diabete...
Source: Journal of Diabetes Investigation - Category: Endocrinology Authors: Tags: Short Report Source Type: research