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Table 1 Elements of supported self-management for type 2 diabetes

From: Development of a supported self-management intervention for adults with type 2 diabetes and a learning disability

What self-management of diabetes involves
Food—buying, preparing, eating
Weight control or weight loss
Physical activity or exercise
Looking after your body—foot care, dental care
Healthy living—alcohol, smoking
Taking tablets
Visiting professionals—dental care, medical care, eye checks
Maintaining emotional wellbeing
Components of self-management programmes
Education—about diabetes and what it is; what self-management involves
Problem solving
Goal setting, planning
Monitoring and feedback, e.g. blood glucose, weight, dietary intake, tablets take
Skills development—foot care, self-monitoring of blood glucose, preparing food, use of IT
Effective use of other people and resources, e.g. company when going swimming/walking
Managing emotions and building confidence
Format: what does ‘supported’ mean?
Written materials
Charts—fridge door charts, ‘plan your plate’, diaries
DVD
Web-based programmes—static or interactive/moderated
Telephone or SMS contact—prompts or interactive
IT—beeping fridges, watches, tablet boxes, smart phones, etc.
Groups, e.g. nurse-led, third sector, exercise group, group education
Professional contact—nurse, diabetes educator, GP,
Peer support—informal, trained peer support, family, couples work
Tailoring of content and format
Literacy and other intellectual attainment
Sensory impairments
Language difficulties—non English, comprehension or speech problems
Self-nominated goals or problems
Professionally identified priorities
Living arrangements
Supporter’s priorities