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What self-management of diabetes involves
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| ○ 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 |
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Components of self-management programmes
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| ○ 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 |
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Format: what does ‘supported’ mean?
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| ○ 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 |
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Tailoring of content and format
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| ○ 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 |
