Diabetes Self-management: A Lifetime of Work

Main Article Content

Trisha Dunning


The International Diabetes Federation indicated diabetes self-management education is the right of all people with diabetes. Diabetes self-management is hard, relentless work and is required throughout the person’s life. People require individualised education and health professional and family support to effectively manage their diabetes. Self-management education is more likely to be effective if it is implemented as part of a comprehensive care plan, takes account of the individual’s situation and actively involves them in care decisions. Significantly, people with diabetes who never received diabetes education have a fourfold increased risk of complications compared to those who received education.

Article Details

How to Cite
Dunning, T. (2012). Diabetes Self-management: A Lifetime of Work. Nursing Science Journal of Thailand, 29(2), 12–17. Retrieved from https://he02.tci-thaijo.org/index.php/ns/article/view/710
Scholarly Article


Grazin N. Foreword Evidence: helping People Help Themselves. A review of the evidence considering whether it is worthwhile to support self-management. The Health Foundation, London 2011; p iv.

Dunning T. Complementary therapies and diabetes. COMPLEMENT THER NURS MIDWIFERY, 2003; 9(2): 74–80.

Department of Health (DOH) Selfcare—a real choice. London; DOH, 2005.

International Diabetes Federation (IDF) Calling the World to Action on Diabetes; an Advocacy Toolkit. Brussels; IDF, 2011; 24.

United Kingdom Prospective Diabetes Study (UKPDS 33) Intensive blood glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes. LANCET, 1998; 352: 837–53.

Remmers C. Hibbard J. Mosen D. Wagenfield M. Hoye R. Jones C. Is patient activation associated with future health outcomes and healthcare utilisation among patients with diabetes? J AMBULATORY CARE MANAGE 2009; 32(4): 320–7.

De Silva D. Evidence: helping People Help Themselves. A review of the evidence considering whether it is worthwhile to support self-management. The Health Foundation, London 2011.

Crimprich B. Janz N. Northouse L. Wren P. Given B. Given C. Taking CHARGE: A self- management program for women following breast cancer treatment. PSYCHO ONCOL 2005; 14(9): 704–17.

Brown S. Interventions to promote diabetes self-management: state of the science. DIABETES EDUC 1999; 25: 52–61.

a. Norris S., Engelgau M., Narayan K. Effectiveness of self-management training in type 2 diabetes: a systematic review of randomised controlled trials. DIABETES CARE 2001; 24: 561–87.

b. Norris S., Lau J., Smith J. Self-management education for adults with type 2 diabetes: a meta-analysis of the effect on glycaemic control. DIABETES CARE 2002, 25: 1159-71.

Bennett-Levy J. Therapist skills: A cognitive model of their acquisition and refinement. Behavioural and Cognitive Psychotherapy 2006; 34: 57–78.

Van Scoyoc E, De Walt D. Interventions to Improve Diabetes Outcomes for People With Low Literacy and Numeracy: A Systematic Literature Review Diabetes Spectrum 2010; 23(4): 228–37.

Abernethy A. ‘Learning health care’ for patients and populations. Medical Journal of Australia 2011; 194(11): P.564.

Snoek F. Understanding the human side of diabetes. Diabetes Voice 2002; 47(2): 37–40.

Bennett-Levy J. Thwaites R. Self and self- reflection in the therapeutic relationship: a conceptual map and practical strategies for the training, supervision and self-supervision of interpersonal skills. Chapter 12 in Gilbert P and Leahy R (Eds.), The Therapeutic Relationship in the Cognitive-Behavioural Psychotherapies. Routledge, London 2006.

Funnell M. Peer-based behavioural strategies to improve chronic disease self-management and clinical outcomes: evidence, logistics, evaluation considerations, and needs fro future research. DIABETES CARE 2010; 25: 1159–71.

Dunning T. Chronic diseases self- management: what do we measure? Nursing and Healthcare of Chronic Illness doi: 10.111/ j.1752=9824.2010.01073.x (2010).