Practice Resources

person with diabetes

Meeting People with Diabetes in Their Space

Successful self-management stems from care that is personalized. It is incumbent on the diabetes care team to assess a person’s ability to understand and process health information, gain insight into their life experiences and social support, and most importantly, make efforts to meet a person in their cultural space. When the whole person is taken into context, care becomes person-centered and supportive, leading to improved outcomes and sustainable self-management. ADCES has created a variety of resources to help you understand key concepts in health literacy, numeracy and cultural competence.

Perspectives In Practice

Cultural and Health Literacy Considerations with Diabetes

The way that a person with diabetes processes and utilizes information depends heavily on health literacy and numeracy skills, prior life experiences and social support, each of which are shaped by culture.  This paper breaks down how the diabetes care and education specialist must approach education with each individual to meet their needs.

practice paper

Key points addressed in this paper:

  1. The role of the diabetes care and education specialist in assessing health literacy and numeracy
  2. The impact of health literacy and numeracy on diabetes self-management and available tools for screening
  3. The changing demographics in diabetes and the need for cultural sensitivity in care
  4. Cultural terminology and strategies to implement them into practice
  5. eHealth considerations for the diabetes care and education specialist

Formal Methods to Asses Health Literacy

Diabetes Numeracy Test (DNT) – short 5 item or 15 item long version

Rapid Estimate of Adult Literacy in Medicine (REALM) - 5 minutes

Brief Health Literacy (5 minutes) and Brief Print Health Literacy - 5 minutes

Resources for People With Diabetes

Psychosocial Care for Diverse People with Diabetes

Psychosocial Care for Diverse People with Diabetes

Understanding Health Literacy and Numeracy

understanding health literacy and numeracy

Cultural Considerations for the Diabetes Care Team

The Role of Diabetes Care and Education Specialist

Inclusive Care for LGBTQ People with Diabetes

Inclusive Care for LGBTQ People with Diabetes

Diabetes Guide to Foods of African Heritage

Diabetes Guide to Foods of African Heritage

Overall Diabetes Language-
Use Guidelines

diabetes language guidance

Type 2 Diabetes Prevention Resources Inventory


Education for Your Practice

Cultural Competence for Diabetes Care and Education Specialists

This online course explores how to be more culturally competent when working with people in African American, Latino, Asian, and Arab populations - specifically in the context of diabetes education. 

ADCES Journal Articles

A I P cover

ADCES in Practice 

Health Literacy and Numeracy

Assessing the Health Literacy Environment in a Pediatric Diabetes Clinic
Published August 2016

Nutrition Label Literacy: The Intersection of Health Literacy and Food Label Reading Research Findings and Implications for Editors
Published June 2016

Cultural Competency

Culturally Competent Nutrition Counseling: Practical Applications
Published August 2016

The Diabetes Educator Journal 

The Diabetes Educator CoverHealth Literacy and Numeracy

Low Health Literacy is Associated with Risk of Developing Type 2 Diabetes in a Nonclinical Population
Published June 2019

Validity and Reliability of a (Brief) Diabetes “Survival Skills” Knowledge Test: KNOW Diabetes
Published February 2019

Relationship Between Health Literacy and Unintentional and Intentional Medication Nonadherence in Medically Underserved Patients with Type 2 Diabetes
Published January 2016

Cultural Competency:

Effectiveness of Technologically Enhanced Peer Support in Improving Glycemic Management Among Predominantly African American, Low-Income Adults with Diabetes
Published April 2019

Effects of a Family-Based Diabetes Intervention on Family Social Capital Outcomes for Mexican American Adults
Published March 2019

Diabetes Self-Management Behaviors, Health Care Access, and Health Perception in Mexico-US Border States
Published February 2019

Demographics, A1C Testing, and Medication Use of Mexican Americans and Mexicans With Diabetes
Published January 2019

Hispanic Families’ Action Plans for a Healthier Lifestyle for Diabetes Management
Published November 2018

Culturally Tailoring a Patient Empowerment and Diabetes Education Curriculum for the African American Church
Published August 2017

Strategies for Sustained Weight Management: Perspectives from African American Patients with Type 2 Diabetes
Published March 2017

The Complexities of “Struggling to Live Life”: The Experiences of Young Adults with T1DM Living in Appalachia
Published March 2017

Culturally Targeted Strategies for Diabetes Prevention in Minority Population: A Systematic Review and Framework
Published January 2017


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