Implications for Practice and Research:
Effective technology-enabled diabetes self-management (TES) is facilitated by the TES feedback loop between a person with diabetes and their health care team. The authors identified 4 key elements and defined the TES feedback loop that contributed to an improved A1c: (1) 2-way communication, (2) PGHD analysis, (3) education, and (4) feedback. This review demonstrated that utilizing technology-enabled diabetes self-management education and support solutions significantly impacts health outcomes. Solutions with a TES feedback loop offer the greatest impact on A1c outcomes.
2020: A Framework for Optimizing Technology-Enabled Diabetes and Cardiometabolic Care and Education.
As technology evolved, the practice of the diabetes care and education specialist expanded from health system services (ie, inpatient, outpatient, case management) to community/employer-based services (ie, weight reduction, peer coaching, health campaign programs) to remote monitoring and telehealth services to fully embrace the chronic care model.
Citation: Greenwood DA, Howell F, Scher L, et al. A Framework for Optimizing Technology-Enabled Diabetes and Cardiometabolic Care and Education: The Role of the Diabetes Care and Education Specialist. The Diabetes Educator. 2020;46(4):315-322. doi:10.1177/0145721720935125