![]() ![]() Master’s degree or higher requirements across eligible professions: registered nurses (includes nurse practitioners and clinical nurse specialists), registered dietitians, pharmacists, physician assistants, and physicians Master’s degree or higher in a health-related area (Unique Qualifications pathway) Registered or certified as a dietitian or dietitian nutritionist holding active registration with the Commission on Dietetic Registration a physician assistant holding active registration with the National Commission on Certification of Physician Assistants an exercise physiologist holding active certification as an American College of Sports Medicine Clinical Exercise Physiologist or a health educator holding active certification as a Master-Certified Health Education Specialist from the National Commission for Health Education Credentialing Licensed as clinical psychologists, occupational therapists, optometrists, pharmacists, physical therapists, physicians (doctor of medicine or doctor of osteopathic medicine), podiatrists, registered nurses (includes nurse practitioners and clinical nurse specialists), and social workers (master’s degree) DSMES, guided by national standards, provides a foundation for the daily self-care behaviors of diabetes management ( Table 1) ( 3– 6). ![]() In addition, they teach people how to reduce risks associated with diabetes and related cardiometabolic conditions. health care models, DCESs deliver comprehensive DSMES that addresses clinical, educational, psychosocial, and behavioral aspects of care. This specialty comprises nurses, dietitians, pharmacists, and other health professionals who demonstrate expertise in collaborative, person-centered care, education, and support for people with diabetes and their families and other support people. DCESs represent multiple disciplines and are skilled in DSMES delivery ( 2). DSMES has long been recognized as a tool for improving health and is a critical element of care for people with diabetes ( 1). In the United States, the traditional role of diabetes care and education specialists (DCESs) has been the provision of evidence-based diabetes self-management education and support (DSMES). This article serves as a call to action for health care systems to integrate specialists in diabetes care and education into diabetes care delivery models and raise awareness of the positive impact these professionals have on the lives of people with diabetes. Two national certification programs provide an evidence-based foundation for quality in the specialty, with updated competencies guiding practice. DCESs have increased opportunities to apply their competencies in primary, specialty, hospital, and acute care settings accountable care organizations community settings research and academia. Diabetes care and education specialists (DCESs) are well positioned to assist health care systems with delivery models that enhance diabetes care through evidence-based standards and quality improvement strategies. ![]() Given the growing prevalence and accelerating cost of diabetes, there is an urgent need to expand strategies in health care that improve access and outcomes and reduce the financial and human burden of the disease. ![]()
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