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DSMES Programs for Diabetes: Evidence and Outcomes

Ver informe de evidencia

Evidence on outcomes studied for Diabetes Self-Management Education and Support

Evidence related to diabetes self-management education and support programs in diabetes studies.

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87
Studies
100
Evidence Pairs
Moderate Evidence
Evidence Strength: 68/100
Evidence Intelligence™

Evidence Summary

A structured summary of where the evidence is strongest, mixed, or still emerging.

Executive Summary

Diabetes Self-Management Education and Support evidence appears to center on HbA1c.

Among 87 indexed studies and 11 interventions, the strongest signals are summarized from the available evidence. HbA1c appears to be one of the clearer current evidence signals.

  • Evidence is consistently positive across multiple studies.
  • Some evidence is positive, but results are not consistent across all studies.
  • Early findings are encouraging, but stronger trials are needed.
Caution

This summary reflects the currently indexed evidence and should not be interpreted as treatment advice.

Key Finding

Evidence is consistently positive across multiple studies.

Interventions with strongest consistent evidence

Strongest consistent evidence

Why it matters

Consistent positive findings are easier to interpret than isolated or mixed results.

Interpretation

HbA1c appears to have a consistent beneficial signal in the indexed evidence.

View supporting studies
Evidence basis: 28 evidence pairs - 61 studies

Why this appears here

Strong evidenceGenerally consistentPositive effect signalMultiple RCTsConsistent results
HbA1c
46 studies
EvidenceScore™
86/100
ConsistencyScore™
63/100
Diabetes self-management behaviors
15 studies
EvidenceScore™
83/100
ConsistencyScore™
78/100

Evidence Snapshot

87
Studies
11
Interventions
58
Outcomes
8
Strong evidence signals
3
Mixed evidence areas

Key Findings

Key patterns and insights identified across the research landscape

Moderate positive signal

HbA1c

Across 12 studies, DSMES shows a moderate positive signal for HbA1c.

12 studies
EvidenceScore™: 85.68589743589743/100
View supporting studies
Evidence signal

HbA1c

Across 6 studies, SMS text messaging behavioral intervention for health promotion shows a consistent evidence signal for HbA1c.

6 studies
EvidenceScore™: 83.02564102564104/100
View supporting studies
Moderate positive signal

HbA1c

Across 6 studies, Remote multiprofessional educational program shows a consistent moderate positive signal for HbA1c.

6 studies
EvidenceScore™: 82.96153846153847/100
View supporting studies
Moderate positive signal

HbA1c

Across 5 studies, Mobile app for diabetes self-management shows a consistent moderate positive signal for HbA1c.

5 studies
EvidenceScore™: 82.6923076923077/100
View supporting studies
Moderate positive signal

Diabetes self-management behaviors

Across 5 studies, Mobile app for diabetes self-management shows a consistent moderate positive signal for Diabetes self-management behaviors.

5 studies
EvidenceScore™: 82.6923076923077/100
View supporting studies

Supporting Evidence

Mixed or conflicting evidence

Some evidence is positive, but results are not consistent across all studies.

Areas where results are mixed

Why it matters

Mixed results suggest effects may depend on population, comparator, duration, or study design.

Interpretation

HbA1c is mixed in the currently indexed evidence.

Caution

Some supporting studies reported neutral, negative, or mixed findings.

Top entities

HbA1c
Diabetes self-management behaviors
HbA1c
46 studies
EvidenceScore™
86/100
ConsistencyScore™
63/100

Why this appears here

Mixed Or Conflicting ResultsPositive Signal PresentNeutral Results PresentNegative Results Present
Evidence basis: 29 evidence pairs - 58 studies
View supporting studies
Promising but understudied

Early findings are encouraging, but stronger trials are needed.

Promising areas needing more evidence

Why it matters

Promising signals can guide further review, but they should not be treated as settled evidence.

Interpretation

Quality of life may have a beneficial signal, but the evidence base is still developing.

Caution

Current support is limited by study volume, RCT depth, or evidence strength.

Top entities

Quality of life
Acceptability of SMS Text Messaging Reminder among Emerging Adults
Quality of life
3 studies
EvidenceScore™
79/100
ConsistencyScore™
67/100

Why this appears here

Positive effect signalLimited study volume
Evidence basis: 7 evidence pairs - 15 studies
View supporting studies

Explore the Evidence

The sections below provide the complete evidence questions, supporting relationships, and underlying studies behind the summary above.

Preguntas respondidas por la evidencia

What outcomes has Diabetes Self-Management Education and Support been studied for?

HbA1c, Diabetes self-management behaviors, and Systolic blood pressure are among the most studied areas in relation to Diabetes Self-Management Education and Support.

Moderate Evidence · Results are consistent across studies. · 87 studies · 80 RCTs

The evidence includes both beneficial and harmful or worsening results.

View top evidence signals ↓
  1. HbA1c · Strong · 46 studies
  2. Diabetes self-management behaviors · Strong · 15 studies
  3. Fasting Plasma Glucose (FPG) · Strong · 8 studies

Does Diabetes Self-Management Education and Support lower HbA1c?

Diabetes Self-Management Education and Support may lower HbA1c.

Strong Evidence · Results are consistent across studies. · 46 studies · 45 RCTs

The evidence includes both beneficial and harmful or worsening results.

View top evidence signals ↓
  1. HbA1c · Strong · 46 studies

Which outcomes have the strongest evidence for Diabetes Self-Management Education and Support?

HbA1c, Diabetes self-management behaviors, and Systolic blood pressure have the strongest available evidence signals for Diabetes Self-Management Education and Support.

Strong Evidence · Results are consistent across studies. · 61 studies · 60 RCTs

The evidence includes both beneficial and harmful or worsening results.

View top evidence signals ↓
  1. HbA1c · Strong · 46 studies
  2. Diabetes self-management behaviors · Strong · 15 studies
  3. Fasting Plasma Glucose (FPG) · Strong · 8 studies

Where does Diabetes Self-Management Education and Support need more research?

Waist-to-hip ratio, Acceptability of SMS Text Messaging Reminder among Emerging Adults, and Exercise self-efficacy need more research in relation to Diabetes Self-Management Education and Support.

Moderate Evidence · Results are consistent across studies. · 10 studies · 10 RCTs

View top evidence signals ↓
  1. Waist-to-hip ratio · Moderate · 2 studies
  2. Acceptability of SMS Text Messaging Reminder among Emerging Adults · Moderate · 2 studies
  3. Exercise self-efficacy · Moderate · 2 studies

How does Diabetes Self-Management Education and Support compare across studied outcomes?

HbA1c, Diabetes self-management behaviors, and Systolic blood pressure have available evidence for Diabetes Self-Management Education and Support, but the comparison requires review of the underlying studies.

Strong Evidence · Results are consistent across studies. · 61 studies · 60 RCTs

The evidence includes both beneficial and harmful or worsening results.

View top evidence signals ↓
  1. HbA1c · Strong · 46 studies
  2. Diabetes self-management behaviors · Strong · 15 studies
  3. Fasting Plasma Glucose (FPG) · Strong · 8 studies
Browse all questions about Diabetes Self-Management Education and Support

Overall Evidence Signals

Among 87 indexed studies and 11 interventions, the strongest signals are summarized from the available evidence. HbA1c appears to be one of the clearer current evidence signals.

  • Evidence is consistently positive across multiple studies.
  • Some evidence is positive, but results are not consistent across all studies.
  • Early findings are encouraging, but stronger trials are needed.

Evidence Relationships

Explore the intervention-outcome relationships with the strongest supporting evidence for Diabetes Self-Management Education and Support.

17 strong relationships, ranked by available evidence

View every intervention-outcome relationship included in this topic.

Select any relationship to review its supporting studies.

Studies evaluating Diabetes Self-Management Education and Support

Studies connected to this intervention in the evidence record.

Lifestyle changes may improve diabetes remission rates
Representative
Interventions:
Complex lifestyle intervention
Outcomes:
Body Mass Index (BMI) changeDiabetic ketoacidosisDiabetic microvascular complication multimorbidityDiabetic nephropathy incidenceDiabetic neuropathy incidenceDiabetic retinopathy incidenceFasting blood sugar (FBS)Fasting insulin levelsGlucose iAUC (OGTT)HbA1cHomeostatic model assessment for insulin resistance (HOMA-IR) changePostprandial blood glucoseUrinary albumin-to-creatinine ratioWaist-to-hip ratioWeight change
View research summary→

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Related evidence briefs

Diabetes Self-Management Education

Evidence Tracker

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