Word Cloud - Diabetes

Many terms and acronyms are used when discussing DSMES services. See the Glossary for other frequently used acronyms.

Diabetes Self-Management Education and Support (DSMES)

DSMES services help people with diabetes manage their diabetes in ways that fit their lifestyle. Participants will:

  • Work with a diabetes care and education specialist to set and track goals.
  • Learn how to use knowledge, skills, and tools to build confidence and emotional strength to manage diabetes.
  • Practice how to fit diabetes care into all parts of their daily routine—like when and what they eat and how they solve problems.
  • Find ways to get support (in person and online) from family, friends, the community, and their health care team.

Diabetes Self-Management Training (DSMT)

The Centers for Medicare & Medicaid Services (CMS) uses the term “training” (DSMT) instead of “education and support” (DSMES) when defining the reimbursable benefit. The term DSMT is used specifically with billing. (2022 National Standards for Diabetes Self-Management Education and Support).


A1C: glycated hemoglobin (measure of blood glucose over 3 months)

AAA: Area Agencies on Aging

ACO: Accountable Care Organization

ADA: American Diabetes Association

ADCES: Association of Diabetes Care & Education Specialists

BC-ADM: Board-Certified Advanced Diabetes Management

CDC: Centers for Disease Control and Prevention

CDCES: Certified Diabetes Care and Education Specialist

CEU: Continuing Education Unit

CHW: Community Health Worker

CMS: Centers for Medicare & Medicaid Services

CQI: Continuous Quality Improvement

DCES: Diabetes Care and Education Specialist

DEAP: Diabetes Education Accreditation Program

DSMES: Diabetes Self-Management Education and Support

DSMT: Diabetes Self-Management Training

EHR: Electronic Health Record

EMR: Electronic Medical Record

ERP: Education Recognition Program

FQHC: Federally Qualified Health Center

HCPCS: Healthcare Common Procedure Coding System

MNT: Medical Nutrition Therapy

MSSP: Medicare Shared Savings Program

NCQA: National Committee for Quality Assurance

NPI: National Provider Identifier

PCMH: Patient-Centered Medical Home

RD: Registered Dietitian

RHC: Rural Health Clinic

SMA: Shared Medical Appointment