Initiating DSMES Referrals at Critical Time 4—When Transitions in Life and Care Occur

A Guide for Communicating with Patients and Implementing Team Care. Throughout the life span, changes in age, health status, living situation or health insurance coverage may require a reevaluation of the diabetes care goals and self-management needs. Diabetes self-management education and support (DSMES) services afford important benefits to patients during a life transition. Providing input into the development of practical and realistic self-management and treatment plans can be an effective asset for successful navigation of changing situations.