DEFINITION

• All people with diabetes should receive diabetes self-management education (DSME), diabetes self-management support (DSMS), and medical nutrition therapy (MNT)[6].
• MNT is nutrition counseling that includes an individualized nutrition assessment, nutrition diagnosis, intervention (education and counseling) and monitoring, and evaluation with ongoing follow up by a registered dietitian.
• Both MNT and DSME are reimbursed by Medicare as well as most health insurance plans. Medicare refers to this as diabetes self-management training (DSMT) which has the same meaning as DSME.
• The goal of nutrition therapy is to attain individualized glycemic, blood pressure, and lipid goals; achieve and maintain body weight goals; and delay or prevent complications of diabetes[4].