Service Plan Brief for Diabetes
Education and Coaching
Western Governors University
Service Plan Brief for Diabetes Education and
Coaching
Service
Idea
Diabetes education and coaching is a service designed to be a continuation of
education after hospital discharge as well as a lifelong resource for counseling and coaching.
This service will be in partnership with the local hospital and physicians will collaborate with
service providers to aid in providing support and personalized care when needed. Diabetes is a
chronic health condition that affects how your body turns food into energy. 34.2 million US
adults have diabetes, and 1 in 5 of them do not know they have it. Diabetes is the 7th leading
cause of death
in the U.S. and the number one cause of kidney failure and lower limb amputations. The
number of adults diagnosed with diabetes has doubled in the last 20 years. (What Is Diabetes?,
2020) The purpose of diabetes education and coaching would be to provide free, ongoing
teachings to prediabetics and diabetics of all ages and empower patients to take control of their
health. The mission of this service is to give patients the tools to succeed in living a healthy
lifestyle alongside their disease and further improve their quality of life. It will do this by
offering teachings to newly diagnosed diabetics on subjects like how to take your blood sugar,
,medications, how to administer insulin, signs and symptoms of hypo- and hyperglycemia, meal
plans that are diabetic friendly, and how to be active. It will also give a sense of community and
group support from fellow diabetics and allow patients to make connections with others to aid
in their health journey and cope with the emotional side of diabetes. Coaching will also aid in
these deliverables but will also give the patients a cheerleader and someone to celebrate their
successes with. Often once the patient leaves the doctor’s office or is discharged from the
hospital, they carry the burden of having to navigate this new or unfamiliar world of diabetes
alone. This service plan allows for continuity of care and gives the patient a support system to
assist them in their journey to a healthier life.
Diabetes does not discriminate on who it effects, therefore, the target population for this
service is broad. It is designed to cover individuals of all ages and not only those who are
diagnosed with diabetes but those who are at risk for developing diabetes. Approximately 1 in
3
American adults have prediabetes. More than 84% of individuals with prediabetes don’t know
they have it. Although prediabetes hasn’t reached the cusp to be diagnosed as diabetes yet, it is
still a serious health condition that puts parties at for developing heart disease and stroke. (The
Surprising Truth About Prediabetes, 2020) At this point in a person’s health pathway, being
diagnosed with diabetes can be preventable. Lifestyle modifications are easy ways to turn
prediabetes around and reduce one’s risk of developing diabetes. Such life modifications
include losing weight, maintaining a healthy and balanced diet, and exercising. This service is
important to this category of people because it can educate and coach these individuals on how
to maintain healthy lifestyles and prevent being diagnosed with diabetes. For example, the
proposed service plan will provide classes and coaching on nutrition. This will include meal
ideas (that are budget friendly), local healthy food store options, and foods that promote health
and those to avoid or intake in moderation.
, For those diagnosed with diabetes, the service plan can offer many different areas of
education and coaching. These may be after a new diagnosis of diabetes or a continuation of
health promotion while living with diabetes. The service plan will offer one on one education
on how to check capillary blood sugars and what those results mean. It will also offer how to
draw up and self-administer insulin as well as education on other diabetic medications and their
side effects. In addition, education on coaching on nutrition, exercise, and diabetic support
groups
will also be offered. This service plan will also offer telehealth services where patients, diabetic
and prediabetic, can receive their education and coaching right from their home. This helps
reach the patients who may be disabled and find it difficult to visit the service site or are limited
to outings due to covid.
It has become increasingly clear over the years that the best way to prevent
hospitalizations, improve patient outcomes, and increase quality of life in diabetic patients is
education. Diabetes is self-driven disease, meaning 95% of the outcomes of diabetes fall on
how well the patient manages it. Therefore, it is crucial to provide individuals with the tools to
be successful. A case-control study was done in Kazakhstan to evaluate the effectiveness of
type 2 diabetes management programs. The study was conducted over 9 months and the results
were that type 2 diabetes management programs had a positive effect on changes in patient’s
glycated hemoglobin and blood pressure. When the same study was conducted in India, the
results showed that self-management education programs provided concrete evidence that it is
an effective way of controlling body weight, blood pressure, and glycated hemoglobin levels.
(Tazhbenova et al., 2019) An additional study also conducted in India showed significant
improvements of self-care behavior in regard to footcare and diet among type 2 diabetes
patients by empowering the patients and improving self-care practices. (Gehlawat et al., 2019)