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Self-management support emphasizes the patients central role in managing their health and plays important role for people living with chronic conditions.The effective diabetes self-management support means more than telling patients what to do.It means acknowledging the patients central role in their care and use of planned programs that provide basic information,emotional support,and strategies for living with diabetes.Education alone will not provide sustained effective behavior change and health outcome,self-management support cant begin and end with a class,providers and patients need to work together to define problems,set priorities,establish goals,create treatment plans and solve problems along the way.DSMS was adapted from part of standard of care to collaborative essential of DSME gradually during 2008-2017 by ADA Clinical Practice Recommendation with separated definition.DSME was defined as the ongoing process of facilitating the knowledge,skill,and ability necessary for self-care.DSMS was defined as activities that assist in implementing and sustaining the behaviors needed to manage his or her condition on an ongoing basis beyond or outside of formal self-management training,the type of support provided can be behavioral,educational,psychosocial,or clinical.DSMS can be organized within the DSME entity by involving the support of nurse case manager for needed follow-up care and tests,medication management,education,behavioral goal-setting,psychosocial support and connection to community resources.DSMS can also be separated from formal DSME through disease-management programs,trained peers and health community workers,community-based programs,use of technology,ongoing education and support groups,and medical nutrition therapy programs.As a conjunctive part of DSME,DSMS is only reimbursed by few health insurance programs separately worldwide currently,even DSME is only reimbursed by small part of countries with national health insurance coverage.In order to combat the tremendous burden for diabetes,the health system need to put effort on organizing internal and community resources to provide ongoing DSMS to patients.