Healthy growth is vital for DSMES services.

Services should grow and evolve using stakeholder feedback.

Stakeholders offer ongoing and valuable input

and help foster ideas that can improve overall service design,

accessibility,

participation,

and sustainability.

Stakeholders should represent the communities

where services are provided.

They can include people with diabetes,

health care providers, and members of

community-based groups.

Their feedback should be gathered and documented

within 6 months of DSMES accreditation

and then at least every year.

Feedback can come from a variety of methods,

like email,

face-to-face meetings,

conference calls,

and surveys.

Ongoing stakeholder feedback is an

essential element for

strong DSMES services.