Updated structured treatment program for type 2 diabetes

June 20, 2022


Photo: Andrey Popov / AdobeStock

About 4.7 million people with statutory health insurance who suffer from type 2 diabetes are already being treated in DMP – a structured treatment program for the chronically ill. The Federal Joint Committee (G-BA) has adapted the diagnosis and therapy recommended for DMP type 2 diabetes mellitus to the latest medical knowledge.

The changes concern, for example, recommendations for drug therapy, treatment of concomitant and secondary diseases and measures to strengthen health literacy.
Among other things, the following changes were decided:

  • Recommendations for drug therapy of blood sugar metabolism have been refined against the background of an individually different risk of cardiovascular disease or renal dysfunction. This applies to both the goals and strategies of therapy and the recommendations for drug selection.
  • Because obesity and lack of exercise are important factors influencing the course of type 2 diabetes, DMP participants should be even more motivated to eat healthily and exercise more.
  • Due to the particular importance for patients, references to the risk of hypoglycaemia in everyday life have been included in the DMP requirements.

The current decision also has an impact on DMP’s contractual partners: Within one year of the decision taking legal effect, the existing DMP contracts between health insurance companies, surgeries and hospitals must be adapted to the new requirements.

The decision will be submitted to the Federal Ministry of Health for legal review. If there are no objections, the new requirements, including the amended documentation requirements, will enter into force on the first day of the quarter following their publication in the Federal Gazette.

Background: DMP (disease treatment programs)

The aim of the DMP is to improve the cross-sectoral treatment process and the quality of medical care for chronically ill people.
The Federal Joint Committee selects chronic diseases suitable for DMP, determines the requirements for such programs, regularly reviews them and updates them as necessary. DMP requirements and documentation are covered in the DMP requirements guidelines. The practical implementation of the DMP takes place on the basis of regional contracts between health insurance companies and service providers (contracted doctors / hospitals). Before concluding the contract, the Federal Social Security Office will check whether the DMP requirements set out in the G-BA guidelines are met.

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