Johns Hopkins Diabetes Self-Management Program

Diabetes is the 7th leading cause of death in the United States. DECIDE is a program to help you learn how to change every day behaviors to better manage your type 1 and type 2 diabetes.


Do you have diabetes?

More than 30 million people in the United States have diabetes, and 1 in 4 of them don’t know they have it.



The DECIDE program helps you learn how to change your behavior so that you can better manage your diabetes.

Call 866-809-2073 to learn more

The Johns Hopkins Advantage

For 130 years, Johns Hopkins Hospital has led the way in both biomedical discovery and health care, establishing the standard by which others follow and build upon. This is one of many faculty-developed programs, protocols and services provided by Johns Hopkins HealthCare Solutions to improve health outcomes and reduce the cost of care. Our faculty experts developed this program for maximum impact, based on years of research and clinical success.


Diabetes Facts

  • More than 30 million people in the United States have diabetes, and 1 in 4 of them don’t know they have it.
  • More than 84 million U.S. adults—over a third—have prediabetes, and 90% don’t know they have it.
  • Type 2 diabetes accounts for about 90% to 95% of all diagnosed cases of diabetes; type 1 diabetes accounts for about 5%.
  • In the last 20 years, the number of adults diagnosed with diabetes has more than tripled as the American population has aged and become more overweight or obese.
  • The good news is that if you have type 2 diabetes, DECIDE can help you learn how to make and sustain lifestyle changes to better manage your condition.

Diabetes Risk Factors

  • You’re overweight
  • You’re 45 years or older
  • A parent, brother or sister has type 2 diabetes
  • You are physically active less than 3 times a week
  • For women, you’ve had gestational diabetes (diabetes while pregnant) or given birth to a baby weighing more than 9 pounds
    • Gestational diabetes usually goes away after your baby is born but increases your risk for type 2 diabetes later in life
    • Babies born to mothers with gestational diabetes are more likely to experience obesity as children or teens, and are more likely to develop type 2 diabetes later in life, too
  • You had or have polycystic ovary syndrome
  • African Americans, Hispanic/Latino Americans, American Indians/Alaska Natives, Pacific Islanders, and some Asian Americans are at higher risk for prediabetes and type 2 diabetes
  • American Indians/Alaska Natives are twice as likely as whites to have diabetes
  • During their lifetime, half of all Hispanic men and women and non-Hispanic black women are predicted to develop diabetes


The goal of DECIDE (Decision-making Education for Choices In Diabetes Everyday) is to help people—ranging in age from 18 to 90 years old—learn how to change their behavior so they can better manage their diabetes.

The DECIDE program teaches problem-solving as a key skill for behavior change and for incorporating self-management activities into their everyday lives.

  • Curriculum engages participants in the step-by-step process of self-management, planning and activation
  • Problem-based training helps participants apply diabetes self-management in their everyday lives
  • Tools and resources support behavioral change
  • Training of health care providers to coach and support their patients
  • Lower A1C levels
  • Lower blood pressure
  • Lower cholesterol
  • Improved knowledge of diabetes and cardiovascular disease
  • Increased ability to problem-solve health-related problems
  • Better self-management behaviors (e.g., medication adherence, healthy eating, physical activity, self-monitoring)

Is DECIDE Right for You?

DECIDE online digitally delivers the program to patients anywhere, on any device, at any time. Consider DECIDE online if you:

  • Need the flexibility to log-in and learn from any location, at any time
  • Seek interactive and engaging digital content
  • Prefer to move through a self-directed program at your own pace
  • Want to revisit modules multiple times
Call 866-809-2073 to learn more

The Johns Hopkins Advantage

DECIDE was developed through years of research and clinical application by Felicia Hill-Briggs, Ph.D., A.B.P.P., a clinical psychologist, behavioral scientist, and professor of medicine at the Johns Hopkins University School of Medicine. She is a nationally recognized expert in diabetes self-management and diabetes population health improvement. Her research has earned scientific awards as well as honors for improving community health and wellness.


Call 866-809-2073 to learn more