Update - 4/2014: Indiana bill to license diabetes educators signed by Governor Pence. NCBDE will be striving to work with the regulators to address our concerns regarding the bill. Click here to learn the background/history.


(April 2010) Within recent weeks the state of Kentucky has passed, and the governor has signed, legislation that will require the licensure of diabetes educators who provide DSME/T services within the state. The NCBDE Board of Directors, in evaluating this legislation, has adopted the following policy statement on licensure:


Statement on Licensure of Diabetes Educators

The National Certification Board for Diabetes Educators (NCBDE) believes that the provision of Diabetes Self-Management Education/Training (DSME/T) should be vested in health professionals who have fulfilled requirements for NCBDE certification as Certified Diabetes Educators® (CDE®). Furthermore, NCBDE believes that a state which, in its wisdom, has determined a diabetes educator licensure law is necessary to protect the health and welfare of its citizens, should also embody similar requirements.

Therefore, should such licensure initiatives be undertaken by a state, the NCBDE will advocate that the law include the following:

  • A licensed health professional, providing DSME/T within his/her licensed scope of practice, may optionally obtain licensure but would not be required to do so.
  • An applicant that holds a CDE® certification, in good standing, would automatically qualify for licensure.
  • Educational requirements for non-licensed or non-certified applicants should include completion of diabetes education program(s) sponsored by any advanced academic or continuing education organization that meets state determined standards.
  • All non-licensed or non-certified applicants should be required to successfully pass a psychometrically valid competency assessment examination.
  • States should consider using existing voluntary certification processes, including administration of eligibility and psychometrically valid examination requirements, as the basis for issuing licenses.
  • “Grandfathering” of current diabetes educators, may be necessary. However, such provisions should be time-limited.

NCBDE will serve as a resource for and provide assistance to local NCBDE-certified practitioner groups and national organizations who have undertaken organized efforts to seek state licensure requirements that include NCBDE credentialing standards as the basis for licensure. Assistance may include non-financial support such as written and/or verbal testimony given before state legislative bodies. Such support will be provided only by request and will be considered on a case-by-case basis by the NCBDE Board of Directors.


Adopted April, 2011/Text update October, 2013 – NCBDE

NCBDE has published its specific views of the Kentucky legislation on its website, click here to read those comments.

NCBDE has published a model diabetes educator licensure act, click here to learn more.