Statement on Licensure of Diabetes Educators

The National Certification Board for Diabetes Educators (NCBDE) believes that the provision of diabetes education 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 (or registration) 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 address the following points:

  • A licensed health professional, providing diabetes education within his/her licensed scope of practice, may optionally obtain licensure as a diabetes educator 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.

Should state legislative bodies consider licensure of diabetes educators, NCBDE will advocate on behalf of CDEs that any proposed legislation reflect the aspects outlined above. Advocacy efforts may include non-financial support such as written and/or verbal testimony given before state legislative bodies.


Adopted April 2011 - NCBDE
Revised October 2017