The Huddle: Conversations with the Diabetes Care Team

On this episode of The Huddle, Wendy Mobley-Bukstein, PharmD, BCACP, CDCES, CHWC, NASM-CPT, FAPhA, FADCES and Debbie Hinnen, APN, BC-ADM, CDCES, FAAN discuss the importance of medication persistence, how to talk to clients about starting and staying on diabetes medications, and strategies to help clients stay consistent with their medication taking. This episode was made possible with support from Lilly, A Medicine Company.Learn more about the latest in diabetes technology on danatech: danatech l Diabetes Technology Education for Healthcare ProfessionalsLearn more about the ADCES7 Self-Care Behaviors: Self-Care Tips (ADCES7)References:Kennedy-Martin, T., Boye, K. S., & Peng, X. (2017). Cost of medication adherence and persistence in type 2 diabetes mellitus: a literature review. Patient Preference and Adherence, 11, 1103–1117. https://doi.org/10.2147/PPA.S136639McGovern, A., Hinton, W., Calderara, S. et al. A Class Comparison of Medication Persistence in People with Type 2 Diabetes: A Retrospective Observational Study. Diabetes Ther 9, 229–242 (2018). https://doi.org/10.1007/s13300-017-0361-5Evans M, Engberg S, Faurby M, Fernandes JDDR, Hudson P, Polonsky W. Adherence to and persistence with antidiabetic medications and associations with clinical and economic outcomes in people with type 2 diabetes mellitus: A systematic literature review. Diabetes Obes Metab. 2022; 24(3): 377-390. doi:10.1111/dom.14603Sabaté E., Adherence to Long-Term Therapies: Evidence for Action, 2003, World Health Organization, Geneva, Switzerland.https://www.ama-assn.org/delivering-care/physician-patient-relationship/8-reasons-patients-dont-take-their-medicationshttps://www.npr.org/sections/health-shots/2017/09/08/549414152/why-do-people-stop-taking-their-meds-cost-is-just-one-reasonhttps://www.adces.org/docs/default-source/handouts/adces7/handout_pwd_adces7_takingmedication.pdf?sfvrsn=4e3f6359_13 Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

This week on The Huddle, we're resharing an episode from last summer featuring Kristine Batty, PHD, APRN, BC-ADM, CDCES, FADCES as she discusses her experience both living with Type 1 diabetes and working with people with diabetes as a certified diabetes care and education specialist. She shares the importance of putting yourself in your client's shoes in order to understand their goals and pain points and support their needs, especially when it comes to diabetes technology.Visit danatech here: danatech l Diabetes Technology Education for Healthcare ProfessionalsLearn more about the latest developments in T1D screening here: T1D ScreeningView Kristine's video series below:https://www.youtube.com/watch?v=HPqraDx-aQwhttps://www.youtube.com/watch?v=SBYpv3LuzBwhttps://www.youtube.com/watch?v=otRUIrx6FkIhttps://www.youtube.com/watch?v=uDrDSSK99-A Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

Registration is open now for ADCES25 taking place August 8-11 in Phoenix, AZ! Our conference planning chair Christina Whitehouse, RN, MSN, APRN, ARNP, FADCES, CDCES, shares what to look forward to at this year's conference, and why ADCES' annual conference is the place to be for all diabetes care and education specialists and other professionals in the diabetes space. Register for this year's annual conference at ADCES 2025 Annual MeetingExplore all there is to see in Phoenix at Roosevelt Row Arts District | Downtown Phoenix Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

On this episode of The Huddle, Chris Memering, MSN, RN, CDCES, BC-ADM, talks about the value that diabetes care and education specialists bring to the inpatient care setting. She outlines the importance of continuity of care between the inpatient and outpatient setting, how DCES in inpatient help increase patient satisfaction and safety, and how others in the inpatient setting can demonstrate their value to their hospital leadership.Learn more about how to showcase the value of the diabetes care and education specialty in our value toolkit created especially for ADCES members. Log in here to view the toolkit:  Showcase Value ToolkitOr click here to become an ADCES member to access helpful resources like this one: MembershipLearn more about ADCES' inpatient certificate program focused on knowledge and skills necessary for effective inpatient diabetes care: https://www.adces.org/store/certificate-programs/detail/inpatient-certificate-program-transforming-care-and-enhancing-lives Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

This week on The Huddle, we're resharing a discussion with current ADCES President, Veronica Brady, PhD, FNP-BC, BC-ADM, CDCES, FADCES. Veronica discussed the concept of unconscious bias, how it shows up in our everyday lives and in working as health care professionals, and how we can practice cultural humility to better serve the needs of people with and at risk for diabetes.  Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

In the first episode in a multi-part diabetes technology series, Kathryn Evans Kreider DNP, FNP-BC, BC-ADM, FAANP, joins The Huddle to discuss integrating diabetes technology into primary care. She talks about the importance of embracing digital technology in primary care and how health care professionals in primary care can take tangible steps to better utilize the technology available to them.Learn about the latest advances in diabetes technology on danatech:  Diabetes technology for healthcare professionals | DanatechCheck out the two-part Integrating Diabetes Technology into Primary Care course here: Part 1: Integrating Diabetes Technology into Primary Care Part 1: Overview and Clinical ScenariosPart 2: Integrating Diabetes Technology into Primary Care Part 2: Interactive Case Studies   Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

Michael See MS, ACSM-CEP, NBCHWC, CDES joins the Huddle to share his expertise and experiences in bringing physical activity to people with type 2 diabetes who also have physical limitations. He covers topics like how to assess physical limitations, their prevalence in people with type 2 diabetes, and how to use a motivational interviewing approach in conversations with your clients. This episode was made possible with support from Lilly, A Medicine Company. Learn more about this topic in our latest patient/client handout (support for the development of this handout was provided by Lilly, A Medicine Company): adces_tipsheet_physical_activity2.pdf ReferencesAmerican Diabetes Association Professional Practice Committee; 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes: Standards of Care in Diabetes—2024. Diabetes Care 1 January 2024; 47 (Supplement_1): S77–S110.Ahmad E, Sargeant JA, Yates T, Webb DR, Davies MJ. Type 2 Diabetes and Impaired Physical Function: A Growing Problem. Diabetology. 2022; 3(1):30-45. https://doi.org/10.3390/diabetology3010003Angulo, J., Assar, M. E., Álvarez-Bustos, A., & Rodríguez-Mañas, L. (2020). Physical activity and exercise: Strategies to manage frailty. Redox Biology, 35. https://doi.org/10.1016/j.redox.2020.101513Colberg SR, Sigal RJ, Yardley JE, et al. Physical Activity/Exercise and Diabetes: A Position Statement of the American Diabetes Association. Diabetes Care. 2016;39(11):2065-2079. doi:10.2337/dc16-1728O'Neill D, Forman DE. The importance of physical function as a clinical outcome: Assessment and enhancement. Clin Cardiol. 2020;43(2):108-117. doi:10.1002/clc.23311Pedersen BK, Saltin B. Exercise as medicine - evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports. 2015;25 Suppl 3:1-72. doi:10.1111/sms.1258136-Item Short form survey instrument (SF-36). Available at: https://www.rand.org/content/dam/rand/www/external/health/surveys_tools/mos/mos_core_36item_survey.pdf (Accessed: 21 October 2024). Physical activity vital sign. Available at: https://www.exerciseismedicine.org/wp-content/uploads/2021/04/EIM-Physical-Activity-Vital-Sign.pdf (Accessed: 21 October 2024).  Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

Eileen Egan, DNP, FNP-C, BC-ADM, CDCES, FADCES joins The Huddle to share her expertise about the interplay between weight and glycemic management in people with Type 2 diabetes, the importance of meeting glycemic and weight goals early after a Type 2 diabetes diagnosis, as well as best practices for helping people stay motivated and engaged. This episode was made possible with support from Lilly, A Medicine Company. Learn more about this topic in this accompanying patient/client handout (support for the development of this handout was provided by Lilly, A Medicine Company): adces_tipsheet_early_control2.pdf References:American Diabetes Association. Obesity and weight management for the prevention and treatment of type 2 diabetes: standards of care in diabetes- 2024. Diabetes Care, 47(1): S145-S157.Center for Disease Control and Prevention. Adult overweight and obesity. https://www.cdc.gov/obesity/basics/adult-defining.htmlDCCT/EDIC study research group. Intensive Diabetes Treatment and Cardiovascular Outcomes in Type 1 Diabetes: The DCCT/EDIC Study 30-Year Follow-up. Diabetes Care. 2016;39(5):686-693. Gregg E, Jakicic J, Blackburn G, et al. Association of the magnitude of weight loss and changes in physical fitness with long-term cardiovascular disease outcomes in overweight or obese people with type 2 diabetes: a post hoc analysis of the Look AHEAD randomized clinical trial. Lancet Diabetes Endocrinol. 2016; 4(11): 913-921.Gutiérrez-Cuevas J, Santos A, Armendariz-Borunda J. Pathophysiological Molecular Mechanisms of Obesity: A Link between MAFLD and NASH with Cardiovascular Diseases. Int J Mol Sci. 2021. 27;22(21):11629.Howard BV, Ruotolo G, Robbins DC. Obesity and dyslipidemia. Endocrinol Metab Clin North Am. 2003;32(4):855-867. Jin X, et al. Pathophysiology of obesity and its associated diseases. Acta Pharm Sin B. 2023;13(6):2403-2424.  Laiteerapong N, Ham SA, Gao Y, et al. The legacy effect in type 2 diabetes: impact of early glycemic control on future complications (The Diabetes & Aging Study). Diabetes Care. 2019;42(3):416-426.Lean MEJ, Leslie WS, Barnes AC, et al. Primary care-led weight management for remission of type 2 diabetes (DiRECT): an open-label, cluster-randomised trial.Lancet Diabetes Endocrinol. 2019;7(5):344-355.Lingvay I, Sumithran P, Cohen RV, le Roux CW. Obesity management as a primary treatment goal for type 2 diabetes: time to reframe the conversation. Lancet. 2022 Jan 22;399(10322):394-405. doi: 10.1016/S0140-6736(21)01919-X. Epub 2021 Sep 30. Erratum in: Lancet. 2022 Jan 22;399(10322):358. PMID: 34600604Rachel G. Miller, Trevor J. Orchard; Understanding Metabolic Memory: A Tale of Two Studies. Diabetes 1 March 2020; 69 (3): 291–299. https://doi.org/10.2337/db19-0514Ross, R., Neeland, I.J., Yamashita, S. et al. Waist circumference as a vital sign in clinical practice: a Consensus Statement from the IAS and ICCR Working Group on Visceral Obesity. Nat Rev Endocrinol16, 177–189 (2020). https://doi.org/10.1038/s41574-019-0310-7Thom G, McIntosh A, Messow CM, et al. Weight loss-induced increase in fasting ghrelin concentration is a predictor of weight regain: Evidence from the Diabetes Remission Clinical Trial (DiRECT). Diabetes Obes Metab. 2021;(23):711-719.Tsai AG, Bessesen DH. Obesity. Ann Intern Med. 2019;170(5):ITC33-ITC48.Wing RR, Bolin P, Brancati FL, et al. Cardiovascular effects of intensive lifestyle intervention in type 2 diabetes. N Engl J Med. 2013;369(2):145-154.World Health Organization. Obesity. https://www.who.int/health-topics/obesity#tab=tab_1 Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

On our latest episode of The Huddle, Sheetal Shah, founder of MettaHealth Partners discusses the evolving realm of AI, the role DCESs and other health care professionals can play in embracing and adopting AI technology, and the importance of keeping a human element in the technology.Learn more about MettaHealth Partners here: MettaHealth PartnersLearn more about the National Institute of Standards and Technology (NIST) here: National Institute of Standards and TechnologyStay up to date on all things related to diabetes technology on danatech: Diabetes technology for healthcare professionals | Danatech Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

During a special episode of The Huddle recorded live at our 2024 annual meeting, we sat down with incoming ADCES President Veronica Brady, PhD, FNP-BC, BC-ADM, CDCES, FADCES. Veronica discussed the impact she wants to leave behind as President this coming year, as well as the concept of unconscious bias, how it shows up in our everyday lives and in working as health care professionals, and how we can practice cultural humility to better serve the needs of people with and at risk for diabetes. Please note: since the recording of this episode, Kirsten Yehl has since moved on from ADCES to pursue another professional opportunity. Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

Lucia Novak MSN, ANP-BC, BC-ADM joined The Huddle to discuss the role of basal insulin in type 2 diabetes, when to initiate it, and how to have discussions about basal insulin with your clients that make them feel comfortable, informed and empowered.This episode was made possible with support from Lilly, A Medicine Company.Resources: American Diabetes Association Professional Practice Committee; 9. Pharmacologic Approaches to Glycemic Treatment: Standards of Care in Diabetes—2024. Diabetes Care 1 January 2024; 47 (Supplement_1): S158–S178. https://doi.org/10.2337/dc24-S009Look AHEAD (Action for Health in Diabetes) study. Look AHEAD (Action for Health in Diabetes)Pantalone KM, Misra-Hebert AD, Hobbs TM, et al. Clinical inertia in type 2 diabetes management: evidence from a large, real-world data set. Diabetes Care. 2018;41(7): e113-e114.Find a DSMES program near you here: Find an Accredited Diabetes Education Program Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

People with diabetes who are newly starting insulin may have concerns and fears, many of which are caused by beliefs about insulin that may not be accurate. Susan Guzman, PhD, joined The Huddle to talk about the potential fears that may come up when someone is starting insulin, and how diabetes care and education specialists can address these fears and provide support so that people feel comfortable and informed when taking insulin.   This episode was made possible with support from Lilly, A Medicine Company. Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

Having elevated cortisol levels can lead to a variety of side effects, and it may impact people with diabetes in a number of ways. Natalie J. Bellini DNP, FNP-BC, BC-ADM, CDCES joined The Huddle to talk about hypercortisolism, how it is diagnosed, and its potential effects on type 2 diabetes management. This episode is sponsored by Corcept.Learn more about Corcept here: Corcept TherapeuticsView a recorded webinar that dives deeper into cortisol levels and diabetes management (sponsored by Corcept): A Closer Look at Difficult-to-Manage Diabetes – Is Cortisol at Play?Learn more about the CATALYST study: Corcept Announces Presentation of Results From Prevalence Phase of CATALYST Clinical Trial at American Diabetes Association's Scientific Sessions – Corcept Therapeutics, Incorporated Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

Diabetes-related foot conditions like ulcers and amputations can be very serious, but these complications are preventable when comprehensive foot exams are prioritized. Podiatrist Dr. Mark Hinkes joined The Huddle to talk about the importance of foot health and comprehensive foot exams for people with diabetes, and how we can use data collected from these foot exams to predict potential future risk. Learn more about the International Working Group on the Diabetic Foot here: Home - IWGDF GuidelinesView Mark's book "Healthy Feet for People with Diabetes" here: Healthy Feet for People With Diabetes: Hinkes DPM, Dr. Mark: 9780985628604: Books - Amazon.caLearn more about diabetes-related foot complications:Foot Complications | ADAFive year mortality and direct costs of care for people with diabetic foot complications are comparable to cancer | Journal of Foot and Ankle Research | Full Text Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

On this episode of The Huddle, we're joined by Lucille Hughes, DNP, MSN/Ed, CDCES, BC-ADM, FADCES, Director of Scientific Communication, Information, and Education at Embecta. Lucille discusses some of the unique care needs to consider when working with people with Type 2 diabetes who take insulin, how the DCES and other members of the diabetes care team can help to address their specific diabetes burdens and struggles, and how care for people with Type 2 diabetes differs from that of Type 1 diabetes.This episode is sponsored by Embecta.Find up-to-date diabetes technology product information, device training, professional education and more on danatech: Diabetes technology for healthcare professionals | Danatech (adces.org)Learn more about Embecta here: Discover Our Diabetes Care Products & Learn About EMBECTA Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

Recorded live at ADCES24, we sat down with Jane Jeffrie Seley, DNP, MPH, MSN, GNP, BC-ADM, CDCES, CDTC, FADCES​ to talk about the latest in diabetes technology and what to expect in the coming year, how diabetes technology overall is evolving and changing, and how diabetes technology can more seamlessly be integrated into primary care settings.Please note that this episode was recorded in August and some of the technology and updates discussed in future tense may now be in different stages of development or release. References to specific devices and manufacturers are for educational purposes and do not represent an endorsement from ADCES.Links: Register to view ADCES24 on-demand content: ADCES24 (adcesmeeting.org)Find up-to-date diabetes technology product information, device training, professional education and more on danatech: Diabetes technology for healthcare professionals | Danatech (adces.org)Find your technology competency level and resources to dive deeper with our tech competency tool: Technology Competency Finder| Danatech (adces.org)To learn more about the latest and greatest in diabetes technology, register for our Diabetes Technology Conference: Diabetes Technology Conference 2024 (eventscribe.net)To take a deeper dive into the integration of diabetes technology in primary care by checking out this two-part course developed in partnership with the American Association of Nurse Practitioners (Made possible thanks to a grant from Helmsley Charitable Trust).:Part 1: Integrating Diabetes Technology into Primary Care Part 1: Overview and Clinical Scenarios (0.75 CE/CME)Part 2: Integrating Diabetes Technology into Primary Care Part 2: Interactive Case Studies (1 CE/CME)Learn more about the PANTHER Program: Diabetes Technology. Deciphered. | PANTHER ProgramVisit diatribe: Making Sense of Diabetes | DiaTribeVisit the Medical Professional's Reference website: Prescription & OTC Drug Info | Side Effects, Interactions & Dosages (empr.com)Visit the ADA Consumer Guide: ADA Consumer Guide (diabetes.org)Find resources from DiabetesWise: Home » DiabetesWise Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

Recorded live at the ADCES24 annual meeting, we sat down with Senior Manager of the Diabetes Education Program at HealthPartners, Erin L. DaRosa, MBA, RDN, LD, CDCES. Erin discussed how she showcases the value of the DCES specialty in her own work and how you can speak the language of key stakeholders in your practice to articulate your value, as well as how to build trust and get a seat at the table.Learn more about HealthPartners here: HealthPartners – Top-Rated insurance and health care in Minnesota and WisconsinRegister to view ADCES24 on-demand sessions here: ADCES24 (adcesmeeting.org) Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

This week on The Huddle, we're resharing an episode with Miguel Johns, Co-Founder & CEO of mmnt and creator of Milton. Miguel discussed how the use of artificial intelligence (AI) can benefit health care professionals across the diabetes space and how this technology is growing and changing. Topics include addressing some of the current opportunities and challenges associated with AI in health care, how AI can provide improved clinical decision support, and where this technology may be headed in the future.Explore danatech here: Diabetes technology for healthcare professionals | Danatech (adces.org)For more information on Miguel or mmnt, visit Milton | Powered by MMNT (getmilton.com)View a recorded annual conference session on AI and more by registering for ADCES24 On Demand: ADCES24: Diabetes Care, Education and Technology (mcievents.com)Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join. Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

For those with diabetes who use insulin pump therapy, having access to training and education on this technology is key to success. David Jopke, DNP, FNP-C, BC-ADM, CDCES, Tracy Newell RD LD, CDCES, RD, LD, CDCES, Erin L. DaRosa, MBA, RDN, LD, CDCES join The Huddle to talk about their experiences creating a  team-based formal process for becoming an insulin pump trainer, and how practice settings that want to offer insulin pumps and automated insulin delivery system options to people with diabetes can create their own formalized process.Learn more about HealthPartners here: HealthPartners – Top-Rated insurance and health care in Minnesota and WisconsinView danatech's resources on insulin pumps & AID here: Insulin Pumps l diabetes training and education l Danatech (adces.org)Learn more about the Panther program here: Diabetes Technology. Deciphered. | PANTHER Program Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

We know research is crucial for making continued advances in diabetes care for all populations. Rachel Stahl-Salzman, MS, RD, CDN, CDCES, and Kerri Knippen, PhD, RDN, LD, BC-ADM, FAND, join us on The Huddle to talk about their latest research projects related to pregnancy in diabetes, some of the outcomes and learnings of each study, and how diabetes care and education specialists can be leaders in this work, even without a research background.View Rachel's research poster diving deeper into this topic here: Annual QIPS Symposium | Weill Department of Medicine (cornell.edu)Learn more about Kerri's project here: https://www.eeds.com/enduring_material.aspx?AIN=005243415&SIN=230144&Display_Portal_Nav=true https://bsmh.zoom.us/rec/play/dNYY9PJAVNjh_wJCglFQuYOU9GYRTC4JYP1xEr3eqd5037qGu1kvWbgs0Mw35SdAhBtm-W66tyZCnDv8.FBeiYIeEMAKXck4F?canPlayFromShare=true&from=share_recording_detail&startTime=1713455116000&componentName=rec-play&originRequestUrl=https%3A%2F%2Fbsmh.zoom.us%2Frec%2Fshare%2F6jgesPiUBq5EIbX8P7K0pzRJ4yKEb-HPxmBMMhqUZxbBBqREek8OvlNR7vh3aQR2.hQwbtfqHOQ8tp3uF%3FstartTime%3D1713455116000Join the poster presentations at #ADCES24 to learn even more about Kerri and Rachel's work! Learn more and register for the conference here: ADCES24 (adcesmeeting.org)Learn more about the ADCES Foundation here: ADCES Foundation Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

Kristine Batty, APN, BC-ADM, and CDCES talks about her experience both living with Type 1 diabetes and working with people with diabetes as a CDCES, and how understanding both sides of the desk can help to optimize health outcomes. Visit danatech here: Diabetes technology for healthcare professionals | Danatech (adces.org) View Kristine's video series below:Reducing Diabetes Technology Burnout (youtube.com)Continuous Glucose Monitoring: Managing Expectations (youtube.com)Breaking Down Diabetes Technology Barriers (youtube.com)The Essentials of CGM Accuracy (youtube.com) Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

This episode is sponsored by Medtronic.Painful diabetic peripheral neuropathy (DPN) can significantly impact a person with diabetes and their quality of life. Nalani Hunsaker PA-C, MCMSc, BC-ADM, a paid consultant for Medtronic, joins The Huddle to talk about Medtronic's spinal cord stimulation therapy option, how the procedure works, and its success in relieving pain from DPN. Please reach out to http://www.medtronic.com/dpnconnect to connect with a Medtronic representative today. If you would like to share more information with your patients check out http://www.medtronic.com/dpnpain References:1. de Vos CC, Meier K, Zaalberg PB, et al. Spinal cord stimulation in patients with painful diabetic neuropathy: A multicentre randomized clinical trial. Pain. 2014;155(11):2426–2431. doi:10.1016/j.pain.2014.08.031 2. Slangen R, Schaper NC, Faber CG, et al. Spinal cord stimulation and pain relief in painful diabetic peripheral neuropathy: A prospective two-center randomized controlled trial. Diabetes Care. 2014;37(11):3016–3024. doi:10.2337/dc14-0684 3. Medtronic Pain Therapy Clinical Summary M221494A016 Rev B. United States; 2022. 4. van Beek M, Geurts JW, Slangen R, et al. Severity of neuropathy is associated with long-term spinal cord stimulation outcome in painful diabetic peripheral neuropathy: Five-year follow-up of a prospective two-center clinical trial. Diabetes Care. 2018;41(1):32–38. doi:10.2337/dc17-0983 5. Zuidema X et al. Long-term Evaluation of Spinal Cord Stimulation in Patients With Painful Diabetic Polyneuropathy: An Eight-to-Ten-Year Prospective Cohort Study. Neuromodulation. 2022 Dec 30:S1094-7159(22)01403-9. 6. Tarakji KG, Mittal S, Kennergren C, et al. Antibacterial Envelope to Prevent Cardiac Implantable Device Infection. N Engl J Med. 2019;380(20):1895-19057. Desai MJ, Hargens LM, Breitenfeldt MD, Doth AH, Ryan MP, Gunnarsson C, Safriel Y. The rate of magnetic resonance imaging in patients with spinal cord stimulation. Spine (Phila Pa 1976). 2015 1;40(9):E531-7.8. Mullins CF, Harris S, Pang D. A retrospective review of elevated lead impedances in impedance-dependent magnetic resonance-conditional spinal cord stimulation devices. Pain Pract. 2023;00:1–8 https://creativecommons.org/licenses/by/4.0/.9. Temel Y, Ackermans L, Celik H, et al. Management of hardware infections following deep brain stimulation. Acta Neurochir (Wien). April 2004;146(4):355-361.10. Pepper J. Zrinzo L, Mirza B, Foltynie T, Limousin P, Hariz M. The risk of hardware infection in deep brain stimulation surgery is greater at impulse generator replacement than at the primary procedure. Stereotact Funct Neurosurg. 2013;91(1):56-65.11. Tolleson C, Stroh J, Ehrenfeld J, Neimat J, Konrad P, Phibbs F. The factors involved in deep brain stimulation infection: a large case series. Stereotact Funct Neurosurg. 2014;92(4): 227-233.12. Thrane JF, Sunde NA, Bergholt B, Rosendal F. Increasing infection rate in multiple implanted pulse generator changes in movement disorder patients treated with deep brain stimulation. Stereotact Funct Neurosurg. 2014;92(6):360-364.13. Deer TR, Provenzano DA, Hanes M, et al. The Neurostimulation Appropriateness Consensus Committee (NACC) Recommendations for Infection Prevention and Management [published correction appears in Neuromodulation. July 2017;20(5):516]. Neuromodulation. January 2017;20(1):31-50.14. Mekhail NA, Mathews M, Nageeb F, Guirguis M, Mekhail MN, Cheng J. Retrospective review of 707 cases of spinal cord stimulation: indications and complications. Pain Pract. March-April 2011;11(2):148-153.15. Falowski SM, Provenzano DA, XIa Y, Doth AH. Spinal Cord Stimulation Infection Rate and Risk Factors: Results From a United States Payer Database. Neuromodulation. February 2019;22(2):179-189.16. Clifton M, Quirouet A, Pizarro-Berdichevsky J, et al. Infection rate after sacral neuromodulation surgery: a review of 1033 InterStim procedures. J Urol. April 2016;195(4S):851.17. Bjerknes S, Skogseid IM, Sæhle T, Dietrichs E, Toft M. Surgical site infections after deep brain stimulation surgery: frequency, characteristics and management in a 10-year period. PLoS One. August 14, 2014;9(8):e105288.18. Piacentino M, Pilleri M, Luigi Bartolomei L. Hardware-related infections after deep brain stimulation surgery: review of incidence, severity and management in 212 single-center procedures in the first year after implantation. Acta Neurochir (Wien). December 2011; 153(12):2337-2341.19. Hamani C, Lozano AM. Hardware-related complications of deep brain stimulation: a review of the published literature. Stereotact Funct Neurosurg. 2006;84(5-6):248-251.20. Hayek SM, Veizi E, Hanes M. Treatment-Limiting Complications of Percutaneous Spinal Cord Stimulator Implants: A Review of Eight Years of Experience From an Academic Center Database. Neuromodulation. October 2015;18(7):603-608. 21. Bendel MA, O'Brien T, Hoelzer BC, et al. Spinal Cord Stimulator Related Infections: Findings From a Multicenter Retrospective Analysis of 2737 Implants. Neuromodulation. August 2017;20(6):553-557. 22. Wexner SD, Hull T, Edden Y, et al. Infection rates in a large investigational trial of sacral nerve stimulation for fecal incontinence. J Gastrointest Surg. July 2010;14(7):1081-1089.15 23. Chen T, Mirzadeh Z, Lambert M, et al. Cost of Deep Brain Stimulation Infection Resulting in Explantation. Stereotact Funct Neurosurg. 2017;95(2):117-124.24. Provenzano DA, Falowski SM, Xia Y, Doth AH. Spinal Cord Stimulation Infection Rate and Incremental Annual Expenditures: Results From a United States Payer Database. Neuromodulation. April 2019;22(3):302-310.25. Medtronic data on file: Economic Impact of Infection Related to Neuro-Stimulator Implant. Study report prepared for Medtronic prepared by Optum, 2018/01/03.26. Garrigos ZE, Farid S, Bendel MA, Sohail MR. Spinal Cord Stimulator Infection: Approach to Diagnosis, Management, and Prevention. Clin Infect Dis. June 10, 2020;70(12):2727-2735. 27. Tarakji KG, Mittal S, Kennergren C, et al. Antibacterial Envelope to Prevent Cardiac Implantable Device Infection. N Engl J Med. May 16, 2019;380(20):1895-190528. Garrigos ZE, Farid S, Bendel MA, Sohail MR. Spinal Cord Stimulator Infection: Approach to Diagnosis, Management, and Prevention. Clin Infect Dis. June 10, 2020;70(12):2727-273529. Petersen EA, Stauss TG, Scowcroft JA, et al. Effect of High-frequency (10-kHz) Spinal Cord Stimulation in Patients With Painful Diabetic Neuropathy: A Randomized Clinical Trial. JAMA Neurol. April 2021. doi:10.1001/jamaneurol.2021.0538 Spinal Cord Stimulation Brief Summary INDICATIONS Spinal cord stimulation (SCS) is indicated as an aid in the management of chronic, intractable pain of the trunk and/or limbs-including unilateral or bilateral pain. CONTRAINDICATIONS Diathermy - Energy from diathermy can be transferred through the implanted system and cause tissue damage resulting in severe injury or death. WARNINGS Sources of electromagnetic interference (e.g., defibrillation, electrocautery, MRI, RF ablation, and therapeutic ultrasound) can interact with the system, resulting in unexpected changes in stimulation, serious patient injury or death. An implanted cardiac device (e.g., pacemaker, defibrillator) may damage a neurostimulator, and electrical pulses from the neurostimulator may cause inappropriate response of the cardiac device. Patients with diabetes may have more frequent and severe complications with surgery. A preoperative assessment is advised for some patients with diabetes to confirm they are appropriate candidates for surgery. PRECAUTIONS Safety and effectiveness has not been established for pediatric use, pregnancy, unborn fetus, or delivery. Avoid activities that put stress on the implanted neurostimulation system components. Recharging a rechargeable neurostimulator may result in skin irritation or redness near the implant site. ADVERSE EVENTS May include: undesirable change in stimulation (uncomfortable, jolting or shocking); hematoma, epidural hemorrhage, paralysis, seroma, infection, erosion, device malfunction or migration, pain at implant site, loss of pain relief, and other surgical risks. Adverse events may result in fluctuations in blood glucose in patients with diabetes. Refer to www. medtronic.com for product manuals for complete indications, contraindications, warnings, precautions and potential adverse events. Rx only. Rev 0422 TYRX™ Neuro Absorbable Antibacterial Envelope Brief Statement The TYRX™ Neuro Absorbable Antibacterial Envelope is intended to hold a vagus nerve stimulator, a spinal cord neuromodulator, a deep brain stimulator or a sacral nerve stimulator securely in order to create a stable environment when implanted in the body. The Neuro Antibacterial Envelope contains the antimicrobial agents Minocycline and Rifampin which, have been shown to reduce infection in an in vivo model of bacterial challenge following surgical implantation of a pulse generator. The Neuro Antibacterial Envelope is NOT indicated for use in patients who have an allergy or history of allergies to tetracyclines, Rifampin, or absorbable sutures. The Neuro Antibacterial Envelope is also NOT indicated for use in patients with contaminated or infected wounds, or Systemic Lupus Erythematosus (SLE). This device is intended to be used in conjunction with vagus nerve stimulators or deep brain stimulators implanted in the infraclavicular fossa, or in conjunction with spinal cord neuromodulators or sacral nerve stimulators implanted laterally to the body midline and slightly superior to the gluteal region. The use of this product in patients with compromised hepatic and renal function, or in the presence of hepatotoxic or renal toxic medications, should be considered carefully, because Minocycline and Rifampin can cause additional stress on the hepatic and renal systems. Patients who receive the Neuro Antibacterial Envelope and who are also taking methoxyflurane should be monitored carefully for signs of renal toxicity. Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

Last year, ADCES received funding from the Centers for Disease Control and Prevention toward work aimed at advancing access to diabetes education and prevention resources for those in underserved communities. In anticipation of updates on progress made thus far at this year's upcoming annual meeting, we're resharing a previous episode of The Huddle in which Angela Forfia from ADCES and Sarah Ann Piper from Emory Centers explained how this will come to life over the next 5 years. Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

On this episode of The Huddle, Miguel Johns, Co-Founder & CEO of mmnt and creator of Milton, discusses how the use of artificial intelligence (AI) can benefit health care professionals across the diabetes space and how this technology is growing and changing. Topics include addressing some of the current opportunities and challenges associated with AI in health care, how AI can provide improved clinical decision support, and where this technology may be headed in the future.Explore danatech here: Diabetes technology for healthcare professionals | Danatech (adces.org)For more information on Miguel or mmnt, visit Milton | Powered by MMNT (getmilton.com) Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

The decision on whether to screen yourself or loved ones for Type 1 diabetes risk can be a very personal one. In the last episode of a three-part series, we're joined by Laura Smith PhD, CDCES and Holly O'Donnell, PhD as they discuss the psychosocial factors to consider when talking about T1D screening—including the reasons why a person may or may not want to be screened and how to talk to children and their families about what a potential diagnosis means for them.Learn more about the Autoimmune Screening Study in Kids here: ASK Research Program / Autoimmunity Screening for Kids / Denver, CO (askhealth.org)Learn more about the Environmental Determinants of Diabetes in the Young study here: The Environmental Determinants of Diabetes in the Young (TEDDY) Web Site (usf.edu) Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

Registration for ADCES24 is now open! Each year, ADCES' annual conference brings together thousands of professionals in the diabetes care space, and this year's event is not one to miss! Conference chair Lisa Hodgson, RD, CDN, CDCES, FADCES joins The Huddle to share all of the exciting sessions and events to look forward to this year in New Orleans.  Learn more and register at ADCES24 (adcesmeeting.org) Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

Screening for Type 1 diabetes is crucial for earlier detection and management of the disease, but many people don't know that they should be screened or how to access that screening.  In the 2nd episode in our three-part series on T1D screening, University Hospital's Chief of Staff - Office of President & CEO, Franklin Hickey, PhD, RN, NEA, BC, Executive Director of Community and Population Health, Colette Barrow Adams, PhD, MPA, MDiv, and JDRF Patient Navigator, Courtney Harris joined The Huddle to talk about a partnership with JDRF that has allowed more than 1,000 people to be screened for early T1D in the underserved Newark, New Jersey area. They also discuss the importance of meeting people where they are and understanding barriers to access when looking to increase screening rates. Educational grant support for this episode is provided by Sanofi.Learn more about University Hospital here: Hospital Administration - University Hospital (uhnj.org)Lean more about JDRF here: JDRF - Diabetes - Type 1 Diabetes Research, Advocacy, and SupportLearn more about the partnership between University Hospitals and JDRF here: Inclusive Health: Creating Access to Type 1 Diabetes Screening in Underserved Communities (beyondtype1.org) Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

Chief Scientific and Medical Officer for the American Diabetes Association, Dr. Bob Gabbay, joined The Huddle live at ADCES' 2023 annual meeting in August. He touched on the challenges of addressing diabetes in primary care and the value of a DCES in this area, as well as the importance of active listening, perceived value, and engaging teaching styles when working with people with diabetes. Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.Learn more about ADCES and the many benefits of membership at adces.org/join.

Advanced practice dietitian Amy Hess Fischl MS, RD, LDN, BC-ADM, CDE joined The Huddle to talk about the various food factors that can impact glucose levels, how to help people with diabetes address and understand the factors that impact them most, and how people with diabetes may adjust their insulin doses based on these various factors.This podcast is being produced in collaboration with JDRF. JDRF works to improve the lives of individuals living with T1D by providing meaningful educational resources for health care professionals and community members. See a full list of factors that can impact glucose levels on Diatribe here: 42 Factors That Affect Blood Glucose?! A Surprising Update (diatribe.org)Learn more about JDRF here: JDRF - Diabetes - Type 1 Diabetes Research, Advocacy, and Support  Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast. Learn more about ADCES and the many benefits of membership at adces.org/about-us/membership.

Addressing the inequities that exist in diabetes care relies on each and every one of us in the diabetes space. On this episode of The Huddle, we spoke with Dr. Osagie Ebekozien, Chief Medical Officer at the T1D Exchange and award-winning researcher. Dr. Ebekozien talked about T1D Exchange's Health Equity Advancement Lab (HEAL) and it's work in advancing health equity for underserved populations. He also outlines actionable steps, no matter how big or small, that DCES across the country can take to advance this work in their practices.Please note, this podcast was originally recorded in 2023, and host Sacha Uelmen has since moved on from ADCES to pursue another professional opportunity.Learn more about T1D Exchange here: T1D Exchange Homepage - T1D Exchange and learn more about the Health Equity Advancement Lab specifically here: HEAL - T1D ExchangeStay up to date on diabetes advocacy initiatives here: Diabetes Advocacy (adces.org)Dive deeper into health equity research at the links below:Addressing type 1 diabetes health inequities in the United States: Approaches from the T1D Exchange QI CollaborativeAchieving Equity in Diabetes Research: Borrowing From the Field of Quality Improvement Using a Practical Framework and Improvement ToolsEquitable Post-COVID-19 Care: A Practical Framework to Integrate Health Equity in Diabetes Management Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast. Learn more about ADCES and the many benefits of membership at adces.org/about-us/membership.

Live at ADCES23, ADCES Immediate Past President Lucille Hughes, DNP, MSN/Ed, CDCES, BC-ADM, FADCES joined The Huddle to introduce ADCES's new strategic plan, and to explain the importance of community involvement and knowing your worth when it comes to diabetes care and education.View ADCES' full 2024-2028 full strategic plan here: adces-strategic-plan.pdf (sitefinity.cloud)Learn more about the plan in this series of blogs: Advance the Expertise of the DCES: A Core Goal of the 2024-28 ADCES Strategic PlanStrategic Plan Goal #1: Improve Access to Diabetes Care and Education: A Strategic Focus for 2024 and Beyond (adces.org)Growing and Diversifying ADCES Membership: A Longstanding Domain in Strategic Priorities Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle/podcast. Learn more about ADCES and the many benefits of membership at adces.org.

Understanding the ins and outs of Type 1 diabetes and its stages is key in accurately screening for and managing the disease. In the first of a three-part series, we're joined by Associate Vice President of T1D Education and Clinical Implementation at JDRF and 2023 Diabetes Educator of the Year Anastasia Albanese-O'Neill, PhD, APRN, CDCES. In this episode, Dr. O'Neill talks about common misconceptions of T1D, as well as the stages of T1D and the importance of evaluating and understanding these stages when diagnosing and working with people and families affected by T1D.  Educational grant support for this episode is provided by Sanofi. Learn more about T1D risk screening and additional resources on JDRF's website: https://www.jdrf.org/t1d-resources/t1detect/ Learn more and gain access to T1D screening kits via TrialNet: https://www.trialnet.org/ or ASK: https://www.askhealth.org/?_ga=2.144097589.1682361371.1702935724-1205645336.1702935724 Learn more about the Search for Diabetes in Youth study here: SEARCH FOR DIABETES IN YOUTH Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle/podcast. Learn more about ADCES and the many benefits of membership at adces.org.

The continued advances being made in diabetes technology are exciting, but for some they may also be intimidating. Certified diabetes care and education specialist Dr. Eligio David Soliman Jr. joins The Huddle to talk about lower-tech insulin delivery options, the differences between these options, and how low-tech delivery can benefit the lifestyles of certain people with diabetes.

Debbie Hinnen APN, BC-ADM, CDCES, FAAN joins The Huddle to share her expertise and experiences starting patients with type 2 diabetes on injectable, non-insulin therapies. We will cover topics like how to have a conversation with someone who may have concerns about starting a patient on an injectable, setting realistic expectations, storage and side effects.   Disclosures:  Speaker/Consultant for Eli Lilly and Company, Boehringer Ingelheim, Novo Nordisk, Intuity This podcast was developed in partnership with Eli Lilly and Company. Resources:  Download a patient-focused tipsheet that complements the topics covered in this podcast.  https://www.adces.org/docs/default-source/handouts/cvd/60-23_tipsheet-startstaynoninsulininjectable-9.pdf?sfvrsn=7f11759_5 1. https://pi.lilly.com/us/trulicity-uspi.pdf2. https://www.bydureon.com/bydureon-bcise.html3. https://www.novo-pi.com/victoza.pdf4. https://www.novo-pi.com/ozempic.pdf5. https://www.novo-pi.com/rybelsus.pdf6. https://pi.lilly.com/us/mounjaro-uspi.pdf?s=pi7. Triplitt & Solis-Herrera.  The Diabetes Educator. 2015;41:S228. De Block et al.,  DOM. 2023;25:39. Frias et al., Lancet Diabetes Endocrinol. 2021;9:56310. Jendle et al., Diabetes Metab Res Rev. 2016;32:77611. El Sayed et al., Diabetes Care. 2023;46:S140

Amy Hess Fischl MS, RD, LDN, BC-ADM, CDE joins the Huddle to share her expertise and experiences providing support to patients with type 2 diabetes as they are experiencing weight reduction while on injectable, non-insulin therapies.  We will cover topics like patient experiences with changes in appetite and food intake, nutritional counseling for people experiencing weight reduction and emphasizing the importance of exercise as well.   Disclosures:  Speaker for Abbott Diabetes Care, Insulet, Xeris Pharmaceuticals This podcast was developed in partnership with Eli Lilly and Company. Resources: Download a patient-focused tipsheet that complements the topics covered in this Huddle podcast.  59-23_tipsheet-losingweight-7.pdf (adces.org) El Sayed et al., Diabetes Care. 2023;46:S128Galgani & Ravussin Int J Obesity. 2008;32:S109Morselli et al., Best Practice & Research Clinical Endocrinology & Metabolism. 2010;24:687Garber. DOM. 2012;14:399Hall & Kahan. Med Clin North Am. 2018;102(1):183El Sayed et al., Diabetes Care. 2023;46:S68El Sayed et al., Diabetes Care. 2023;46:S140https://pi.lilly.com/us/trulicity-uspi.pdfhttps://www.bydureon.com/bydureon-bcise.htmlhttps://www.novo-pi.com/victoza.pdfhttps://www.novo-pi.com/ozempic.pdfhttps://www.novo-pi.com/rybelsus.pdfhttps://pi.lilly.com/us/mounjaro-uspi.pdf?s=piHeise et al., Diabetes Care. 2023;46(5):998ten Kulve et al., Diabetes Care. 2016;39:214U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2020-2025. 9th Edition. December 2020

A lot of disinformation exists concerning how to safely exercise while living with diabetes, particularly Type 1 diabetes. Ginger Vieira, athlete and author of "Exercise with Type 1 Diabetes: How to exercise without scary lows or frustrating highs", joins The Huddle to discuss how to help people with diabetes feel empowered to exercise while managing their potential high and lows.Resources:  Learn more about Ginger and her work on her website: https://www.gingervieira.com/Access Ginger's book on exercise and Type 1 diabetes here: https://www.amazon.com/Exercise-Type-Diabetes-exercise-frustrating/dp/B0BYGNFQ47/

ADCES' Diabetes Technology Conference is coming up December 1-2 in Chicago! We're joined by conference co-chair Gary Scheiner, MS, CDCES as he shares all the exciting things to look forward to at this year's event—including hands-on device trainings and educational tracks for different experience levels. Resources:Register for the 2023 Diabetes Tech Conference here: https://diabetestechconference.org/Learn more about diabetes technology overall on danatech: Diabetes technology for healthcare professionals | Danatech (diabeteseducator.org)

Endocrinology nurse practitioner Brad Hise joins this episode of The Huddle to discuss all things related to basal insulin. Brad touches on how to titrate basal insulin, ensuring that a person's insulin injection technique is effective, and how to support people on insulin in persisting with their medication routine.Educational support for this episode is provided by Sanofi.

Episode Summary:Angela Forfia from ADCES and Sarah Ann Piper from Emory Centers joined us live at ADCES23 to talk about an exciting new partnership on a grant offered by the Centers for Disease Control and Prevention. The grant will focus on advancing access to diabetes education and prevention resources for those in underserved communities. Hear as Angela and Sarah explain how this will come to life over the next 5 years.Resources:Learn more about the MATCH grant and ADCES's role here: Association of Diabetes Care and Education Specialists to participate in $50 million cooperative agreement to expand diabetes prevention efforts. (diabeteseducator.org)Learn more about Emory Centers here: Home - Emory Centers for Public Health Training and Technical Assistance

Read our recent blog, Three Heads Are Better Than One: The Effect of New CMS Measures on Nurses, Dietitians, and Certified Diabetes Care and Education SpecialistsWant to learn more about Glytec's eGlycemic Management System®? Get additional resources for diabetes care and education specialists here.See the next evolution of GlucoMetrics® in action and check out our latest enhancements.Visit the Glytec at Booth #1915 at ADCES23 to meet the team and get your questions answered.

To learn more about this initiative, visit bridgingthegapdiabetes.orgFor more information on the project, read this Journal of General Internal Medicine article: Integrating Medical and Social Care to Reduce Diabetes Inequities: Lessons from the Bridging the Gap Program | SpringerLink

To learn more and register for this year's annual conference, visit adcesmeeting.org.To learn more about ADCES's 50th anniversary and hear stories from our members, visit ADCES 50th Anniversary (diabeteseducator.org)To become a member of ADCES, visit diabeteseducator.org/join

To learn more about diabetes camps and find or support camps near you, visit the Diabetes Education & Camping Association at: Diabetes Education & Camping Association – Uniting the Global Diabetes Camping Community through Education and Leadership (diabetescamps.org)To access training modules provided by the American Diabetes Association, visit: American Diabetes Association | Research, Education, Advocacy

Jennifer Okemah, MS, RDN, BCADM, CDCES, CSSD, shares her experience running diabetes programs and flipping them from cost centers into revenue generators. The episode is full of practical tips diabetes care and education specialists can use to leverage their role as diabetes technology experts for new streams of revenue. She also shares tips on how you can track performance to demonstrate the value you bring to your health system. Resources:Learn more about the ADCES Annual Conference: ADCESmeeting.orgMore resources to help you demonstrate your value: DiabetesEducator.org/ValueJennifer's website: www.salutenutritionPLLC.comJennifer' LinkedIn: (10) SALUTE NUTRITION, PLLC: Overview | LinkedInJennifer's Instagram: Salute Nutrition, PLLC (@salutenutrition.pllc) • Instagram photos and videosJennifer's Facebook: Salute Nutrition, PLLC | FacebookADCE Accreditation and Reimbursement Boot Camps: DiabetesEducator.org/Reimbursement

As CGM technology continues to evolve, it's important that those working with people with diabetes understand the different devices available and how to help people find the best fit for them. Celia Levesque, an advanced practice provider for the Department of Endocrine Neoplasia and Hormonal Disorders at M.D. Anderson Cancer Center in Houston, TX, joins The Huddle to discuss the latest updates in the world of CGM technology, as well as advances that she would like to see in the future and how to help people with diabetes find the device that best fits their needs.ResourcesFor more information about CGM options, visit danatech.org.To view all CGMs currently available, visit our find & compare CGMs page: CGM l Compare CGM Features l danatech (diabeteseducator.org)Will insurance cover a CGM? Find out with our free CGM insurance lookup tool at: CGM Insurance Coverage Look-Up Tool (diabeteseducator.org)Interested in training on the devices mentioned in this podcast? Visit our danatech device training page for current and future training events.

Thomas Blevins, MD, an Endocrinologist from Texas Diabetes and Endocrinology in Austin, TX, joins The Huddle to talk about interchangeable biosimilar insulin. We discuss what interchangeability means and the evidence supporting it. You'll also hear about the options interchangeable biosimilar insulin presents for healthcare systems and people with diabetes.This episode is sponsored by ViatrisResourcesWebinar on Interchangeable Biosimilar Insulin (Free and non-CE):  The New Frontier of Interchangeable Biosimilar Insulins  - bit.ly/3vxUWZ1Tip Sheets on Interchangeable Biosimilar Insulin in English Viatris_Tip_Sheet_v3_04202022 (diabeteseducator.org) and Spanish Viatris_Tip_Sheet_v3_04202022_spa (diabeteseducator.org)Insulin delivery resources from ADCES: www.DiabetesEducator.org/InsulinBlevins, T. C., Barve, A., Raiter, Y., Aubonnet, P., Athalye, S., Sun, B., & Muniz, R. (2020). Efficacy and safety of MYL-1501D versus insulin glargine in people with type 1 diabetes mellitus: Results of the INSTRIDE 3 phase 3 switch study. Diabetes, obesity & metabolism, 22(3), 365–372. https://doi.org/10.1111/dom.13904Viatris website: http://www.viatris.com

On this episode of The Huddle we talk to Mary Lou Perry, who brings more than 30 years of experience in the area of diabetes nutrition clinical practice and was appointed to the ADA Professional Practice Committee last March. Mary Lou shares how others can be a part of the committee, a few key highlights from the 2023 ADA Standards of Care, and examples of how the updated standards can be applied in practice.Resources:To read the full 2023 Standards of Care, visit: https://diabetesjournals.org/care/issue/46/Supplement_1To watch an ADCES webinar that dives a bit deeper into the Standards of Care, visit: http://send.adces.org/link.cfm?r=5gLLYpGIeV6Y9dpuQo-W2A~~&pe=IajtqA5LETl6XmGrk0YTISnsQijzMKrfWkc79cPqpTRNp3eEShKQUAVzFBrLt-EYJga4sPUlv60Ad-aq--2vbw~~&t=VmwSIkiOmBxB5rwPQvGKrw~~To apply to be a part of an ADA committee, visit: https://diabetes.org/about-us/who-we-are/applications/national-committees-call-applicationsFor ADA public comment, visit: professional.diabetes.org/SOC

Chief Executive Officer of the Certification Board for Diabetes Care and Education Specialists(CBDCE) Sheryl Traficano, MBA, CAE, answers common questions about eligibility and requirements for the Certified Diabetes Care and Education Specialist (CDCES) credential. Tune in to get a better understanding of the requirements for hours, and how to accrue them. You'll also hear about scholarship opportunities and how to apply for them.Resources:Learn more about the credential, including how to apply for and take the exam, at www.CBDCE.org. Access study resources for the exam at www.DiabetesEducator.org/CDCES. Access the current Certification Exam handbook from the Certification Board for Diabetes Care and Education (CBDCE) at  https://www.cbdce.org/documents/20123/66178/CBDCE-exam-handbook_Current.pdf/8e2fda09-9289-947c-7587-712a4e74f10a?t=1588269156519Episode #52: How to Become a Certified Diabetes Care and Education Specialist: Requirements, Study Tips, Renewal Process and More: https://thehuddle.simplecast.com/episodes/how-to-become-a-certified-diabetes-care-and-education-specialist-requirements-study-tips-renewal-process-and-moreCBDCE Scholarships: www.cbdce.org/scholarships

Allyson Hughes, PhD, is an assistant professor at Ohio University's Diabetes Institute. She's a research psychologist by training but has developed a unique ability to turn data into policy change. You'll hear about her unique perspective as a researcher and person with diabetes and get some direction on how you can leverage your research or findings for real change in the world of policy.Show NotesT1D Exchange https://t1dexchange.org/Quality Improvement Collaboration through T1D Exchange: https://t1dexchange.org/quality-improvement/collaborative/Learn more about the ADCES Annual Conference at www.ADCESmeeting.orgGet involved with ADCES Advocacy and Virtual Hill Day at www.diabeteseducator.org/advocacyLearn more about research at ADCES at www.diabeteseducator.org/researchLearn more about diabetes technology at www.Danatech.org

Beyond Type 1 is a global leader in the diabetes community with trustworthy resources on all aspects of diabetes, including healthcare. Julia Flaherty is a content manager at Beyond Type 1 with 20 years of experience living with type 1 diabetes. She's faced her share of frustrations navigating healthcare and is here to share valuable information and resources that help address the pain points people with diabetes experience when it comes to healthcare coverage.Resources:Beyond Type 1: beyondtype1.orgBeyond Type 2: beyondtype2.org(Blog) Health Insurance 101: Selecting The Right Plan For Managing Type 2 DiabetesSuite of T1D  insurance resources: https://beyondtype1.org/insurance-type-1-diabetesSuite of T2D insurance resources: https://beyondtype2.org/insurance-type-2-diabetesHealthcare glossary: https://beyondtype1.org/healthcare-glossaryInsulin affordability resources: www.Getinsulin.orgBeyond Type 1 Mental health resources: https://beyondtype1.org/mental-healthBeyond Type 2 mental health resources: https://beyondtype2.org/mental-healthHaving Healthcare Cost Conversations to Improve Patient Outcomes: A Practical Guide: https://www.diabeteseducator.org/news/perspectives/adces-blog-details/adces-perspectives-on-diabetes-care/2022/02/07/cost-conversations-to-improve-outcomes

Cari Berget, MPH, RN, CDCES, joins The Huddle to discuss the Omnipod® 5 Automated Insulin Delivery system. We're tapping into her expertise and involvement in clinical trials that used the Omnipod 5 to bring you the practical tips. Tune in to learn who is best suited for automated insulin delivery systems like the Omnipod 5 and how to onboard people with diabetes who would benefit from the Omnipod 5 system.This episode is sponsored by Insulet, makers of the Omnipod 5 System.Resources:  Cari Berget, Jennifer L. Sherr, Daniel J. DeSalvo, Ryan S. Kingman, Sheri L. Stone, Sue A. Brown, Alex Nguyen, Leslie Barrett, Trang T. Ly, Gregory P. Forlenza; Clinical Implementation of the Omnipod 5 Automated Insulin Delivery System: Key Considerations for Training and Onboarding People With Diabetes. Clin Diabetes 1 April 2022; 40 (2): 168–184. https://doi.org/10.2337/cd21-0083 Learn more about the Omnipod 5 system: www.omnipod.com/what-is-omnipod/omnipod-5ADCES Insulin Resources: www.DiabetesEducator.org/InsulinDelivery