Blogs

Be the first person to recommend this.
Check out the below fall reminders about local diabetes walks, license renewals, and the November WPLNG conference at Rivers! ADA Step Out Walk Saturday, October 15th Registration opens at 8:00am North Shore Riverfront Park Great Lawn 393 North Shore Drive, Pittsburgh PA 15212 Contact: Clay Rehm crehm@diabetes.org (412) 824-1181 JDRF One Walk October 29, 2022 10:00AM - Festivities, 11:30AM - WALK Length of walk: 2 miles North Park Swimming Pool (Parking Lot) S Ridge Drive Pittsburgh, PA 15101 Contact: Carling Nolan cnolan@jdrf.org | 412-756-3509 PA License Renewals License Renewal Deadline Extensions: ...
0 comments
Be the first person to recommend this.
Did You Know? Did you know that more than 3,000,000,000 boluses have been delivered from the Tandem t:connect mobile app since it’s release? Help your patients and your office appreciate the benefits of utilizing the latest technology from Tandem Diabetes Care. Have real time data available to you without having to plug the pump into a computer. Help Tandem help your patients continue to ease the burdens of diabetes by utilizing this amazing tool. Here is how to help your patients get started. HEY Tandem X2 Insulin Pump Users! Enjoy the Freedom to Bolus Directly From Your Smartphone! 1: Download the t:connect mobile app Search t:connect ...
0 comments
Be the first person to recommend this.
Out with the old, in with the new: Lilly to discontinue glucagon emergency kit. How to use: https://uspl.lilly.com/glucagon/glucagon.html#ug As you can see there are many steps to preparing a glucagon kit – time is of the essence in an emergency situation! With more modern and ready-to-use glucagon options now available, Lilly will be discontinuing the old, red Glucagon Emergency Kit (GEK) in all markets. The phase out will begin December 31, 2022. The generic GEK will still be available from Amphastar Pharmaceuticals . What is Glucagon? Glucagon is a hormone the human body produces to prevent low blood sugar—but in people with diabetes, ...
3 comments
Be the first person to recommend this.
Lilly has just announced that it will discontinue manufacturing its Glucagon Emergency Kits. Read why the company took this step and what your options are to access glucagon. The Glucagon Emergency Kit is an iconic piece of diabetes equipment that people with type 1 relied on for many decades. The kits themselves were a bright, ugly orange and included two separate vials and a long needle. They were not easy to use, and the people who did use them often felt nauseous afterward. But they kept many people alive and therefore will forever be cherished. In light of this announcement from Lilly, we review why glucagon is an important part of your diabetes toolkit ...
0 comments

32 Years Ago Today ADA

Be the first person to recommend this.
Happy ADA day! The Americans with Disability Act (ADA) was signed into law 32 years ago today. The White House issued a statement yesterday regarding this declaration of equality stating, “this landmark legislation has been a driving force in moving America closer to the promise of equal opportunity, full participation, independent living, and economic self-sufficiency for the 61 million individuals with disabilities in our country.” The issues regarding health care access for people with disability are well described here: https://adata.org/research_brief/health-care-access-and-ada . I hear stories with almost every customer about the struggles with ...
0 comments

Joining Local ADCES Group

Be the first person to recommend this.
Hi everyone! I am a new member to the local ADCES group and wanted to share my initial impression for others thinking of joining and the long-time members as well. Coming from a background of inpatient/outpatient and then an industry role, I have found the variety of professional experience and the community in this group very encouraging for the field of diabetes and for me personally. I hope that we in this group can all lean on each other for support as healthcare burnout is high and we have so much to gain from supporting and learning from each other! - Jodi Ewing
1 comment
3 people recommend this.
Since my previous Public Health COI blog posts about food addiction (on January 13, 2020 and February 3, 2020) I’ve been incorporating information from the scientific literature (obtained via ongoing PubMed Alerts on this topic) into multiple professional presentations. Below are some brief summaries of newer points along with my personal musings from ongoing scientific and popular readings. The ongoing debate about alternative names for “food addiction” continued with someone suggesting “food use disorder”, while someone else complained that this term failed to capture the differentiation of highly processed foods being most implicated in the phenotype. ...
4 comments

Omnipod 5

Be the first person to recommend this.
Omnipod 5 Now Available! The much-anticipated Insulet’s Omnipod 5 is now available! I wanted to provide an brief overview of the system: Features of the system include Smart Adjust technology to proactively adjust insulin every 5 minutes working towards a customizable target selected by the user (which can be between 110-150mg/dl). The system can have up to 8 targets during the day if the person would prefer to have the lower target overnight and slightly higher one during the day as an example. The system also includes Smart Bolus calculator which will consider the CGM blood sugar with trend (this can be in manual or automated mode). The CGM trend ...
2 comments
Be the first person to recommend this.
T2DM management complicated by gastroparesis Prepared by: Courtney Cameron, PharmD, PGY2 Ambulatory Care Pharmacy Resident, Boston Medical Center. Reviewed by: Katelyn O'Brien, PharmD, BCPS, CDCES Clinical Pharmacy Specialist, Boston Medical Center. What is diabetic gastroparesis? Gastroparesis is an autonomic neuropathic complication that more commonly affects individuals with T1DM or longstanding T2DM and may occur as a result of damaged nerves within the enteric nervous system. 1,2 It is estimated that 20-50% 3 of individuals with diabetes are affected by gastroparesis, while 30% of individuals with gastroparesis have comorbid diabetes 4 . Gastroparesis ...
0 comments
Be the first person to recommend this.
Hi everyone ADCES NJ had a great annual meeting and we have more programs in store this year moving forward I would like to thank the exhibitors/corporate sponsors that supported us at the annual meeting on May 13th Insulet, Mannkind, Ascensia, Life Scan, Novo Nordisk, Xeris, Medtronic, Dexcom, Abbott, CHC Solutions, Tandem, BD/Embecta, Astra Zeneca, Intuitive, Senior Moments Medicare solutions, Simplicity I will also like to thank the Board and the Coordinating Body for the hard work in putting the annual meeting together. This event and any other event would not be a success without you Johanna Burani (Annual meeting chair), Nancy Rhodes (Awards chair), ...
0 comments
Be the first person to recommend this.
Being a new member of ADCES has been such a wonderful experience. Not only has it brought me new friends, but it has also provided me with so much knowledge. I leave every meeting a little bit wiser regarding different aspects of this industry. I have thoroughly enjoyed being a member thus far, and plan to continue to be a member for years to come. What are some of the highlights of your time as an ADCES member? - Brigitta Fieldhammer
0 comments

Case Study - WPLNG Blog

Be the first person to recommend this.
This is an interesting patient who I recently had. Patient is a 36 year old male who developed pancreatitis in 2008 and experienced multiple flare ups over the course of 5 years. After many studies and follow-ups with specialists there was no underlying cause determined. In 2013 the patient had pancreatitis which resulted in pancreatic failure with necrotizing tissue present. Patient underwent a total pancreatectomy with islet cell transplant in 2013. Post surgery the patient required insulin short term but has not had any intervention over the last 10 years. Labs obtained: c-peptide: 0.94 ng/mL HbA1c: 6.2% Fasting glucose: 126 mg/dL Dexcom ...
1 comment
1 person recommends this.
Currently, inflation is on the rise and it could be getting harder and harder for our patients to be able to afford the tools they need to appropriately manage their diabetes. Gas prices, grocery prices, and prices on everyday necessities are increasing daily while our patient's incomes are not increasing causing burden. Below are some useful tips that educators could share on how to save money and still treat diabetes appropriately: Medications: FREE and discounted medications at Sam's Club (discounted medications with regular membership and some FREE medications with plus membership) https://www.samsclub.com/pharmacy/rxsavingsDiscounted ...
1 comment
Be the first person to recommend this.
May is mental health awareness month. Many people with diabetes and many people with disability deal with diabetes distress, depression, anxiety, or other mental health challenges. I have learned that I must ask questions and often build a different self-care plan for when their mental illness is most impacting them. I cannot have the same expectations as when they are feeling like themselves. Yet other times I must accept that the individual identifies with their disability and that they see their diagnosis as a big part of who they are. In those cases, I try to see how they identify with diabetes and how they can implement healthy behaviors. When working ...
1 comment

Free CEUs through ADCES

Be the first person to recommend this.
If you're looking for opportunities for free or low-cost CEUs, check out the ADCES resources available! Below are self-paced options that are free to ADCES members. Continuous Glucose Monitoring: Real World Case Studies in Pattern Management (4.5 hours) Putting Continuous Glucose Monitoring (CGM) into Practice: Certificate Program (7.5 hours) The Art of Telehealth (6.5 hours) Also, don't forget to register for our upcoming local programs! Are there any other good ADCES resources for CEUs you have found lately? - WPLNG Board
1 comment
Be the first person to recommend this.
Did you see the publication in JAMA Network Open on February 23, 2022 titled, “Analysis of Severe Hypoglycemia Among Adults with Type 2 Diabetes and Non-alcoholic Fatty Liver Disease”? Key points Question: Is nonalcoholic fatty liver disease (NAFLD) associated with severe hypoglycemia in individuals with type 2 diabetes? Findings: In cohort study of more than 1.9 million individuals, participants with type 2 diabetes and NAFLD without cirrhosis had an approximately 26% increased risk of severe hypoglycemia after adjustment for multiple clinical covariants. Meaning: Knowledge of the association of NAFLD with severe hypoglycemia in adults with type 2 diabetes, ...
0 comments
Be the first person to recommend this.
FDA approves 2mg dose of Ozempic (semaglutide) for T2DM Titration: 0.25mg weekly x 4 weeks (to avoid GI side effects) 0.5mg weekly as maintenance dose, if tolerating after 4 weeks and need additional glucose control, may increase to 1mg weekly. After 4 weeks if tolerating, may increase to 2mg weekly. Dosage forms: 2mg/1.5mL pen: 0.25mg or 0.5mg doses 4mg/3mL pen: 1mg doses 8mg/3mL pen: 2mg doses Trial Data – SUSTAIN FORTE:Efficacy and Safety of once weekly semaglutide 2mg vs 1mg in patients with T2DM; double blind, randomized trial In the SUSTAIN FORTE trial, people with an average starting A1C of 8.9% treated with Ozempic ® 2 mg achieved a ...
0 comments
Be the first person to recommend this.
Diabetes and Ramadan - 2021 Practical Guidelines from International Diabetes Federation (IDF) and the Diabetes and Ramadan International Alliance (DAR) https://www.daralliance.org/daralliance/idf-dar-practical-guidelines-2021/#:~:text=A%20cornerstone%20of%20managing%20diabetes,episodes%20of%20low%20blood%20glucose . ADCES Fasting Tip Sheet: https://www.diabeteseducator.org/docs/default-source/practice/educator-tools/fasting_tip_sheet.pdf?sfvrsn=2 When is Ramadan: Saturday April 2- Sunday May 1 What is Ramadan: a holy month for Muslims during which time the consumption of food or drink is forbidden between dawn and dusk Iftar: sunset meal ...
0 comments
Be the first person to recommend this.
Depending on where you live in the United States, daylight savings time is here once again. It has pros and cons. Some people don’t like losing an hour of sleep, yet others like the extra daylight. The time change can impact circadian functions, which intern can lead to dysfunction and metabolic, behavioral and cognitive abilities. This can throw off not only sleep cycles, but blood glucose levels. If in the days and weeks to come, you are helping a person problem solve variable blood glucose levels, think about the following: 1. Did the person change the time on their insulin pump? 2. Is their body still having metabolic/hormonal changes while adjusting ...
1 comment
Be the first person to recommend this.
In a recent Huddle podcast , there continues to be a clear need for CDCES research and implementation science. Putting evidence into practice is core to the cross functional care of the patient living with diabetes and essential for positive patient outcomes. CDCES can lead clinical practice by engaging stakeholders and developing champions for this important work. Understanding the community and developing advocates for implementation science is core to successful execution in this research. Moreover, this continues to bolster the value of the CDCES role in research and impact to patient care. - WPLNG Board
0 comments