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Many of our patients are making up for lost time and traveling again. In case you’re getting travel questions, it can be helpful to review tips from the pump and CGM companies, as well as these travel tips from the CDC. https://www.cdc.gov/diabetes/library/features/traveling-with-diabetes.html What resources have been helpful to you? What are you hearing from your patients about their recent travel experiences?
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In a March 2021 Massachusetts General Hospital news release, reported by Health Day News, some positive results were reported concerning protection to newborns by maternal COVID- vaccine recipients. Report as follows: March 25, 2021 Pregnant Women Pass on COVID Vaccine Protection to Newborns In some good news to emerge from the coronavirus pandemic, new research shows that pregnant women and new breastfeeding moms have a strong immune response to COVID-19 vaccines and can transfer that immunity to their infants. The study included 131 women of reproductive age (84 pregnant, 31 lactating and 16 not pregnant) who received ...
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On July 13, the Centers for Medicare & Medicaid Services (CMS) released the Medicare Physician Fee Schedule (MPFS) proposed rule for calendar year 2022, which outlines the proposed Medicare payment rates for 2022 and addresses other provisions including updates to the Medicare Diabetes Prevention Program (MDPP) and the Medical Nutrition Therapy (MNT) benefit. The proposed changes will be finalized in early November 2021 and will apply to Medicare Part B services furnished on or after January 1, 2022. The proposed rule is open for comment through September 13, 2021. ADCES is conducting a full analysis of the proposed rule and will submit comments to CMS ...
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Centers for Medicare & Medicaid Services (CMS) have announced some adjustments to their CGM policy that will go into effect on July 18 th . Historically, Medicare required patients to test their blood sugar 4x/day to be a candidate for CGM. The new policy has removed all BG testing requirements. Patients still need to be taking insulin at least 3 times a day or using an insulin pump. Previously, the criteria only including insulin via injections, however, the new policy adds inhaled insulin to the approved methods of insulin delivery. The new policy can be found at https://www.cms.gov/medicare-coverage-database/details/lcd-details.aspx?lcdid=33822 ...
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Can’t find a resource, need an answer to a burning question, looking to create a new education document….. Look no farther than the ADCES Connect site. This site gives you access to Communities of Interest and Practice Area Discussion list. Don’t reinvent the wheel with documents and educational needs. Reach out to a vast array of professional that are willing to share their knowledge, experiences, and documents to help you. Join as many areas as you want to get updates on what people are talking about and learn what others are doing in their institutions. This is a great way to connect with colleagues from other states and professions. So, what are you waiting ...
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Join the ADCES Advocacy Committee for their next Advocacy Townhall call on Tuesday, August 24 from 1:00-2:00pm CT/ 2:00-3:00pm ET/ 11-12pm PT. No registration required. Note, this meeting has been rescheduled from July 27. On this call, we'll be joined by representatives the College Diabetes Network who will be discussing their advocacy efforts and opportunities for collaboration. We’ll also discuss federal legislation, like the reintroduction of the Expanding Access to DSMT Act and bills to permanently expand telehealth, as well as recent updates to the Medicare clinical coverage criteria for CGMs and the Medicare Physician Fee Schedule proposed rule ...
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Hepatitis B Vaccine in Older Individuals with Type 2 Diabetes Lourdes Cross, PharmD, BCACP, CDCES Key Takeaways HBsAg/CpG (Heplisav-B) is a single-antigen hepatitis B vaccine with a immunostimulatory sequence adjuvant administered as 2 doses, 1 month apart. HBsAg/CpG provides higher rates of seroprotection against hepatitis B virus versus 3-dose HBsAg/alum (Engerix-B) in patients aged 60-70 years with type 2 diabetes. Adverse events and deaths are comparable in both groups. Introduction Although hepatitis B is a vaccine-preventable disease, hepatitis B virus (HBV) infection remains a major public health issue. Adults with diabetes are at ...
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With the nice weather in Western PA many of us are enjoying the long-awaited engagement in OUTDOOR activities. Listed are a few related self-management bits for people with diabetes. Make sure to scrub the skin well 3 times with alcohol wipe before applying a sensor or infusion set. Oily skin, dry skin or sweat can cause adhesion loss of the tape. Use an over patch or medical tape on your sensor to help keep the sensor on (even if not usually needed). Get a waterproof case to store your pump in for when you need to take it off to go swimming. If it is very hot, throw the entire case into the cooler that holds your food so it doesn't overheat in the ...
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As we have been made aware, diabetes is a global issue with approximately 34.2 million people in the US alone that have diabetes with about 7 million people undiagnosed. There are also approximately 88 million people who have prediabetes. By 2050 it is estimated that about 1 out of every 3 Americans will be diagnosed with Type 2 diabetes. Knowing that a diabetes diagnosis is only going to increase in the US, especially where food is very accessible and not always the healthier options, we as diabetes educators should be working on adding some additional strategies to help these patients. One such option would be to consider a plant-based diet. This lifestyle ...
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Stop the Madness of Glucocorticoid-Induced Hyperglycemia! A Brief Review Steven Perzanowski, PharmD Candidate 2021 1 Alicia Len, PharmD Candidate 2021 1 Kam Capoccia, PharmD, BCPS, CDCES, Professor of Community Care 1 1 Western New England University College of Pharmacy and Health Sciences Incidence Glucocorticoids have many indications for both acute and chronic disease states and are associated with increased risk for glucocorticoid-induced hyperglycemia in people with and without diabetes. It’s estimated that about 40%-50% of all inpatient consults to endocrinology service are for new or worsening diabetes caused by glucocorticoid initiation. 1 ...
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Is Weight Bias and Weight Stigma a Public Health Problem? Megrette Fletcher M.Ed., RDN, CDCES In 2005, Dianne Neumark-Sztainer asked, " Can we simultaneously work toward the prevention of obesity and eating disorders in children and adolescents? " She noted weight-related issues are not in isolation. Ten years ago, Eric Stice , Ph.D., C. Nathan Marti , Ph.D., and Shelley Durant , B.S. concluded, "There is a growing body of scholarship that acknowledges that these weight-related domains are in fact related: obesity and eating disorders co-occur in individuals and have risk factors in common." ( Stice, et al., 2011 ) What are these commonalities? This ...
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Once Weekly Insulin Icodec Article Review Austin Rich, PharmD, Sullivan University College of Pharmacy & Health Sciences In an article by Julio Rosenstock, et al, published in the New England Journal of Medicine on September 22, 2020, results of a phase 2 clinical trial comparing weekly insulin icodec to daily insulin glargine were reported. The goal of this study was to investigate the efficacy and safety of insulin icodec weekly injections compared to insulin glargine daily injections for initial insulin therapy in patients with type two diabetes mellitus (T2DM). There was a total of 247 participants included in the trial. Key inclusion criteria include ...
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Please find the PPT summary of the April AP CPI Journal Club April 27, 2021 April_JC_Slides.pptx Journal Article: Reducing the need for carbohydrate counting in type1 diabetes using closed-loop automated insulin delivery (artificial pancreas) and empagliflozin: A randomized, controlled, non-inferiority, crossover pilot trial Authors: Ahmad Haidar PhD | Jean-Francois Yale MD| Leif Erik Lovblom MSc | Nancy Cardinez NP | Andrej Orszag MD| C. Marcelo Falappa MD | Nikita Gouchie-Provencher RN | Michael A. Tsoukas MD | Anas El Fathi PhD | Jennifer Rene RN | Devrim Eldelekli BM | Sebastien O. Lanctôt | Daniel Scarr BSc | Bruce ...
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Covid Hospital Protocols and the Pregnant Patient by Dianne Heidingsfelder, MS, RD, CDCES, LDN As a RD and CDCES in the Maternal Fetal Medicine Department at Magee Womens Hospital of Pittsburgh, my patient population is all pregnant woman with diabetes. I wanted to take a closer look at our MFM department and our hospital’s COVID policies regarding our pregnant patients. I posed some questions that were answered by Christina Megli, MD, one of our physicians. Current MFM protocol for Covid at Magee: Testing for Covid during pregnancy-regular testing or only when mother reports symptoms or has been exposed to the virus? ​ ~ We are only doing known ...
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I recently have found myself providing more psych and mental health support and referrals to my patients who are 65 years old and above. “It takes a village” traditionally refers to raising children, but I strongly believe it takes a village to support a patient who has diabetes as they navigate through management and treatment. Suggested lifestyle modifications, hypoglycemia treatment, and medication management are all easier with support from others. During quarantine, the village has been taken away from many individuals. The loss of face-to-face interactions with health care teams, family, and friends has left many of my patients with mental health ...
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ADCES FLORIDA: JACKSONVILLE LNG MEET & GREET… VIRTUALLY!! Hello, ADCES Florida and Jacksonville LNG members! Please join our first 2021 get-together… VIRTUALLY ! This is your opportunity to meet and greet! Tell us a little about yourself… your credentials, where you work, family, and ONE most important or best thing about YOU to share with all of us. Additionally… On Friday evening, April 30th from 6:30 p.m. to 7:30 p.m. Hold up your favorite glass, goblet with your favorite drink and give us an evening toast! Please reply or contact me at diabetesdhes@gmail.com to join me, Jessica and Juana and Alicia!! A big THANK YOU to Alicia Harvey ...
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Register today at : https://www.diabeteseducator.org/event/NJCBMAY21 Cost: ADCES Member fee: $50.00 Non-member : $100.00 Undergraduate Students: FREE - contact Rocio Brockmeyer at Rocio.brockmeyer@gmail.com for registration code AGENDA 8:00 to 8:15 AM Welcome & President Message, Anna Zakrzewski MS, RDN, CDCES 8:15 to 9:15 AM “The Impact of Marijuana in the Patient with Diabetes” Presented By : Terrence Shenfeld, MS, RRT-ACC, NPS, AE-C 9:15 to 10:15 AM ...
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Hello, everyone... Just recently I learned that a really great person by the name of Evelyn Schumacher spent her last days among us and is now in heaven. Some of you may have known her. Evelyn was an RD who was very active for many years as part of the Jacksonville Association of Diabetes Educators (JADE) and of the national ADCES. Please take a moment to remember her and especially to lift her family up. Our condolences to Evelyn's family. Each day brings a final say, sometimes when least expected. It is comforting to know that each day also brings a new beginning. Margaret Margaret Cuevas Smith, MSH, BSN, RN, CDCES, BC-ADM ADCES Florida: Jacksonville ...
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Hello! Wondering who our ADCES Board Liaison might be? It is none other than Nicole Bereolos (nbereolos@gmail.com). Nicole also serves as treasurer for ADCES. Nicole serves as board liaison for Virginia, Missouri and Vermont.
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February was American heart month. According to the American Heart Association, 68% of people 65 years and older die from some form of heart disease. Adults with diabetes are 2 to 4 times more likely to die from heart disease than adults without diabetes The American Heart Association considers diabetes to be one of the seven major controllable risk factors for CVD. What do we know In 2020 the ADA pharmacological approaches to glycemic control guidelines changed and were revised in 2021. After lifestyle modifications and metformin, two things need to be considered: 1. indicators of high-risk or established ASCVD, CKD or HF; 2. consider independently of ...
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