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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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When you think about diabetes complications what comes to your mind? I have asked this question in many of my presentations. I hear, heart disease, stroke, kidney disease or nephropathy, high blood pressure, eye damage or retinopathy, and foot problems or neuropathy. The one that is often forgotten is the sixth complication of uncontrolled diabetes, Periodontal disease. Periodontal disease, also known as gum disease, is a serious infection of the gums that damages the soft tissue and destroys the bone that supports the teeth. This can lead to tooth loss. Periodontal disease is the most common oral disease affecting those with diabetes. There is a vicious ...
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Tame the Pain: Pharmacotherapy for Diabetic Neuropathy Long Phan, PharmD, Walgreens Lourdes Cross, PharmD, Sullivan University College of Pharmacy and Health Sciences Diabetic peripheral neuropathy (DPN) is one of the most common complications of diabetes. An estimated 7% to 10% of patients newly diagnosed with type 2 diabetes and up to 50% in patients with long-term diabetes (>25 years duration) have neuropathy. 1 DPN is a leading cause of disability, foot ulceration, and amputations. It also increases the risk for gait instability, falls, anxiety, depression, and sleep disturbances. 2 The aim of this review is to discuss pharmacotherapy options based ...
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With the glimmers of sunshine this week as a reminder that spring is on the way, some of my patients have been feeling motivated to make exercise goals. If you or your patients are interested in moving more, try supporting them with tools and resources to help them keep up the positive momentum. Below are some examples. What types of exercise resources have you shared with your patients? National Institute on Aging - Get Fit For Life: Exercise & Physical Activity for Healthy Aging (can get PDF or hard copy) https://order.nia.nih.gov/publication/get-fit-for-life-exercise-physical-activity-for-healthy-aging ADCES Exercise handout https://www.diabeteseducator.org/docs/default-source/living-with-diabetes/tip-sheets/aade7/aade7_being_active.pdf?sfvrsn=16 ...
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If you haven’t seen it already, take some time to check out the Personal Continuous Glucose Monitoring Implementation Playbook on Danatech. This resource has a wealth of extremely practical information for you and your colleagues. I was able to use this resource to help a pharmacist in my health network learn about differences in the CGMs available with the comparison chart included in the packet. For myself, I have found it helpful to review study outcomes summarized in an easy-to-read chart, and to look through stories about how providers have implemented CGM programming into their practices Highlights: Personal CGM vs. Professional CGM Comparison ...
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Are your patients asking for healthy breakfast ideas to keep up their 2021 goals? Are you finding yourself staring into the abyss of the fridge before your morning video visits? Below are some thoughts to get through those moments. Quick tips for simple healthy breakfasts: Aim for 3 food groups. Forget perfection. It doesn’t have to be the healthiest or most beautiful creation. Whether you’re testing out a new kitchen gadget or wondering about glucose effects from a certain meal, give it a try and see what happens. Examples: Make a smoothie with milk or yogurt, fruit, and almond butter. Pour any extra into popsicle molds for later. ...
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Join the ADCES Advocacy Committee on Tuesday, February 23 from 1:00-2:00pm CT/ 2:00-3:00pm ET/ 11-12pm PT for our first Advocacy Townhall meeting of the new year. No registration required. On this call, we'll hear from experts on what's happening in Washington and what we can expect with a new congress and administration. We'll also check-in on diabetes related legislation including the Expanding Access to DSMT Act and new rules around CGM. We'd also love to hear from you! Many states are working on state legislation and we invite you to share an update on the call if there's something you'd like to discuss. New to advocacy? Join us and listen! This will ...
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The ADCES Advocacy Committee has announced the advocacy townhall schedule for 2021. We’ll host four quarterly virtual townhall meetings, each occurring on a Tuesday at 11:00am PT/1:00pm CT/ 2:00pm ET. The dates are as follows: February 23 April 27 July 27 October 26 What’s an advocacy townhall? Advocacy holds different meanings for different people. It can mean assisting a patient navigate their insurance plan or appeal a denial. It can mean speaking to legislators about a piece of legislation. It can mean trying to make a change to your state's Medicaid plan or even demonstrating the value of diabetes care and education specialists to your ...
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January 1st always brings with it a feeling of a clean slate. This is definitely true of this New Year! The “Fresh-Start Effect” can be a powerful motivator for creating a new goal or getting back to some healthy habits. The downside to this can be making resolutions based in fear and punishment for some over-indulging that happened over the holidays or throughout quarantine. Having a restrictive or scarcity mind-set commonly leads to failure. Setting goals with the attitude of self-compassion instead of self-flagellation can lead to more fulfilling, sustainable change. Let’s empower those we work with to begin thinking “what can I add?” instead of “what ...
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January 1 st always brings with it a feeling of a clean slate. This is definitely true of this New Year! The “Fresh-Start Effect” can be a powerful motivator for creating a new goal or getting back to some healthy habits. The downside to this can be making resolutions based in fear and punishment for some over-indulging that happened over the holidays or throughout quarantine. Having a restrictive or scarcity mind-set commonly leads to failure. Setting goals with the attitude of self-compassion instead of self-flagellation can lead to more fulfilling, sustainable change. Let’s empower those we work with to begin thinking “what can I add?” instead of ...
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I am that kind of gal who refuses to accept vulnerabilities. It took me a while to accept my Diabetes diagnosis and it took me even longer to accept the challenges that came with it. I was first diagnosed with Diabetes in November 2003 at age 20. At this point, I had no idea of what it meant to live with Diabetes. After a little over a decade of ups and downs with the challenges that I’ve experienced, I began to have problems with my vision. It all started with seeing floaters (small specks of blood) in my right eye. At first, I did not think anything was wrong until it was accompanied by severe blurriness. Then, I had another problem….no health insurance. ...
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Let’s make 2021 the year of getting back to basics. As CDCESs we get consumed with trying to be the best we can be for our patients and start taking on more than we can manage. Over time we become overwhelmed and frustrated in which we start to withdraw from committees, organizations, and volunteering. Over the weekend ADCES held their yearly Leadership Forum which started out on day 1 stressing that we need to get back to basics and start small again. We need to sit down and start small to do something well and not just belonging to numerous activities and committees. As I go into 2021 as the Chair for WPLNG, I am going to look at changing how we ...
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Hello Texas ADCES members! As 2020 comes to a close, I wanted to take the opportunity to acknowledge and thank you all for your dedication to the profession! It's been amazing watching this profession adjust to the changes 2020 has presented and overcome challenges to meet the diabetes care and education needs of our patients and their families. Even in 2020, we have been able to thrive and still remain a valuable part of the health care team, always putting our patients at the forefront of everything we do. We have quickly adapted to shift to a new virtual world, not without bumps along the road, but with the tenacity to keep going even when things seemed ...
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Tips to survive the holidays ​https://www.choosemyplate.gov/ten-tips-make-healthier-holiday-choices#:~:text=10%20Tips%3A%20Make%20Healthier%20Holiday%20Choices%201%20Create,are%20lean%20protein%20choices.%20...%20More%20items...%20
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Medicare Part D Information Eileen D. Ward, PharmD, BCACP, TTS Presbyterian College School of Pharmacy I am sure many of us working to assist in diabetes care can agree that a common frustration is how difficult it can be for some people to access or afford beneficial medications, particularly insulin. Luckily, there are some Medicare Part D changes coming in 2021 that may make some affordability issues a little easier. For starters, there are some select plans that will offer insulin for $35 or less per month. This can provide a huge cost savings for some individuals. Additionally, there will no longer be a "donut hole" or "coverage gap" in 2021 for any Part ...
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This month's guest blogger is Julie Adkison, PharmD, BCACP, CDCES. Julie has been on the faculty of the Memorial Family Medicine Residency Program in Sugar Land, Texas for almost 20 years. Julie teaches the full scope of primary care pharmacotherapy to family medicine residents and specializes in diabetes care. She supervises a weekly specialty diabetes clinic, monthly shared medical visits, and provides individual consults as needed. Julie enjoys teaching young physicians to embrace the challenge and reward of managing complex patients. Resources for Medication Cost Savings Designing affordable medication regimens is not only important ...
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My pharmacy is refusing to renew my insulin drip protocol for open heart patients because they say it is too aggressive. We have had little to no hypoglycemia while using this modified Portland Protocol aimed at glucose of 80-120, however, they have asked me to reach out to my colleagues to find out what you all are using. I'd appreciate any help you could give me.
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I first learned of a whole food plant based diet through our local state ADA meeting. I have always been interested in counseling my patients on diet, although as the pharmacist I tend to mainly discuss medication changes. After hearing another pharmacist talk about a plant based diet at a diabetes conference it piqued my interest. I dove into researching such a diet that claimed to be able to have incredible effects on chronic disease state outcomes. After listening to several podcasts and reading a few books I learned of the research backing the power of this diet. I adopted the diet for myself for personal health benefits, but also to be able to more effectively ...
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Blog Jane K Kadohiro, DrPH, APRN, CDCES, FADCES October 29, 2020 Aloha! Hard to believe that it is NOVEMBER already! November is American Diabetes Month (ADA), National Diabetes Education Week (ADCES, November 1-7), and World Diabetes Day (IDF, November 14). And most people do see November as THE “Advocacy month” of the year. As we head to the polls on our country’s designated election day, I do hope that as an American you will (or have already!) exercised your absolute right and responsibility … and PRIVILEGE … to vote! Our elected officials are, indeed, so very important in our lives, but as diabetes care and education specialists, we are ALL such ...
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