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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 ...
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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 ...
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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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SGLT2 Inhibitors and Cardiovascular Outcomes in Heart failure: Discussion of EMPEROR-Reduced Trial Assurance Nshom, PharmD candidate 2021 Davida Braxton, PharmD candidate 2021 Sullivan University College of Pharmacy and Health Sciences , Louisville, KY An estimated 6.2 million Americans >20 years of age are living with h eart failure (HF) and the prevalence is projected to grow by 46% by 2030. 1 T here are several classes of medications which have proven mortality benefits in HF, including beta-blockers , angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARB), and an angiotensin receptor-neprilysin inhibitor ...
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October is national breast cancer awareness month and we all know how early detection saves lives. The ADA originated the standards of care in 1988, and they have been evolving ever since, providing clinicians, patients, researchers, payers and other interested individuals with the components of diabetes care. These standards of care provide the treatment goals and tools to evaluate the quality of care in an effort to improve management for those with diabetes. While reading a recent article, a New York Times analysis of CDC data found that in New York and New Jersey alone from March 15 to May 2, 800 more people died of diabetes than would have been expected ...
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Highlight from ADCES20

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Many of us attended the national meeting, ADCES20, this year. If you haven’t joined all of the sessions there remains time to do so. One of my favorite sessions that definitely worth viewing is SO5- Liver Disease: An Overlooked Complication of Diabetes . The 30 minute session provided a nice over view of NASH- including the incidence and outcomes for liver disease in glucose intolerance and diabetes. The information provided on the strategies to improve client outcomes and cope with liver disease was excellent. Management Guidelines: Screening for T2DM and CV disease Lifestyle interventions (weight loss; exercise) Treatment of dyslipidemia statin ...
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Coping During the Pandemic of 2020 in New York City By Hildegarde Payne, RN, MA, CDCES, FADCES Diabetes Care and Education Specialist ADCES NYS CB Board Member The Pandemic of the Century, it seems like a bad movie or a nightmare. I prayed for the day when the “stay at home” or quarantine order will be completely lifted. I was inundated with negative news, the high unemployment rate, and the economy, the state of the union, protest and political unrest. I will remember, my life before the COVID-19 Pandemic and mourn lifestyle, freedoms, leisure activities, and interactions with friends, colleagues and family. I did the best I could to stay healthy ...
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Coping During the Pandemic of 2020 in New York City By Hildegarde Payne, RN, MA, CDCES, FADCES Diabetes Care and Education Specialist ADCES NYS CB Board Member The Pandemic of the Century, it seems like a bad movie or a nightmare. I prayed for the day when the “stay at home” or quarantine order will be completely lifted. I was inundated with negative news, the high unemployment rate, and the economy, the state of the union, protest and political unrest. I will remember, my life before the COVID-19 Pandemic and mourn lifestyle, freedoms, leisure activities, and interactions with friends, colleagues and family. I did the best I could to stay healthy ...
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Join the ADCES Advocacy Committee on Tuesday, November 17 from 1:00-2:00pm CT/ 2:00-3:00pm ET/ 11-12pm PT for our next Advocacy Townhall meeting. We are excited to welcome Christel Aprigliano, the Chief Advocacy Officer at Beyond Type 1. Christel is going to walk us through everything we need to know about GetInsulin.org. This webpage is an exciting new resource that connects all the insulin-related assistance programs from various manufacturers, governmental agencies, non-profits, etc. in one place. This will be a presentation on Microsoft Teams (there is also a dial-in option): Join Microsoft Teams Meeting +1 312-319-1605 (Toll) Conference ID: ...
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This month's guest contributor is Michelle Taub. Michelle Taub MS, RD LD CDCES BC-ADM is a native Houstonian. She completed her undergraduate degree in Nutrition Sciences at the University of Houston and her Master’s degree at Texas Woman’s University in the Texas Medical Center. She currently is a CDCES in pediatric endocrinology at Texas Children’s Hospital and also part time at Baylor College of Medicine’s Young Adult Diabetes Clinic. She has been at Texas Children’s for eight years and her experience includes research assistant for Vitamin D studies in neonates at the Children’s Nutrition Research Center and diabetes education for Maternal Fetal Medicine ...
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Learning the LNG Lingo

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Let’s talk LNGs This month we are breaking down a very commonly used abbreviation among ADCES Connect, but one that not everyone is familiar with. Keep reading to learn more about Local Networking Groups (LNGs), how to choose the LNG for you, tips for getting the most out of your membership, and recent news from your leaders. What is an LNG? LNG is the acronym for Local Networking Group. LNGs are responsible for education, networking, and community connections at a local level versus statewide. It allows for more intimate gatherings and connections with colleagues in similar communities. How many LNGs are there? Currently, the Texas ...
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Breaking Down Barriers for Medication Administration Lourdes Cross, PharmD, BCACP, CDCES Sullivan University College of Pharmacy University of Louisville Hospital, Louisville, KY Approximately half of patients with type 2 diabetes are unable to achieve glycemic goals. 1 It is estimated that only 50% of patients take their medications as prescribed, which can contribute to increased morbidity, mortality, healthcare costs, emergency room visits, and hospitalizations. 2 Therefore, it is important to recognize and minimize factors that may introduce barriers to medication administration. This blog addresses some barriers for taking medications appropriately ...
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Sept_Blog.doc
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ADCES election - VOTE!

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Hello CB members! Just a friendly reminder that it is time to vote in the ADCES election. The process is quick and easy when you use the link emailed to you a few weeks ago. It is important that your voice be heard. When you cast your vote, I ask that you consider voting for Lisa Hodgson, RD, CDN, CDCES, ADCES Treasurer for President-elect. Lisa served as Member Affiliates Liaison in 2018 and 2019 and has been our board liaison for the past three years. In this role, Lisa works closely with our CB members and leaders by regularly communicating about ADCES activities and supporting our CB if questions or concerns come up. If Lisa is elected, she will ...
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Hello, everyone. Please see the below urgent request from a University of Iowa student. She is requesting blinded (no patient info) data regarding goal completion for DSMT program participants, in specific Iowa counties . Please email Sydney directly ( sydney-tylke@uiowa.edu ) with any information you can provide for her. She needs this info by September 16, 2020. I would like data on the number and proportion of DSMES participants that achieved ADCES health goals (lowered A1C levels, foot checks, eye exams, % of body weight reduction, whatever was measured, etc). I request data from DSMES programs in the following counties: Des Moines, Mills, ...
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As we move into September, the promise of autumn is just around the corner. This is my favorite time of the year – the weather starts to cool, the leaves turn amazing colors and the idea of curling up with a good book under a soft blanket is so appealing! With autumn on the way, this is a great time to encourage outdoor activity and enjoyment of the season. Here are 5 diabetes-friendly things I encourage you to get out and do this autumn: Take a nature walk to enjoy the sights and smells of changing leaves. Enjoy the break from heat and humidity and go out and take a scenic nature walk. You do not have to go far – around your own neighborhood can ...
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This is a re-post of a blog posted on the website of the Physicians Committee for Responsible Medicine. I had the privilege of attending and testifying in front of the committee working on the Dietary Guidelines for Americans. Here is a brief on a letter that was sent to the committee by the American Medical Association. We are hoping the guidelines are more culturally sensitive and state that meat and dairy products are optional. In response to the Scientific Report of the 2020 Dietary Guidelines Advisory Committee (DGAC), the American Medical Association has reiterated its call for the U.S. Department of Agriculture to fight racial health disparities ...
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