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Summer is Here!

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While this summer has certainly started out in a different nature than most, people are beginning to think about summer activities. As states and businesses open up post-COVID, people are itching to get out of the house and some are starting to travel. Traveling for persons with diabetes takes a lot of extra thought and consideration. As healthcare providers, we have done a great job asking them if they have traveled recently, and now we need to focus on also asking if they plan to travel in the near future. This provides an opening into an important conversation about planning appropriately to make sure medications are refilled and packed in an ...
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Living in New York City, the epicenter of the first severe Covid 19 cases, I have seen first hand how NYC Covid patients overwhelmed all our hospitals. Nurses & doctors have been exhausted by the sheer volume of patients near death & dying. In spite of it all, they have put humanity in caring for dying patients whose family were not allowed to comfort & visit them. All other medical and surgical needs of patients had to wait unless they had an emergency. My question for all of you in this blog is: What have all you ADCES members observed in your patients with diabetes who were lucky enough to have survived the acute attack of the Covid 19 virus? ...
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Please join us in congratulating the 2020 Texas Diabetes Care and Education Specialist of the Year, Barbara Kocurek, PharmD, BCPS, CDCES, FAADE Barb started volunteering for AADE in the late 90s when there were very few pharmacists in diabetes education. She likes being an ADCES leader as “it allows me to be part of a group that is passionate, inspiring, and dedicated to improving the care and quality of life for people with diabetes.” Barb is committed “to be a collaborative and supportive leader who aligns education and clinical practices so that patients with chronic diseases such as diabetes receive value based care that optimizes their chances to live ...
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Living in New York City, the epicenter of the first severe Covid 19 cases, I have seen first hand how NYC Covid patients overwhelmed all our hospitals. Nurses & doctors have been exhausted by the sheer volume of patients near death & dying. In spite of it all, they have put humanity in caring for dying patients whose family were not allowed to comfort & visit them. All other medical and surgical needs of patients had to wait unless they had an emergency. My question for all of you in this blog is: What have all you ADCES members observed in your patients with diabetes who were lucky enough to have survived the acute attack of the Covid 19 virus. ...
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As we have endured the past few months of COVID-19 and all of the changes that have come along with this pandemic, we have been led to learn a lot in this time. We have learned a lot about ourselves, with many working from home or suddenly balancing work and home schooling. We have learned how rapidly the provision of healthcare can change with the introduction of telehealth. We have also learned that people do not always “avoid it like the plague”, thus the need for public education and presence of trusted experts providing education in the media. Additionally, while working with people with diabetes, we may realize just how vital it is that we are providing ...
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iCGM, CGM, surfing, oh my

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​Good morning fellow NC Diabetes Care & Education Specialists, (Is our new term rolling off your tongues yet? LOL) This month's blog I want to share my history with "monitoring" with you. I was diagnosed with "juvenile onset sugar diabetes" in 1962. At that time mother was taught to do a Saint Benedictine solution test on the stove to determine the sugar in my urine. Little did we know that information was already 6-8 hours old. Next was Clintest tablets (oh how we hate orange). Then came TesTape to run through urine stream. Then came meters in the late 70's (that is 1975>79 for you youngsters) We thought a 4 minute check of the blood at home was so much ...
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Official Statement from ADCES: Iowa ADCES would like to add an additional sentiment to this statement for all our Iowa members: The leadership team at Iowa ADCES stand beside our members and patients who identify as Black/African American, indigenous, and people of color (BIPOC). As a professional community, we do not support the systemic inequities within the United States leading to racial and ethnic disparities seen in health and diabetes care. Our members, and the diverse communities they represent, are important to us. As a profession dedicated to health and well-being through positive healthcare experiences, we acknowledge prejudice ...
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Sodium-Glucose Cotransporter-2 (SGLT-2) Inhibitors in Patients with Diabetes and Gout Comorbidity Arzu Patel, PharmD Candidate; Cortney Mospan, PharmD, BCACP, BCGP, CPP, Assistant Professor of Pharmacy Wingate University School of Pharmacy As of 2018, nearly 34.2 million Americans (10.5% of the population) are living with diabetes. Individuals with diabetes are at increased risk of developing cardiovascular disease due to comorbidities, such as hypertension and dyslipidemia. 1 These comorbid conditions in conjunction with damage caused by sustained hyperglycemia can lead to damage to vasculature. 2 As a result, patients with diabetes have a two-fold ...
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What is Advocacy?

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I am often asked what drew me to advocacy. The definition of advocacy is “speaking up for another person, place or thing”. I believe it has always been my calling to speak up for injustices. In the recent days, I have been thinking a lot about this and remember my first time standing up for someone. In elementary school one of my classmates was being excluded from play because she looked different than the rest of us. That night at our dinner table I shared the story and that I was upset, did not understand, and remember feeling better when my dad said he would speak to our principal the next day, so this does not continue to happen. Now that is a childhood ...
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The new implications and guidelines put in place recently due to current pandemic has changed the way we practice in the outpatient setting drastically. I am currently a nurse practitioner in an outpatient endocrinology practice where I specialize in diabetes technology. Majority of my patients utilize continuous subcutaneous insulin infusion or insulin pumps and continuous glucose monitoring for their diabetes management. My practice is located in the hospital so early on, as the COVID-19 cases were increasing we had limited our in-person visits and transitioned to tele-medicine. This learning curve came along with a new EHR system as well! My patients ...
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The new implications and guidelines put in place recently due to current pandemic has changed the way we practice in the outpatient setting drastically. I am currently a nurse practitioner in an outpatient endocrinology practice where I specialize in diabetes technology. Majority of my patients utilize continuous subcutaneous insulin infusion or insulin pumps and continuous glucose monitoring for their diabetes management. My practice is located in the hospital so early on, as the COVID-19 cases were increasing we had limited our in-person visits and transitioned to tele-medicine. This learning curve came along with a new EHR system as well! My patients ...
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Happy end of May! I've spent my weekend enjoying some time outdoors and soaking up some vitamin D. I think some time in the sun (with SPF 50) was good for my mental health. As May is Mental Health month, I had some self-reflection on my experience in the last few months. After quarantining, job changes, and missing my family who live too far away to see, I know how important self care is more than ever. If you or someone you know needs additional resources related to mental health, please visit the National Alliance on Mental Illness (NAMI) website. https://www.nami.org/Home As we move into June, I encourage you to take some time for yourself and do something ...
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How Can We Best Serve People with Diabetes Given the Changing Healthcare Dynamics? Join the conversation during ADCES’ Next Advocacy Townhall on Tuesday June, 23 The ADCES Advocacy Committee will be hosting our next townhall on Tuesday, June 23 at 11:00am PT/1:00pm CT/ 2:00pm ET. All ADCES members are invited and welcome to attend. We are excited to announce that we will be joined by special guest Julie Babbage, the CEO of the Diabetes Patient Advocacy Coalition (DPAC). Julie will be talking about DPAC’s advocacy efforts and how ADCES and DPAC can work together to support policies that improve the health of people with diabetes. Have a question ...
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The Medicare telehealth landscape has changed dramatically in response to COVID-19. Congress and the Administration have worked together to enact a series of laws and regulations waiving many of the existing statutory and regulatory restrictions around providing healthcare services remotely or via telehealth. As these changes were taking shape, ADCES began working with its members, partner organizations, coalitions, congressional champions, and contacts at the Centers for Medicare & Medicaid Services (CMS) to ensure that people with diabetes continue to have access to the services, devices, and supplies they need to self-manage their diabetes during the ...
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It is with great sadness that Michigan's Coordinating Body of ADCES has come together to write this post in honor of Betty Krauss. As many know, Betty passed away on March 9, her formal obituary is linked on our network page. Betty was many things: a mother, wife daughter, grandmother, in addition to those wonderful titles, she was also an advocate, caregiver, and educator. She was an active member of the Academy of Nutrition & Dietetics- specifically the Diabetes Care & Education Practice Group, as well as the Association of Diabetes Care & Education Specialists (formerly AADE). Not only did Betty win numerous State and National Awards for her ...
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While everyone may have more time at home - take time to go ahead and submit your reimbursement scholarship application. ADCES 2020 is still on for August at last check. Submitting applications are currently due by April 17th so please consider going ahead and submitting. We want strong representation at the conference this year! Click on the link for the application: GA CB Annual Meeting Reimbursement Application 2020 final.docx (2314 k
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As things spiral into a new realm with covid-19, we are reminded even more of our responsibility to care for ourselves and the people around us. In Philadelphia, we have a mandate to stay home to help reduce the spread of a virus. I’ve heard of people developing symptoms and being gone in such a short time. It’s too fast. Every story I hear reminds me of our fragility as humans. We depend on each other to survive. I am so thankful for the healthcare team, the grocery store clerk, the truck drivers. These essentials I took for granted; I’m reminded now is a privilege. I am being provided for in big and small ways. Once you notice this, I think it’s easier ...
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As Diabetes Care and Education Specialists, we have learned how to rise to the needs of PWD and other healthcare professionals during times of disaster. While this disaster is not weather related, it is showing to be more disruptive and deadly. During this event, we can apply some of the same disaster readiness, response, and recovery skills that we have previously learned. I am hearing from some of DCES that they have been furloughed and are at home due to 'stay-at-home' orders, virtual medical visits, and even some low hospital census for non-Covid issues. As professionals, we can continue to contribute as we know we can make a difference! Due to ...
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The ADCES Advocacy Committee will be hosting our quarterly Advocacy Townhall conference call on Tuesday, April 14 11:00am PT/1:00pm CT/ 2:00pm ET. Below is the call info: Dial +1 312-319-1605 Conference ID: 729 843 333#. There is no need to sign-up. This call is open to all ADCES advocates who want to hear updates, ask questions, and talk about advocacy. Future townhall calls will be held on Tuesdays June 23, September 29, and November 17 at the same time. Mark your calen
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So much has changed these last few weeks with COVID-19. The need for social distancing, stay at home orders and the uncertainty of how long we will be in this extraordinary situation. I feel blessed to have the ability to work from home, but it comes with its own stressors. My stressors; however present, pale in comparison to the healthcare providers in the trenches or those that don’t even have the option to work from home. It’s important for our mental health that we stay connected emotionally while we support each other, our patients, healthcare providers and families. Zoom is a video conferencing service, that can be free for up to 40min. Skype, Google ...
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