Blogs

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Friends of PBN, This blog has been well-received by fellow dietitians and was inspired by an interview for a Spanish speaking radio show. Shout out to Lily @Bertha Gonzalez ! The first meal of the day seems to be one of the greatest challenges for people moving towards a more plant-centric lifestyle. I tapped into my own kitchen, hyperlinked some of my go-to products for eating high-fiber, and linked several recipes citing PCRM, Forks Over Knives, and other PBN resources. I hope you find this as helpful as I do! Click the pic to read the blog ​​ #plantbasednutrition
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I wanted to introduce myself, my name is Crystal Allison. I am the new co-lead for the ADCES inpatient COI. Is it ironic that I turn 50 this year and it is the 50th anniversary of ADCES? So, I thought I would write a blog post on the ways that I am celebrating my 50 th . One word- Vacations! 3 trips to Florida, 1 trip to Jamaica, and an Alaskan cruise. Yes, I will be broke by the time I turn 50 in December but what fun it will be. Am I having a midlife crisis? Yes! I feel the need to travel and get it all in before I turn 50. Also, I wanted to get my Master’s before I turned 50 and accomplished that during the pandemic! Professionally , I have been a nurse ...
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January ADCES Blog Post – ADA 2023 Standards of Care: Changes to LDL Recommendations Greetings Pharmacy COI Members – January marks a new year and a new set of guidelines from the American Diabetes Association. For the first blog post of the year, I wanted to highlight some notable changes to the LDL/statin recommendations found in Section 10: Cardiovascular Disease and Risk Management https://doi.org/10.2337/dc23-S010 Standard Recommendation ADA 2022 ADA 2023 Primary Prevention 10.19 For patients with diabetes aged 40–75 years without atherosclerotic cardiovascular disease, use moderate-intensity statin therapy ...
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Vaping by Sue Balog

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Vaping As the number of tobacco smokers decrease, there has been an increase in the number of people vaping especially in our teen population. As we help people with diabetes with behavior changes, you may be called upon to address the subject of vaping. Some facts about vaping: 1. All e-cigarettes are the same regardless of the name: Hookah pens, e-hookahs, vape pens, mods, tanks, e-shishas, or PVs (personal vaporizer vaper). 2. All use a battery to heat up a liquid called e-juice. The vapor from the heated liquid is inhaled. Battery may be come overheated and explode. 3. E-juices come in a variety of flavors and nicotine levels. 4. Vapor is just ...
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CGM In Today’s World When you think about continuous glucose monitors (CGMs) and their use in diabetes what comes to your mind? Until recently, only those with type 1 diabetes were thought to need CGM. Now, we are seeing more and more people with type 2 diabetes using CGM The first CGM in the United States was FDA approved in 1999. This began a new era in diabetes care. Since that time, CGMs have made numerous improvements. Many insurance companies do not cover CGMs unless the person is injecting insulin at least 3 times a day or using an insulin pump. When I inquire about using CGM in anyone with diabetes, I usually get the response that it is too ...
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Tirzepatide: worth the weight Prepared by: Ana Safri, PharmD PGY2 Ambulatory Care Resident, Boston Medical Center Reviewed by: Katelyn O'Brien, PharmD, BCPS, CDCES, BC-ADM and Courtney Cameron, PharmD What is tirzepatide? Tirzepatide (Mounjaro) is the first in its class peptide that activates both glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptors. Both GIP and GLP-1 are incretin hormones released in response to nutrient uptake in the gut, however GIP is responsible for ~2/3 of the total effect, allowing a synergistic effect with tirzepatide’s mechanism. Similar to other GLP-1, GIP stimulates insulin ...
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WOW, we're already at the end of November! In addition to highlighting our work advocating for and elevating those living with diabetes, I want to acknowledge November as National Native American Heritage month in the Unites States. Diabetes and it's complications disproportionately affect Native Americans*. There are multiple factors that influence the rate of diabetes in this population - you may find this article from diaTribe a helpful place to start: Diabetes in Native Communities in the US. Additional resources include the CDC Vital Signs Native Americans with Diabetes: Better diabetes care can decrease kidney failure and the Indian Health Service's ...
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Are you ready for a trip to the Windy City and Increase your knowledge of putting Diabetes Technology into practice? Changes are happening every day, don't get left behind! For more information and to register: https://www.eventscribe.net/2022/DTC22/ ADCES Diabetes Technology Conference December 9 – 10 | Chicago, IL Let's go beyond CGMs to explore insulin pumps, AID systems, novel insulin delivery devices, and discover what's next in the future of diabetes technology. Learn how to build technology-enabled care into your practice, select the right devices for your client, bill for services, collect and interpret data, and train your team. Session topics ...
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Medtronic Mini-Med 600 series pump: Cybersecurity threat The FDA has issued an alert warning for people with diabetes using the MiniMed 600 series pump system. This system is facing a potential cybersecurity threat. This alert was issued on September 20, 2022. The MiniMed wireless pump system includes: the MiniMed 630G and MiniMed 670G pump series the Contour Next Link BG Meter Guardian 3 Link transmitter the Carelink USB This potential cyber threat was recently identified through Medtronic internal testing. Because this system transmits data wirelessly, a nearby unauthorized person could gain access to a patient’s pump at the same time ...
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Happy Fall, everyone. I thought we could take a look at the latest developments on what’s driving weight gain and two new medications that may revolutionize its treatment. Roughly 40% of the U.S. adults have obesity. Another 30% are overweight. Extra pounds raise the risk of type 2 diabetes, heart disease, stroke, several cancers and more. How many healthcare professionals and patients consider obesity to be a lifestyle disease, that they lack will power, if they can push food away they wouldn’t have a problem. However, obesity is a really complex disease. There have also been many myths about obesity, and it’s not about an absence of will power or an in ...
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On October 6, the Medicare Administrative Contractors (MACs) that oversee durable medical equipment announced proposed changes to the Medicare coverage policy (called a local coverage determination (LCD)) for CGMs, including removing the requirement that people must be on multiple (3) daily injections of insulin per day to be eligible for CGM. These changes would expand access to CGM for Medicare beneficiaries with diabetes. In July 2021, the MACs updated the CGM policy to remove the requirement that people check their blood glucose 4 times per day to be eligible for a CGM. They also changed “inject” insulin to “administer” insulin. Since then, ADCES and our ...
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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: ...
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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 ...
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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, ...
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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 ...
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32 Years Ago Today ADA

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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 ...
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Joining Local ADCES Group

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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
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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. ...
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Omnipod 5

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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 ...
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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 ...
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