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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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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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