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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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You may have noticed that in the last few months you have been receiving and influx of emails from AADE/ADCES, about changes in our name, seen things about "repositioning", and maybe even seen some colleagues change their email signature to include CDCES as opposed to CDE. If you have been wondering about this, but don't have time (do we as Diabetes Educators, ever have an abundance of spare time?!) to look into this - this is a "quick guide" just for you. Are we AADE, or ADCES? ADCES. Association of Diabetes Care and Education Specialists Why was this done? To position us (Diabetes Educators) as leaders in diabetes care, and ...
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The final session of AADE was August 12, and since then there has been substantial buzz about "Project Vision", as well as the title: "Diabetes Care & Education Specialist". It is fair to say that more than just fantastic sessions came out of AADE 2019!! This all said, what does this mean for Diabetes Educators, and what does Project Vision mean??? Project Vision: " AADE has created PROJECT VISION, a multi-year initiative to position diabetes educators for success within a dynamically changing environment, elevating your role as integrators for clinical management, education, prevention and support." As Diabetes Educators this is a ...
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Have You Met DANA?

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Who is DANA? DANA is a "What". DANA stands for "Diabetes Advanced Network Access". As Diabetes Educators in 2018 the landscape of Diabetes Care is changing rapidly! With new insulin, bio-similar insulin, new insulin pump therapies, and continuous glucose monitors, DANA is designed to help keep us informed. I strongly encourage you to take a few minutes to navigate over, and review the site! Once logged in (use the same credentials as you use for AADE), you can click on " Products " this will provide resources on different product categories, from Insulin Pumps, CGMS, Insulin Pens, Meters, etc. Under the " Education " tab, is where you can ...
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While it has been quite some time that a blog has been published, however, that does not mean that there has not been tireless work behind the scenes on behalf of the Coordinating Body. In 2018 you can expect more frequent posts about a variety of topics. What would be prudent to cover first is a quick review of terms that are used a lot in emails and on message boards. CB - Coordinating Body The Coordinating Body is a group of educators who all volunteer their time in their respective elected positions. They plan the fall conference each year, as well as collaborate with the LNG leaders on LNG meetings! LNG - Local Networking Group Local ...
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Insightful hints from behavioral health specialist Kristi Paguio, LMSW Part I of a 3 Part Series: Motivational Interviewing “The serious and chronic nature of diabetes, the complexity of its management, and the multiple daily self-care decisions that diabetes requires mean that being adherent to a predetermined care program is generally not adequate over the course of a person’s life with diabetes.” 1 Currently, several approaches exist when addressing behavioral change with people who live with diabetes and we all know some are more effective than others. To gain a better understanding of the best approaches, I’ve asked a colleague of mine, Kristi ...
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How ready are we, as diabetes educators, to take on the job of educating uninformed providers who aren’t easy to work with? I’m pretty sure every diabetes educator I’ve talked to, at some point in her career, has had to deal with this type of provider. The question is: how are we responding as a whole? Are we holding ground and assuming the role of an educator to other healthcare professionals or are we shying away from those who are misinformed or under-informed and in a position of power? I think that if we maintain our focus as educators on the health and well- being of our patients, we have no other choice than to rub some AACE guidelines or ADA Standards ...
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Camp Midicha is the largest ADA camp serving over 500 campers during the last two weeks of June. Volunteering for Midicha is a one week commitment that starts on a Saturday and ends the following Friday. The rewards of being able to touch the lives of these children living with T1D is priceless. Seeing them spend a week with their peers fighting similar struggles day in and day out really helps them appreciate that they're not alone in this. Helping the campers participate in high rope courses, zip lining, water front activities, achery, disk golf, and rock climbing are just a few of the many treasures our volunteers experience during their time at camp. ...
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Survey on Kidney disease

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Hi everyone, I am working on my MSN and are forming a case management program from dealing with diabetic patients with kidney damage or chronic kidney disease. Could you all please help me out and fill out the survey and help with some input. Thanks http://www.surveymonkey.com/s/BWPBYDY Darryl Lee Darryl Lee, RN, PHN DL Investigations & Associates (415) 314-1237 License #26117 Email is covered by the Electronics Privacy Act, 18 U.S.C. Sections 2510-2521, and is legally privileged. This email may contain confidential and privileged material for the sole use of the intended recipient(s). Any review, use, distribution, or disclosure ...
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I am sure most or you are already aware of what is coming down the pike effective July 1, 2013 for Medicare DM testing supply reimbursement but thought this was a a great topic to review. So we know that Medicare's DME Competitive Bid Program will certainly effect you and how you help your patients manage their blood sugars. With MI BCBSM jumping on board with the same program, it is surely impacting all DM patients in the state of MI. I wanted to share with you what our small Acute care Hospital is hoping to implement to help our DM patients. Our HME/pharmacy currently has stock for 17 different types of test strips! Yikes. Our DM team ...
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March 2013 Blog

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I'm working on a project at my hospital and I would like to hear what is happening at other places. Here's the story. We have people with Type 1 diabetes who are uninsured or underinsured and they don't have money to continue their diabetes care, such as doing blood sugars (strip cost) and/or taking insulin as needed (again cost). Here are my questions: What resources are available in your community for these folks? Admission and readmission costs are high for these probable non-payors, what are you doing to help these folks? I'd like to hear what is happening out there. We are trying to impact the admissions and thinking about paying for insulin, strips, ...
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I am an educator in a patient centered medical home. There are seven physicians and three nurse practitioners in our practice. I am often the one who teaches how and why to SMBG. I also frequently review the results with the patient and help them analyze, problem solve and titrate doses of medicines. Recentlly I read a few articles in Diabetes Spectrum ( Summer 2012 issue) about Glycemic variability in the use of Point of Care Glucose Meters and Glycemic variability in evaluating diabetes control. This got me thinking about some of the current challenges I face in getting BG data from patients and having confidence in the accuracy of the data. On getting ...
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November Blog

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Having passed one holiday this fall, we have several more approaching. Some holiday traditions include eating lots of high calorie/carb foods. Do your patients get concerned about blood glucose control at this time of year? What do they talk about doing to "keep in control"? Our hospital's wellness program initiated a "Ho Ho Hold it Down for the Holidays". This is an awareness program to hold your weight "even" during the holiday's. Don't worry about losing anything, just keep it stable. What other ideas do you give your patients at this time of year to help with blood glucose control? Thanks for sharing any thoughts you have on this topic
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September 2012 Blog

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It is no surprise to any certified diabetes educator (CDE) that many of our Medicare clients are struggling financially to afford their medications. In April and May of this year I was in contact with many who were already in the coverage gap (i.e. donut hole) due to the price of insulin. The cost of the newer long and short-acting bottles of insulin is over $100 per 1000 Units. So those, for example, who take over 150 Units of insulin every day may find themselves in the donut hole by April of each year and unable to afford this life-saving medication. I recently met a 65 year old woman who was admitted into the hospital for blood sugars over 750 mg/dl because ...
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I had a patient contact me this morning wondering about the spice cloves and whether it really helps with blood glucose control or metabolism like cinnamon. She said she heard this on the Dr. Oz program yesterday. Anyone have any insight or information about this
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August Blog

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What a great annual meeting and conference! I have been re-energized and am learning a lot from my fellow diabetes educators. One take home tidbit I learned from the general session speaker this morning- Brian Wansink, author of "Mindless Eating" book is to get rid of my short, squatty drinking glasses and replace them with tall, skinny ones. Why- it has been shown that we fill taller skinnier glasses with less & this may lead to weight loss. What is your favorite tidbit or education tool or advice have you learned at the annual conference?
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Some of the primary care practices across Michigan are part of theCMS Multi-Payer Advanced Primary Care Practice Demonstration. These clinics are receiving additional money per patient per month to assist with the care of patients with chronic conditions like diabetes. And all have hired or will hire case managers. The case managers will handle a variety of chronic conditions. However, if you are doing diabetes management, you are already dealing with CVD, CHF, renal, dylipidemia and hypertension. And you are probably seeing those with arthritis and chronic pain too! I am interested in how diabetes educators or programs are taking on case management roles in ...
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July Blog

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July 24, 2012 -What did you think about the study in the UK that showed no difference after 3 years in patient outcomes in ususal care vs. those who received diabetes education. Was it the type of education offered?I wonder if it is linked to lack of adequate follow-up in the diabetes education group. We all know that one bout of diabetes education probably is not going to cause lasting behavior change for many of our patients. So what are you doing to help support patients?? Linking them to community based support like a walking club, a weight loss program or a program like the Stanford Chronic Disease Self Management workshop. Maybe support is coming through ...
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June Blog

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I would like to ask the question about social media and diabetes education. Are any diabetes educators using social media sites to provide informal diabetes education? If so, how are you doing it? Do you have some system that you then get the person in the see you and pay for your services? Let me know. Thanks
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May Blog

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Hello!! I am the May Blogger!! I'm JoAnn Manty, your Financial Leader in Michigan (in other words, treasurer). I would like to share some information about the process to submit expenses or receive your awarded scholarship funds. You will need to have receipts to submit along with the Michigan Request for Payment (RFP) form. I can email the RFP form to you upon your request. If you could scan in your receipts and send both the scanned receipts and RFP to my email address: weskee87@hotmail.com (preferred method). Or you could copy your receipts on a plain piece of paper and fax with the RFP to (906) 225-7696, or snail mail the two pieces of information to me ...
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