Blogs

Skills your patients can use

By Patricia "Mickey" Stuart posted 01-31-2018
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I have a confession to make. For those who know me now it may be hard to believe that I grew up “throwing tantrums” or “hissy fits” by Southern vernacular. My mom always instructed me that “little ladies” did not do that sort of thing — it was not attractive. Somewhere along the way I decided to change my behavior. Instead I would get quiet and go to my room . . .then do something that would not embarrass me in front of my friends (or receive punishment from my parents) . . . and might actually make my parents happier with me (or at a minimum avoid a slow simmering wrath from someone else). Over time I learned how to bury myself into an activity when stressed ...
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Mississippi Medicaid now reimburses DSMT!

By Patricia "Mickey" Stuart posted 05-01-2015
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April 1, 2015, Mississippi Medicaid began reimbursing for DSMT. This really is a great thing . . . if only they had made it simple vs going down a path of a different set of rules. For the last 2 - 3 years I’ve been actively engaged with the Diabetes Coalition of Mississippi. I felt the best way to advocate for persons engaged in diabetes self-management education / training was to make sure I some idea what was going on in the state. As you can imagine, there is a lot of confusion regarding DSME/T, national standards, CDE and BC-ADM certifications, etc. I felt MSAADE’s participation on this statewide organization would only benefit those persons practicing ...
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Diabetes Prevention Program

By Amy Keywood posted 03-13-2015
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What we do on Tuesday mornings, at 7 am in the Crystal Springs’ gym looks different from the typical spin or aerobics class you would expect to see. Slowly before 7, a dozen sleepy-eyed people trickle in, step on the digital scales, and then hand me their food/activity trackers. One-by-one the weigh-in has become my favorite part of the Diabetes Prevention Program (DPP) meetings, and I have grown to love them because of their personal nature. This is the time when our relationship grows as successes and/or slip-ups surface while facing the truth of the scales. It’s only after weigh-in, that members feel comfortable ingesting 8 ounces of coffee as they make ...
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The elephant in the room . . .

By Patricia "Mickey" Stuart posted 01-31-2015
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Have you been ignoring the elephant in the room . . . or maybe the 500 pound gorilla was a bit intimidating. Bottom line: there’s something that needs to be discussed. We all know it needs to be discussed. We all just keep ignoring it — like the elephant and the gorilla. Here’s the big question: How does a DSME site compete with FREE pharmaceutical diabetes educators? It’s hard to beat Santa Claus but here’s a few things you may not have known: ALL pharmaceutical educators work as agents of the pharmaceutical company — they may actually work for that pharmaceutical company or they work for a company that is contracted to work for ...
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Helping Persons with Diabetes by Helping You be Successful

By Patricia "Mickey" Stuart posted 01-31-2014
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Quick - how many patients do you see in a diabetes class each month? With Mississippi leading the country in persons with diabetes, could you squeeze in a few more patients? If diabetes self-management education / training is the place persons with diabetes need to visit, consider the following: Do people who need what your offer, know they need what you offer? Most folks know that if you need groceries you go to a grocery store or shoes you go to a shoe store. If you have a prescription from the doctor, you seek the services of a pharmacist. Do persons with diabetes know they need diabetes self-management education / training (DSME/T)? ...
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Diabetes Educators as Medicare Providers of DSME with a Scope of Practice

By Patricia "Mickey" Stuart posted 07-31-2013
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Remember how excited we were with the Balanced Budget Act of 1997? Everyone who reached out to their legislators made a difference. We need you now. Go to the AADE Advocacy Center and ask your legislators to co-sponsor Senate 945 / HR Bill 1274, the Access to Quality Diabetes Education Act of 2013. The Balanced Budget Act of 1997 defined the criteria for Medicare reimbursement of Diabetes Self-Management Education / Training: A CMS recognized program via accreditation or recognition. A referral from a recognized provider. A Medicare provider number. The original bill included Certified Diabetes Educators recognition as Medicare providers. ...
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Why are diabetes educators considering licensure?

By Patricia "Mickey" Stuart posted 07-31-2013
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Why are diabetes educators considering licensure? Patient safety - patients don't know what makes a credentialed diabetes educator and should be protected. Currently, ANYONE can call themselves a diabetes educator. Licensure will create practice standards that will require diabetes educators to stay current through continuing education, and practice evidence based, patient centered, outcome driven diabetes self-management education. Provider safety - when a doctor or healthcare provider sends a patient for diabetes self-management education, he should know that a referral to the "diabetes educator" means that person knows what they are suppose to know to ...
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Interim Survey Resonses

By Patricia "Mickey" Stuart posted 12-14-2012
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I want to thank those of you who have responded to the survey. Just as snippet of what the current responses suggest. There’s still time! Go to http://www.surveymonkey.com/s/J9P85YF Demographics: An examination of zip codes supports we have received feedback from all corners of the state! Yeah! Approximately 73% are AADE members (survey respondents only need to be diabetes educators, they do not have to be AADE members). Only about 36% are Certified Diabetes Educators (keep this in mind when you read the results involving the the CDE). 40% don’t believe they are eligible for the CDE - we do not identify if its discipline, practice ...
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Are you an exercise physiologist or are you a diabetes educator?

By Patricia "Mickey" Stuart posted 12-04-2012
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Any of you ever do this? Mrs Jones is a patient who comes in to see you for DSME. After working with Mrs Jones for a while you make a recommendation . . . "Mrs Jones, we’d like to try to get you to increase your activity some every day (activity frequency). You don’t have to work / exercise hard -- just enough to feel challenged (activity intensity). Do you think you could maybe walk 15 - 30 minutes a day (activity type / time / duration)? Oh, walking makes your legs hurt? Do you think you could do some chair exercises (activity reassess / type)? Then you demonstrate these activities. Am I the only one who thinks this sounds just like an exercise ...
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Licensure?

By Patricia "Mickey" Stuart posted 11-30-2012
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This is a rerun of a past blog with updates . . . Folks, we've got a problem. With greater than 11.2% of the adult population diagnosed with diabetes . . . what are we going to do about it? Shall we ban 32 oz Big Gulp drinks? How about banning meat one day of the week, something like "Meatless Mondays", to promote eating vegetarian? If banning Big Gulps and promoting Meatless Mondays resulted in a better understanding of how to control diabetes or prevent the complications of diabetes, these token gestures would get my endorsement. Unfortunately, persons living with diabetes require more dynamic interventions. Diabetes self-management education (DSME): ...
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Medicare Providers of DSME

By Patricia "Mickey" Stuart posted 10-09-2012
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Remember how excited we all were when the Balanced Budget Act of 1997 was passed? This was the bill that gave diabetes educators Medicare reimbursement with CMS recognition. Medicare reimbursement is possible today when three criteria are met: Program meets National Diabetes Self-Management Education and Support Guidelines AADE Diabetes Education Accreditation Program ADA Education Recognition Provider referral to the DSME program Medicare provider number / NPI Originally, recognition of credentialed diabetes educators as DSME providers was included in the bill but fell out during the reconciliation between the houses. ...
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Who Is a Diabetes Educator?

By Patricia "Mickey" Stuart posted 09-25-2012
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Do you have to have a CDE to be a diabetes educator? No. AADE recognizes 5 levels of diabetes educators (Source: The Scope of Practice, Standards of Practice, and Standards of Professional Performance for Diabetes Educators). Who is a diabetes educator when we discuss licensure of diabetes educators? Answer: Level 3, who meet credential educator criteria, and above. If you read the NCBDE position statement on licensure, you will be told that the "exam" and "continuing education" plus the Certificate you passed the "exam" and met the "continuing education" standards should be the definitive requirement of the CDE. (disclosure: I have had my CDE since 1987; ...
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World Diabetes Day: Partnerships can make a world of difference!

By Kathy Warwick posted 12-23-2011
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More than 12 percent of Mississippi’s adult population or 270,000 people have a diagnosis of diabetes. Mississippi’s diabetes problem first caught the attention of Bo Kirby about 2 years ago. Kirby is the regional health and wellness director for Wal-Mart. The Wal-Mart corporate goal of helping customers, employees and surrounding communities live healthier lives fits well with the goals of the Mississippi Department of Health’s Diabetes Awareness program. After all, Wal-Mart has the opportunity to positively impact the lives of thousands of Mississippians every day. This led to a partnership between Mississippi Wal-Mart stores and the Mississippi Department ...
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Find out more about AADE’s State Licensure Initiative

By Janine Freeman posted 03-23-2011
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Have you heard about AADE’s state licensure initiative ? We recently had a breakthrough and Kentucky is now the first state to require licenses for diabetes educators. State licensure has many benefits for the future of the profession. Learn more about the initiative by reading our Frequently Asked Questions and listening to the podcast . If you have any further questions, email advocacy@aadenet.org .
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Welcome AADE Members

By John Tyler posted 06-28-2010
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Welcome AADE Members! Welcome to the Mississippi State Network! This community is dedicated to our AADE members. It is place for members to support one another and work together. We are promoting collaboration, openness, diversity and sustainability. Community! You’ll be encouraged to participate in, contribute to, and create a support network with those who share common interests and objectives. Collaboration! You’ll work together sharing ideas, solutions and resources. When someone needs help, we’ll all pitch in and help. Openness! You’ll “drop in” and engage in conversations to discuss, challenge and question ideas in a an environment ...
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