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November is National Diabetes Awareness Month and today, November 14 th , is World Diabetes Day! We celebrate on November 14 th , as it marks the birthday of Sir Frederick Banting who co-discovered insulin with Charles Best in 1922. The theme for this year’s World Diabetes Day is: Access to Diabetes Care – If Not Now, When? As we go through today, this entire month, and beyond, let us think of ways to highlight diabetes as a local, national, global issue and advocate for the millions of people (our family, friends, colleagues, ourselves) living with diabetes. Below are a few links for further reading. Please feel free to reply to this post and tell (or ...
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Coping During the Pandemic of 2020 in New York City By Hildegarde Payne, RN, MA, CDCES, FADCES Diabetes Care and Education Specialist ADCES NYS CB Board Member The Pandemic of the Century, it seems like a bad movie or a nightmare. I prayed for the day when the “stay at home” or quarantine order will be completely lifted. I was inundated with negative news, the high unemployment rate, and the economy, the state of the union, protest and political unrest. I will remember, my life before the COVID-19 Pandemic and mourn lifestyle, freedoms, leisure activities, and interactions with friends, colleagues and family. I did the best I could to stay healthy and ...
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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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March Blog

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I had the opportunity to read Gary Scheiner’s CGM Data Analysis article in January’s 2020 ADCES in Practice magazine. He discussed how to navigate interpreting CGM reports and what to look for when doing so. Some of the highlights and take away messages include: Review 2 weeks of data Review AGP report to note time in range; above range and below range Review day to day variability using spaghetti graphs Gary also encouraged HCP to not feel intimidated by the data, but rather spark curiosity that will help the PWD better understand behaviors and outcomes. Some examples would include: when are they taking insulin in comparison to food intake; if their ...
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Metformin-Humble beginnings, exciting future? These days metformin is the first line medication recommended for the treatment of prediabetes and Type 2 diabetes. It has a very interesting history. It is derived from a plant, Galega officinalis, commonly known as goat’s rue or French lilac. Goat’s rue was used as far back as the 17th century in medieval Europe to treat dysuria, among other problems. Extracts from the plant were used in 1920’s and 30’s to treat diabetes in France. It contains at least 2 powerful alkaloids, guanidine and galegine. The former proved too toxic and research into galegine led in 1929 to the synthesis of several biguanides, ...
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AADE19

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August Blog August has swiftly come upon us with our AADE19 in Houston just around the corner from today. You can earn up to 31.5 CE credits based on the sessions you attend in 4 th largest city in the US that is filled with history, sightseeing and events for all. Spend a few hours of your trip exploring Houston with driving or walking tours, the space center, museums, parks and the zoo experiencing the culture and world class dinning. Network with nurses, dietitians, pharmacists and other healthcare providers at the largest AADE gathering of multidisciplinary diabetes educators. Visit many exhibitors, view educational posters, and attend varied educational ...
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One of my favorite things about being a member of AADE is attending educational presentations that help keep me up-to-date about diabetes. The first New York State CB-organized event I attended was a 2 ½ day long conference in Saratoga, NY. The knowledge I gained from the speakers, and the multiple CEUs were more than enough reasons to have attended. But the best part was meeting so many warm, caring, smart and knowledgeable CDEs from all over the state. In between the speakers and during meals we discussed the presentations and shared our own related experiences and perspectives. These conversations enhanced and expanded upon what we learned during the ...
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One of my favorite things about being a member of AADE is attending educational presentations that help keep me up-to-date about diabetes. The first New York State CB-organized event I attended was a 2 ½ day long conference in Saratoga, NY. The knowledge I gained from the speakers, and the multiple CEUs were more than enough reasons to have attended. But the best part was meeting so many warm, caring, smart and knowledgeable CDEs from all over the state. In between the speakers and during meals we discussed the presentations and shared our own related experiences and perspectives. These conversations enhanced and expanded upon what we learned during the ...
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NYS CB Board Members and NYS LNG Mission Statements I have had the privilege of being on the New York State (NYS) Coordinating Body (CB) since 2013. I served as NYS CB Chair-Elect from 2014-2016 and Chair from 2017-2018. I have met so many talented, dedicated women who work in varied aspects of diabetes care. We have had many of our board members serve on the National AADE Board, including our 2019 President Karen Kemmis, who we are very proud of. I have also been involved for many years with our Local Networking Group (LNG) and am the Finance Chair at present. Each year, the NYS CB meets in March and October in New Burgh NY. We have by-laws that we update ...
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February Blog

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February is Go Red For Women and Heart Disease Awareness month. Visit https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/heart-disease-stroke for more information.
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http://www.diabetes.org/living-with-diabetes/treatment-and-care/women/coronary-heart-disease.html Coronary Heart Disease One in three women will die of heart disease compared to one in nine women dying of breast cancer. Forty percent of heart attacks result in death. Diabetes is a powerful risk factor for heart disease in women. Heart disease is the leading cause of death in women with diabetes. Women with diabetes are 2 times as likely to have a second heart attack and 4 times more likely to have heart failure than women without diabetes. Many women with type 2 diabetes already have heart disease when they are diagnosed or have many of the ...
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CB Chair, Peg Pellizzari had the amazing opportunity to co-author a Pediatric Practice paper with several of your AADE colleagues. Please take the opportunity to read and learn more here .
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August Blog

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August has swiftly come upon us with our AADE19 in Houston just around the corner from today. You can earn up to 31.5 CE credits based on the sessions you attend in 4 th largest city in the US that is filled with history, sightseeing and events for all. Spend a few hours of your trip exploring Houston with driving or walking tours, the space center, museums, parks and the zoo experiencing the culture and world class dinning. Network with nurses, dietitians, pharmacists and other healthcare providers at the largest AADE gathering of multidisciplinary diabetes educators. Visit many exhibitors, view educational posters, and attend varied educational formats; ...
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Barriers and Attrition in Diabetes Self-management Education How many times have you heard a potential client offer excuses, aka, barriers, about why they cannot attend DSME? After adjusting my programs calendar to include day, evening, and weekend classes, the barrier of not wanting to take off from work has dropped significantly. From time-to-time, I still have a client complain that they would never consider attending all five of the DSME classes, as this would be too time consuming. By far, the barrier I hear the most is that they cannot afford the co-pays or the deductible. But, these barriers just apply to clients that actually make an appointment and ...
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Based on a small randomized crossover trial conducted in Australia, protein should be considered when teaching meal insulin dosing. The study which aimed to quantify the insulin requirement for a high protein meal, concluded that on average, a high protein meal requires 54% more intravenous insulin than a low protein meal in a 5 hour postprandial period. Practice pearls reinforce the evidence that protein intake must be considered when calculating insulin dosing. But using what guidelines? Most of the insulin must be given within the first 2 hours to prevent the BS rise after protein consumption that begins 90-120 minutes after the meal. CDE's must ...
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NYS CB Board Members and NYS LNG Mission Statements I have had the privilege of being on the New York State (NYS) Coordinating Body (CB) since 2013. I served as NYS CB Chair-Elect from 2014-2016 and Chair from 2017-2018. I have met so many talented, dedicated women who work in varied aspects of diabetes care. We have had many of our board members serve on the National AADE Board, including our 2019 President, Karen Kemmis, who we are very proud of. I have also been involved for many years with our Local Networking Group (LNG) and am the Finance Chair at present. Each year, the NYS CB meets in March and October in New Burgh NY. We have by-laws that we ...
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Reference Article: http://care.diabetesjournals.org/content/diacare/early/2018/09/17/dc18-1581.full.pdf Of note, 2018 AADE President Donna Ryan, RN, RD, MPH, CDE, FAADE is a co-author of the reference article. Blog Entry: Comment on the just released paper: “Glucose Management Indicator (GMI); A New Term for Estimating A1c.” This paper explains why and how the term Glucose Management Indicator was coined, the relationship between this value vs A1c and the need for patient/clinician education. It is available on DANA in the Featured Resources section. The calculation and use of “estimated A1c” (eA1c) is explained. Due to the confusion generated ...
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If anyone needs to find current diabetes-related information on technology, AADE professional practice statements, pictures of current BG meters, interstitial glucose sensors, etc....go first to AADE's new DANA program on AADE website: diabeteseducator.org . It is a fabulous source of current information & has saved me so much time in preparing my diabetes-related courses & lectures. Patricia Linekin RN, MSN, CNS, CDE, FAADE
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It’s that time again when we can all visit the county fair. It’s a fun event where you can see all sorts of animals, taste different kinds of foods, play games, see unusual programs, and enjoy the carnival rides. Our family looks forward to it every year. Even though we have gone for years, decades even, we never miss it-we always see something new. Everybody has their favorites-a must do event. For me, it is the homemaking displays. I love to see all the knitting, sewing, baking, and canning that other women find time to do. My kids love the rides and games of chance, even though it would be cheaper just to stop at the store and buy a teddy bear. My husband ...
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I recently spent some time attempting to determine carbohydrate counts for a child with T1D at a sleepaway summer camp not designed for children with diabetes. The parents had done some advance research with the camp and gave me carb counts that the camp had given them. The camp provided me with their menus and gave me access to the kitchen and storage facilities so that I could look at the nutrition fact labels. I set to work photographing the labels and comparing them with the menu items, and when in doubt, comparing my estimates with Calorie King’s estimates. By the time the kids arrived in the afternoon I thought I had a reasonably good handle on the numbers ...
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