Blogs

An interesting post from DiaTribe - The Cause of Type 2 Diabetes May Not Be What You Think

By Ann Hornsby posted 10-10-2023
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By Susannah Chen A newly published study found that type 2 diabetes is not attributed to having obesity as defined by BMI. Rather, each individual’s genetics determine whether or not they have become too heavy for their body and have too much fat inside the pancreas and liver than they can tolerate. The onset of type 2 diabetes is not attributed to having obesity as defined by body mass index (BMI) , a new study has found. It’s actually caused by having more fat inside the liver and pancreas than that particular person can handle. Dr. Roy Taylor, professor of medicine and metabolism at the University of Newcastle School of Medicine in England ...
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OH ADCES Attends the Leadership Meeting

By Diana Isaacs posted 02-29-2020
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On January 10 and 11, diabetes care and education specialists from around the country gathered in Chicago, IL for the ADCES 2020 Leadership Forum Program – Leading with 2020 Vision . The overall program goals were to envision, enact, engage, and expand. Envision: Help volunteers leaders lay the foundation for the future of the specialty in the year 2020 and beyond. Enact: Take home specific tools and knowledge that enhance effectiveness as a leader within the Coordinating Bodies/Local Networking Groups, Communities of Interest and diabetes community. Engage: Leverage networking opportunities with other volunteer leaders to facilitate the sharing ...
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Political Advocacy Update

By Diana Isaacs posted 01-31-2020
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Thanks to Leslie Andrews for writing the following blog. Ohio Bills to Cap Co-Pays for Insulin Rep. Beth Liston and Sen. Hearcel Craig have introduced legislation (HB 387 and SB 232, respectively) to cap co-pays for insulin at $100 per month on all state-regulated health insurance plans. This legislation, patterned after Colorado’s “first in the nation” insulin co-pay cap bill (HB 1216) that was signed into law this past May, will help many Ohioans who are desperately trying to afford the insulin they need to live. Here’s is a link to the HB 387 page ( https://www.legislature.ohio.gov/legislation/legislation-summary?id=GA133-HB-387 ) that was introduced ...
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2019 Reflections

By Diana Isaacs posted 12-31-2019
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Reflecting on the New Years I wrote a blog post around this time last year reflecting on New Year’s resolutions. In a nut shell , my resolutions were to be more positive, which I think I mostly accomplished and to not get as far behind on my charting, which I have lots of room to still grow. :) Switching gears, this was a fantastic year for Ohio AADE. These were some of our accomplishments. We grew our Coordinating Body (CB) leadership team and have a steady level of active participation on monthly conference calls. . We started the first Ohio Diabetes Educator of the Year Award. Congrats again to Colleen Rinheart . We held a phenomenal OH AADE Annual ...
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New Drug Therapies to Treat Severe Hypoglycemia

By Diana Isaacs posted 11-30-2019
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New Drug Therapies to Treat Severe Hypoglycemia By Luke Mennen, PharmD Candidate 2020 Intensive glycemic management has many benefits, including reducing microvascular outcomes such as retinopathy, neuropathy, and nephropathy and evidence to suggest reductions in macrovascular outcomes such as cardiovascular disease. However, the main limiting factor to tight glycemic management is hypoglycemia. Preventing and treating low blood glucose levels is crucial, as symptoms are uncomfortable and can lead to greater harm when unrecognized. Initial symptoms often include shakiness, sweating, lightheadedness, and altered mental status. As glucose levels continue to ...
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What's New in Glucagon

By Diana Isaacs posted 10-31-2019
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It's been a super exciting time for glucagon! Did you know there are two new formulations recently FDA approved? We have come a long way from the glucagon that had to be reconstituted and then injected. Baxsimi is an intranasal powder marked by Lilly. It's a simple spray into one nostril and is FDA approved for ages 4 and up. It comes in one dose only, 3mg. And studies support its use even in people with nasal congestion. GVOKE is a liquid stable glucagon that will soon be available as a ready to use pen. It's currently available as a pre-filled syringe. It comes in 0.5mg doses for kids and 1mg doses for adults. It's approved for ages 2 and up. The pen ...
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Kevin's Law

By Diana Isaacs posted 09-26-2019
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Thanks to Leslie Andrews for writing the following blog: For people with diabetes management is 24/7 365 days a year. So what happens when life happens and their prescription for insulin runs out on a Saturday night? Before Kevin’s Law (Howdy’s Law) the only solution was an emergency room visit. Kevin’s Law is named for Kevin Houdeshell, who was newly diagnosed with type 1 diabetes and ran out of insulin on New Year Eve. The pharmacist could not reach the doctor to refill his prescription. Kevin went into DKA and died a few days later. Kevin’s parents and family have worked tirelessly to fight for legislation so that these tragic events do not happen ...
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Take Action: DSMT services for Medicare Patients

By Diana Isaacs posted 08-31-2019
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In March 2019, the American Association of Diabetes Educators (AADE) and its coalition partners, worked with Representatives Tom Reed (R-NY) and Diana DeGette (D-CO) and Senators Jeanne Shaheen (D-NH) and Susan Collins (R-ME) to introduce the Expanding Access to DSMT Act (H.R. 1840, S. 814). The legislation amends title XVIII of the Social Security Act to expand access to outpatient DSMT services under the Medicare program. This important legislation will help to improve access to DSMT services for Medicare beneficiaries. This bill expands the list of providers who can refer; extends the initial 10 hours to remain available beyond the first year until fully ...
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What One Voice Can Do

By Diana Isaacs posted 07-31-2019
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What One Voice Can Do? By: Lisa L Retterer RN, BBA, MSM What can one voice do? Well, we utilize our voices daily to advocate for our patients with a diagnosis of diabetes mellitus. Our voice resonates with other healthcare members as it assists to collaborate and provide individualized patient-centered care which leads to optimal outcomes for our patients. There is so much that our voice accomplishes on a daily basis. It is so powerful to utilize our voice not only in the healthcare setting but also in the legislative arena! I recently had the opportunity to utilize my voice and represent Ohio Diabetes Educators in Washington DC. I joined other State ...
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You Asked - The Speakers Answered! Q and A from the 2019 Ohio AADE Annual Meeting

By Dawn Noe posted 06-24-2019
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Thank you to all the speakers, attendees and vendors that participated in the 2019 Ohio AADE Annual Meeting on 6-14-19. As discussed at the meeting, the June 2019 Blog will review Q and A from the conference. Thanks again to our speakers for their engaging presentations and quick responses to audience questions! Understanding Mental Health and Diabetes Any strategies to manage diabetes burnout/distress? Heather Lehmkuhl Yardley, Ph.D. Diabetes burnout and distress can be difficult to manage. I think the most important thing is to provide the patient with support about the burnout. Acknowledging how difficult it is to manage diabetes because ...
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Cost Savings

By Diana Isaacs posted 05-17-2019
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The medications, the insulin, the test strips, the supplies, the insulin pump, the CGM, it's all so expensive! Yesterday, I had a Spanish speaking patient with type 1 diabetes. The language barrier made it more difficult for him to access medications and supplies. He's on a form of Medicaid that I am less familiar with. He is using an insulin pump that is over 10 years old that they don't even make supplies for anymore. He is out of test strips. He does not have a CGM. He tried to buy a Reli-On at Wal-mart and it ended up being 100 points off his true glucose so his provider advised him not to use it. I put a professional CGM on him for 14 days and it was quite ...
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DIY Onnipod Loop

By Diana Isaacs posted 04-30-2019
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DIY Omnipod Loop By: Julia Blanchette PhD(c), RN, CDE DISCLAIMER- the following post is not medical advice. This is my experience as a PWD and my thoughts as a CDE. Do not use my thoughts as suggestions for self-management without making your own clinical judgments first. Also, DIY Omnipod Loop is STILL EXPERIMENTAL (in Beta testing mode). It is not FDA approved and, I am using this off-label. Many healthcare providers are worried about the liability of patients using a non-FDA approved, off-label insulin delivery system. Although this is a concern of mine as well, I will not focus on that aspect of liability in this review since it is already ...
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The Audiology Project for PWD

By Diana Isaacs posted 03-19-2019
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Audiology is being added to the PPOD group for comprehensive diabetes care. Even in the absence of symptoms, it is pertinent for people with diabetes to have their hearing evaluated annually. There is a very strong correlation between diabetes (even pre-diabetes) and hearing loss, as well as other ear issues like balance. A change in hearing and/or balance may be reflective of a change in diabetic status. Diabetes affects the ears due to its effects on microvasculature which feeds to keep the cochlea in good health and function. This is similar to how diabetic retinopathy affects vision. Treatment for diabetes can also affect hearing and balance function ...
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Be Bold!

By Dawn Noe posted 02-28-2019
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Now is the time to be bold! –Karen Kemmis, AADE 2019 President Are you familiar with AADE’s Project Vision? https://www.diabeteseducator.org/about-aade/project-vision Healthcare is rapidly changing and it’s an exciting time for diabetes educators and AADE to work together to re-define our specialty. As value-based care emerges, now is the time to acknowledge all that we do as diabetes educators. Of course, we teach people with diabetes about their condition, but we also do so much more! How many of us have provided emotional support to someone who was newly diagnosed, experiencing diabetes burnout, or frustrated that despite all their efforts, ...
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Minimizing Turbulence when Flying with Diabetes

By Diana Isaacs posted 01-31-2019
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Written by: Lourdes Cross, PharmD, BCACP, CDE, Sullivan University College of Pharmacy/University of Louisville Hospital, Louisville, KY Patients with diabetes can encounter multiple challenges while traveling, especially with long-haul travel across time zones. In one study of 493 patients with diabetes, 15% of those traveling in the past year reported that insulin use affected travel plans due to perceived health risks such as traveling long distances. Approximately one-third of patients reported that guidance would help diminish fears about travel. 1 However, there are limited public resources that offer travel support, and some only provide generalized ...
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New Year's Resoultions

By Diana Isaacs posted 12-30-2018
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New Year’s Resolutions By: Diana Isaacs, PharmD, BCPS, BC-ADM, CDE As 2018 comes to a close, New Year’s Resolutions are on many people’s minds. I love the idea of them, that we are focusing on making ourselves better. Although we don’t have to wait until January 1 st , we can work on self-improvement any time. I’ve learned that the best goals are SMART (specific, measurable, attainable, relevant, timely). In addition to this, focusing on the process is more attainable than focusing on the outcome, which is out of our control. For example, I could set a goal to exercise 4 times per week in the morning before work. I have control over that, but to lose 10lbs ...
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Looking for Volunteers!

By Diana Isaacs posted 12-01-2018
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The Ohio Coordinating Body is looking to expand. We are planning a bunch of new committees and looking for volunteers. Expected time commitment may be 1-2 hours/month. 1. Nominations Committee: Responsible for coming up with candidates for AADE Awards, review applications for new OH Educator of the Year Award, in the future a Best Practice Award. 2. Communications Committee: Responsible for monthly blogs, recruiting authors and ensuring we have topics of interest to membership. 3. Political Advocacy: Keep membership informed about national, state and local initiatives that affect people with diabetes. Please consider volunteering. Contact Diana Isaacs, ...
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Aspirin for Primary Prevention in Diabetes: Review of the Ascend Trial

By Diana Isaacs posted 10-31-2018
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Aspirin for Primary Prevention in Diabetes: Review of the Ascend Trial By: Alyssa Rinaldi, PharmD Candidate 2019 The American Heart Association (AHA) states that diabetes is one of the seven major risk factors for cardiovascular disease that can be controlled. ­Statistically, 68% of people above the age of 65 diagnosed with diabetes will die from heart disease. 1 This is because diabetes can affect the cardiovascular system through several mechanisms. Uncontrolled diabetes causes underlying systemic inflammation and excess oxidative stress, leading to diastolic dysfunction. Additionally, diabetes contributes to endothelial dysfunction and increases ...
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Medicare Part D Open Enrollment

By Diana Isaacs posted 09-30-2018
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Pharmacists Involvement in Medicare Part D Open Enrollment Ben Farlow, PharmD Candidate 1 , Geoffrey Twigg, PharmD, BCACP, CDE 2 , Tosin David, PharmD 1 1 University of Maryland School of Pharmacy; Princess Anne, MD 2 Apple Discount Drugs; Salisbury, MD Background During my first semester as a pharmacy student I had the opportunity to work in a large, community pharmacy in a rural area on the Eastern Shore of Maryland. As a student I was eager to see what I was learning in classroom didactic studies put to work in real world patient encounters. ...
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AADE18

By Diana Isaacs posted 08-30-2018
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Wow, what a fantastic time attending AADE18. It was truly one of the best conferences I ever attended. Tons of great networking. There were so many receptions! The COI and CV networking event was especially very well attended and a great opportunity to see everyone. I also loved the poster sessions. I got to do a focus group with Xeris Pharmaceutics and learned more about the new glucagon autoinjector that was submitted to the FDA. I was also fortunate enough to present with my colleagues at the Cleveland Clinic on our CGM Shared Medical Appointment Program. Word got out that we refer to Bright Spots and Landmines in our classes and Adam Brown himself reached ...
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