Association of Diabetes Care & Education Specialists

eFYI Newsletter

Feature Article:

New Journal Issue Focuses on the Cost and Clinical Effectiveness of DSMES

_EBDM_1216_COV1 (1)This just out! AADE and the American Journal of Managed Care (AJMC) collaborated on a joint issue of Evidence-Based Diabetes Management, which highlights the economics of diabetes and the need for more coverage and payment for diabetes self-management education and support (DSMES) as well as diabetes prevention. The subscriber base for this publication: Payers.

The special issue highlights the growing body of evidence supporting DSMES as an effective disease management tool that saves health systems money but is woefully underutilized. It argues that more widespread use of DSMES will require that payers—both public and private—rethink policies and payment structures.

The special issue features a joint commentary from the journal’s editor, Robert A. Gabbay, MD, PhD, FACP, the chief medical officer of Joslin Diabetes Center, and AADE President Hope Warshaw, RD, CDE, BC-ADM, pointing out that early, consistent DSMES should be the norm, “not the exception.” They also call for reimbursement standards to align with the 2015 joint position statement from AADE, the American Diabetes Association, and the Academy of Nutrition and Dietetics—which seeks education at four key points: (1) at diagnosis, (2) at annual assessments, (3) when complications occur, and (4) during transitions in life and care. Read the position statement and watch a short video on it.

In addition to coverage of AADE16, the special issue features the following:

  • The accumulating evidence of the value of DSMES programs accredited through AADE’s Diabetes Education Accreditation Program.
  • The role of diabetes educators in helping ACOs achieve the triple aim of improved population health, improved patient experience and reduced costs.
  • AADE’s role in scaling the National Diabetes Prevention Program to the point that Medicare is prepared to pay for it beginning January 1, 2018, as well as AADE’s recommendations for reimbursement policy.
  • A focus on continued problems with Medicare’s Competitive Bidding Program for diabetes testing supplies.

Read the issue and please share widely!


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Industry Publications

If DSME Were a Pill, Would You Prescribe It? An Article Worth Sharing...Widely!

The December issue of Diabetes Care (Diabetes Care 2016 Dec; 39(12): 2101-2107) covered the address Margaret Powers, PhD, RD, CDE, president, Health Care & Education, of the American Diabetes Association, delivered at ADA’s 76th Scientific Sessions this past June.

In her address, she says her aim is to bring clarity to some of the complex issues surrounding diabetes care, specifically to DSMES. She also wants to encourage the group to make noise about diabetes and bring attention to the urgent need to address this burgeoning epidemic.

In the speech, she examines DSMES with regard to the five rating criteria commonly used to evaluate medications and the impact of DSMES on each:

  • Efficacy: High
  • Hypoglycemia risk: Low
  • Weight: Neutral/loss
  • Side effects: None
  • Cost: Low/savings and costs.

Then she added a sixth criteria: Psychosocial Benefits. The rating: High.

Powers also highlighted shockingly low utilization rates – less than 7 percent of private insurance and only 5 percent of Medicare beneficiaries received DSMES during the first year after their diabetes diagnosis, and only 1.7 percent of Medicare beneficiaries with diabetes had a Medicare claim for DSME in 2012. She surmises that a contributing factor is an historic lack of clarity about what’s included in DSMES and when it should be provided.

She reminded the audience that the recent Joint Position Statement on DSMES for Adults with Type 2 Diabetes should help to eliminate that confusion by identifying four critical times at which to assess, provide and adjust DSMES: at diagnosis, annually, when complicating factors occur and when transitions in care occur.

Read Powers’ address in full and heed her call to Raise Your Voice and Be Heard!


Annual Conference Update

AADE17: Save the Date

AADE17 is taking over Indianapolis Friday, August 4 – Monday, August 7, 2017. We are hard at work planning every detail to make sure this conference is one for the books.

Here are some of the things you can look forward to over the coming months:

  • Rates will NOT increase for the second year in a row. Register by Friday, April 21 to receive the lowest, early bird rate!

  • We have put together a variety of travel resources to help you plan your trip. Check out the travel discounts available for AADE members.

  • Can you get reimbursed for attending AADE17? Start the discussion with your employer today and use this letter as a guide.

  • Registration will open on Wednesday, March 1! Check back for more AADE17 updates.

Looking for a preview of the Annual Conference? Watch AADE16 highlights:


Share Research at AADE17


The AADE Annual Conference Planning Committee invites you to submit a research abstract to be considered for presentation at AADE17 in Indianapolis. Presenting at the conference is an excellent opportunity for you to share your knowledge, experiences and expertise with the diabetes education community.

More than 3,500 diabetes educators and other healthcare professionals are expected to gather at AADE17 in Indianapolis, Friday, August 4 through Monday, August 7, 2017.

The deadline to complete a research abstract is Wednesday, January 11 (11:59 p.m. CST).

Submit a proposal today.


Community Contributor

Periodically eFYI will feature perspectives from the diabetes community. We are please to present our first contributor.

Understanding Diversity in the Hispanic Community

By: Mila Ferrar, Community and Social Media Manager, Hispanic Market for the Spanish speaking community, a program of the Diabetes Hands Foundation

Diabetes is an urgent health problem in the Hispanic community, which is disproportionately affected by this chronic disease, compared to other U.S. populations. Genetics and environmental factors play a role, buthealth disparities in early access to screening, diabetes prevention and healthy lifestyle intervention add fuel to the fire. Increased diabetes research in the Hispanic community; culturally relevant information on diabetes risk factors, symptoms and treatments; and education can help improve the disproportionate burden of diabetes in minority populations and promote health equity.

Data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) shows that approximately 17 percent of Hispanic people in the U.S. have diabetes. In comparison, the prevalence of diabetes in non-Hispanic whites is approximately 8 percent. Hispanics have higher rates of diabetes-induced end-stage renal disease; diabetic retinopathy is 84 percent more prevalent in Hispanics than non-Hispanic whites, and Hispanics are 40 percent more likely to die from diabetes as non-Hispanic whites. Diabetes was the fifth major cause of death for Hispanics in 2006, compared to the seventh leading cause for non-Hispanic whites. These statistics might explain why Hispanic people consider diabetes their main health concern - above cancer and other chronic conditions.

To better serve the Hispanic community, I encourage diabetes educators to ask the right questions, learn more about their diabetes patients and do not assume that Hispanic people are all the same.

It’s very important to know and understand that there is diversity among Hispanic people. The differences in diabetes prevalence among Hispanic subgroups are masked when combined into a homogeneous group. Data from the HCHS/SOL shows that 10.7 percent of South Americans, 14 percent of Cuban Americans, 17.8 percent of Central Americans, 19.2 percent of Puerto Ricans, 18.4 percent of Dominicans, and 18.9 percent of Mexicans have type 2 diabetes – and the prevalence keeps growing.

This diversity among Hispanic people is not only in diabetes prevalence. Hispanic people are diverse, with a vast variety of food, traditions, beliefs, and even words, although many of us speak Spanish. To better serve the Hispanic community, I encourage diabetes educators to ask the right questions, learn more about their diabetes patients and do not assume that Hispanic people are all the same.

Get to know their food choices, likes and dislikes, values, cultures, traditions, beliefs and attitudes, and tailor your message to each specific group. Never forget about a Hispanic person's relationship with “miracle cures.”Herbal medicine is still important among many Hispanic people and it can become a barrier, not only for diabetes education but for adherence to diabetes treatments. For example, some Hispanic people will make a tea out of any imaginable leaf and will tell just about anyone that their diabetes disappeared. These are the conversations many Hispanic people have with their family members and friends, and sadly, some will take this advice and discontinue their medical treatment.

A very strong trait among Hispanic people is  love of family, and one way to demonstrate that love is through food and cooking. All that delicious food is an important part of their culture and family history. As diabetes educators, teach your patients to cook their favorite dishes in a healthier way. Use that same love for their families as a motivator in their diabetes management. It could be a great way to light the spark they need.

Hispanic people are the largest minority in the U.S., and this population will continue to grow. We need to make sure we have the right resources to help and support them on their journey living with diabetes.

These are great Spanish-language resources:

IMG_0018Mila is a tireless advocate for more and better diabetes education for the Hispanic community. Through her renowned blog, strong presence in social networks and participation in speaking engagements, Mila provides support, education and empowerment for people touched by diabetes to take an active role in managing their own health. Mila is the Community and Social Media Manager, Hispanic Market for the Spanish speaking community, a program of the Diabetes Hands Foundation.​​


Professional Development

2017 CORE Concepts® Course Schedule Announced

Plan ahead for the CDE® exam by attending a 2017 CORE Concepts Course.

Over three days, instructors will explore the field of diabetes self-management education and support through discussions and interactive case studies. Cover the diabetes self-management education and support tools most effective in assuring successful outcomes while earning up to 22 CE.

Nurses, dietitians, pharmacists and other healthcare providers interested in a comprehensive review of diabetes education are encouraged to attend. As an AADE member, you receive a $200 discount off of the nonmember price!

2017 Live Courses:

  • March 27-29, 2017: Las Vegas, NV
  • April 27-29, 2017: Tampa, FL
  • August 4-7, 2017: Indianapolis, IN
  • September 14-16, 2017: Mesa, AZ
  • November 2-4, 2017: Rosemont, IL

Check back soon for registration information.

Are you more comfortable in an online learning environment? Check out CORE Concepts Online. Cover all things diabetes education with a course facilitator as you engage in case studies and online discussions with other participants.

Purchase the required textbook The Art and Science of Diabetes Self-Management Education Desk Reference, 4th Edition prior to the start of the course (must be purchased separately).

2017 CORE Concepts Online Course: April 17- June 18

Additional dates will be announced soon.

The use of AADE products does not guarantee successful passage of the CDE® exam. CDE is a registered mark owned by NCBDE. NCBDE does not endorse any preparatory or review materials for the CDE® exam.


Practice Documents

Taking a Bite Out of Oral Health Problems

Earlier this year, AADE convened a summit sponsored by Colgate to explore opportunities for mitigating the impact of diabetes and oral health issues. There is a well-established bi-directional relationship between oral health and diabetes management; however, most dental health professionals know little about the role or benefit of diabetes educators, and diabetes educators often lack (or under utilize) resources to ensure the oral health of their patients.

A panel of experts from the fields of diabetes education and dental care spent several days discussing common challenges and potential solutions. The first area of focus involved the diabetes educator’s role in screening and teaching patients about oral health. Proposals included updating Standards of Care for both diabetes care and diabetes education, providing opportunities for continuing education in oral healthcare, and developing effective teaching tools for educating and motivating patients.

There was a consensus that oral health professionals would benefit from further training in diabetes care/treatment.

The second area of discussion focused on the dental professional’s role in enhancing diabetes care. The panel concluded that dental hygienists and dental assistants are in a unique position to provide basic diabetes education and to screen for diabetes management issues. There was a consensus that oral health professionals would benefit from further training in diabetes care/treatment.

Opportunities for collaboration were also discussed at length, including reciprocal referrals. While referrals don’t officially come from dental professionals, they can influence their patients to seek out diabetes education programs.

Overall, the AADE Diabetes and Oral Health Summit gave all participants an opportunity to understand each other’s roles, needs and interests in great detail. Read the Diabetes and Oral Health White Paper for the full report.

We look forward to implementing recommendations in the report and continuing to promote the role of diabetes educators to dental health professionals.

Technology Tips

It's Time for Some IT Cleaning

By: Crystal Broj, Chief Technology and Innovation Officer, AADE

ThinkstockPhotos-500021814As the year winds down, it's time to start new resolutions and begin thinking about spring cleaning. I challenge you to also do some "IT Cleaning." While this should include clearing the cookie crumbs from your keyboard and wiping the finger prints off your touch screen, here are 10 things you should at least review annually to keep your IT in check.

  1. Update your security software. At work, this is probably happening automatically, but what about your home computer? Is your antivirus software up to date? Did you know that malware has grown to be such a tremendous problem that over 32 percent of the world’s computers are infected with some type of malware? Protect your home computer by updating your antivirus software! This is particularly important if you use your home computer for work-related projects or communication.
  2. Backups. Of course having a backup makes sense, but are you backing up your home computer, your tablet and your phone? Anyone who has had a phone issue realizes that it's painful if you haven't backed up your contacts recently. Incorporate device backup into your workflow, once a month at the bare minimum.
  3. GettyImages-452251599-[Converted]Passwords. We all do it. We use the same password for everything because it’s easy. STOP! Use January to reset your passwords. If your passwords are all the same, a hacker can get one, and then have access to your bank account, IRS information, work or patient files and even your Facebook. Change your passwords!
  4. Privacy settings. Take a peek at your privacy settings, especially on your social media accounts. Is Facebook letting everyone see your pictures with the latest release? Is that what you want? Take a quick look at those settings regularly.
  5. Declutter. During spring cleaning, you go through your closet and get rid of things you don't wear. Do the same to your computer: delete the old emails, organize your files so you can find them, or if you don't think you will use them, put them into an "archive" file. Take items off your desktop and remove software you don't run.

Is Facebook letting everyone see your pictures with the latest release? Is that what you want?

  1. New skills. You say you aren't computer savvy? There are hundreds of videos that can teach you tricks of the trade. Check out YouTube and find free videos on how to do pivot tables in Excel or awesome reports in Word. Ready for a greater challenge or want a leg up at work? Subscribe to for more on-demand educational videos covering topics from accounting to marketing (first 10 days are free). Check with your local library to see if they have a subscription you can use.
  2. Digital reputation. Have you ever done a Google search on yourself? Be careful what you post: once it goes into cyberspace, it's hard to remove. Instead, check your privacy settings (see #4) and make sure you aren't posting what you might not want colleagues or patients to see.
  3. GettyImages-490799176-[Converted]_cropDigital reputation part 2. Are you actively building your digital presence? Create a Twitter account and start following thought leaders in your profession. Have you updated your LinkedIn profile recently? Online connections can prove to be valuable resources, so make sure you always connect with people you meet in conferences to find them again in the future. Don't just collect people, connect with the people you meet.
  4. Family photos. Perhaps you have hundreds of pictures on your cell phone from your last trip to Florida. Are they backed up? (see #2) What will you do with them now? Maybe you’ll create a photobook online at Walgreens or Shutterfly. You can print photo canvases for your walls or a simple 8 x 10 for a loved one; watch for coupons on Groupon and other websites.
  5. More history. Do you have a lot of photos in boxes and photo albums? Maybe you have important documents in paper form only? Scan your documents and pictures or take a picture on your cell phone and then back them up to your computer. Make sure you have a digital backup of the most important things. If something happens to that old paper picture of your first (insert favorite thing here), you might be sad later on.

A new year, a new you in technology. Even if you only do a few of these, you'll be much more prepared for 2017.


Membership Update

Refer and Win


With the holidays upon us, who wouldn’t want an extra $200 to spend? Participate in the Year-End Member Referral Contest, and you could win a $200 gift card.

To enter, refer a colleague to AADE by completing this brief form and encouraging them to join. Once they’ve joined, you’ll receive an entry into the drawing. Better yet, refer multiple colleagues to join and increase your chances to win. To be entered, your referral(s) must join by December 31.

This is your chance to start the year with an extra $200 in your pocket. Learn more.