Association of Diabetes Care & Education Specialists

eFYI Newsletter

Featured Article:

Ad Council Launches Campaign on Prediabetes


29.1 million people have diabetes, but did you know that 1 in 3 Americans have prediabetes? Ninety percent of them don't know they have it.

In late January, the Ad Council, along with the American Diabetes Association (ADA), the American Medical Association (AMA), and the Centers for Disease Control and Prevention (CDC), released a nationwide campaign to spread awareness of prediabetes and prevent or delay type 2 diabetes.

This English and Spanish-language campaign directs users to a prediabetes risk assessment test, using comedic videos and infographics with striking statistics to spread awareness.

The site includes information on the CDC's National Diabetes Prevention Program (NDPP) as well as lifestyle change tips.

AADE's Diabetes Prevention Program (DPP) is one of six DPP programs funded by the CDC, with more than 40 sites across the country. As part of the NDPP, the AADE DPP offers Lifestyle Coach Training to help participants acquire the necessary skills to implement a successful NDPP Lifestyle Change Program. An overarching goal of this project is to make the Lifestyle Change Program a covered healthcare benefit for people with prediabetes.

Watch the PSAs and explore the campaign at


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Ask Well: The sugar in fruit

The Test You Must Never Ignore


Advocacy Update​

Movement on Several Fronts

This has been a busy winter on the legislative and regulatory front. State licensure legislation was introduced in Florida and Pennsylvania and we recently shared concerns about competitive bidding with the Government Accounting Office (GAO).

Our state licensure initiative is an effort to ensure that only qualified diabetes educators are able to provide the service. (The reality now is that anyone can hang a shingle and call themselves a diabetes educator.) This provides diabetes educators with a legal scope of practice for diabetes self-management education and provides patient protection. See the licensure section of to learn more about our efforts.

Also helpful was the recent publication of an op-ed piece in the Miami Herald and the Tampa Tribune that was submitted by AADE member Joyce Parillo, RN, CDE. The Tampa Tribune is the major newspaper within the district of Representative Cary Pigman, chair of the influential Health Quality Subcommittee.

kurt and flA hearing in the Florida Senate took place on February 16. Providing testimony were Curtis Ford, a Floridian with diabetes, AADE Advocacy Director Kurt Anderson and AADE member Otis Kirksey, PharmD, BC-ADM, CDE (all pictured left with Senator Audrey Gibson, sponsor of S1286). Anderson was pleased with the hearing and felt that chances of the bill becoming law were enhanced.

Legislation to license diabetes educators in Pennsylvania (House Bill 1851) was introduced by Representative Will Tallman on February 10. More to come on that as the bill progresses.

And then on the regulatory front, as a result of previous secret shopper surveys looking at the roll out of the Competitive Bidding Program as it affects diabetes testing supplies (conducted in 2011) and insulin pump coverage (conducted in 2014), we recently were able to have a conversation with the GAO about the realities of competitive bidding. Re-read the results of both AADE surveys.

We are encouraged by this inquiry by the GAO and hope this will lead to Medicare beneficiaries with diabetes having access to the supplies they need.




AADE Board Meets to Celebrate Recent Success and Chart a Course for the Future

Every three months, the AADE Board of Directors meets to discuss issues of importance to the membership. Most recently, they met in late January to celebrate recent successes (membership growth of 3.6% and a 20% increase in annual meeting attendance) and begin preparing to accomplish the goals set forth in the recently drafted 2016-18 Strategic Plan.

Other activities at the Board meeting:

The Board also discussed an AADE-hosted primary care summit planned for the fall and reviewed activities related to the new AADE Technology Workgroup. That group is in the process of developing a road map for the use of technology both by the association and within the profession.

The AADE Education and Research Foundation’s 2016 budget was approved, as was a series of scholarships to support member professional development.


Final Days to Apply for AADE Award

aade-awardsIt's time to apply or nominate a colleague for a2016 AADE Award. Each year during the Annual Meeting, we recognize excellence in diabetes education and service to the association and the larger diabetes community. The deadline to apply is March 1.

Do you or someone you know exemplify the qualities for one of the following awards?

Lifetime Achievement Award
Recognizes an individual who exemplifies the proud history of diabetes education and serves as extraordinary role model.

Allene Van Son Distinguished Service Award
Recognizes outstanding contributions and service to this association in honor of the first AADE president.

Diabetes Educator of the Year Award
Honors a diabetes educator who has made a special contribution to the field through dedication and innovation in patient care.

Innovative Use of Media and Technology Award
This award supports the innovative use of media and technology to advance diabetes self-management education and training. The project submitted should have significantly improved self-management among individual patient practices or broad diabetes populations.

Rising Star Award
This award recognizes a diabetes educator who has less than three years of diabetes education experience and has demonstrated leadership and commitment in his or her practice

Applications and supporting materials must be submitted by March 1 to Learn more and apply today.


Annual Meeting

Set Your Sights on San Diego


We are making a splash in sunny San Diego Friday, August 12 through Monday, August 15. This is your opportunity for career-boosting educational sessions, building invaluable connections and exchanging best practices.

AADE16 registration officially opens on Tuesday, March 1. Lock in the lowest rate, reserve the best hotel room and start planning your schedule.

After you register, make sure you stay in the know by tuning into our Facebook, Twitter and Pinterest pages as AADE16 takes over in the coming weeks. Also, make sure to check out MY AADE NETWORK to explore great resources like the Annual Meeting Room Share program.

We’re just getting started with the AADE16 excitement. This is the meeting you can’t miss!


Professional Development

Viva CORE Concepts® Las Vegas

CORE Concepts® is heating up the Las Vegas strip March 14-16 at The LINQ Hotel. Get to the heart of diabetes education with three healthcare professionals who are well-versed in the field, covering the perspectives of a nurse, a dietitian and a pharmacist. Participate in detailed case studies, meaningful activities and interactive discussions while earning 22 CE!

The LINQ is home to 13 restaurants, cafes, bars and lounges and is only a 12 minute cab ride to the airport. Register today.

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.



Start Down the Road to Accreditation with DSME and Prevention Program Workshop

Here's your second opportunity to go to Vegas this spring. Register now for the first Building Your Diabetes Education and Prevention Program of the year on March 14 and 15 in Las Vegas at The LINQ Hotel!

Last November, we piloted a new version of the popular DSME program which included an extra half-day dedicated to diabetes prevention. Due to its success, we are pleased to offer three more opportunities to attend this workshop in 2016!

100% of those who attended this workshop and applied for accreditation through AADE have been approved!

earn-10-CE-circleSpend the whole first day brainstorming ways to build or improve your diabetes education program(s). On the second day, explore the emerging realm of the National Diabetes Prevention Program. All participants will receive a binder full of samples to use in their own practices along with 10 CE.

  • Strategies for documentation and reimbursement for DSME programs
  • Live chart auditing so you are ready for a Medicare audit
  • Methods for developing a sound CQI process
  • Explore the emerging realm of the National Diabetes Prevention Program
  • Tactics for building your own Diabetes Prevention Program (DPP)
  • Reimbursement requirements for DPP
  • Learn the criteria required for the CDC’s Diabetes Prevention and Recognition program (DPRP)

Learn more and register today.


AADE Now Offering Lifestyle Coach Training

Do you want to learn the skills necessary to operate a successful National Diabetes Prevention Program (NDPP) at your site? Join us March 31 through April 1 for the Lifestyle Coach Training in Chicago, IL to get off to a strong start and earn 11.5 CE.

This training is based on the curriculum developed by the Centers for Disease Control and Prevention (CDC) and the Diabetes Training and Technical Assistance Center (DTTAC). Participants will also benefit from additional insights from the AADE Diabetes Prevention Program (DPP) which has been working with diabetes education sites nationwide guiding them on the effective delivery of the NDPP.

Upon completion, attendees will be designated Lifestyle Coaches and will have the confidence to enable their program participants to make lasting lifestyle changes to improve their outcomes. These coaches can also educate fellow community members on how the NDPP can prevent or delay the onset of type 2 diabetes.

The training is delivered by DPP Master Trainers and uses the recognized NDPP curriculum. Here's what to expect:

  • An interactive classroom setting in a small-group format with hands-on practice group facilitation techniques
  • Insight from actual coaches on best practices and real-life examples
  • 11.5 CE for nurses, dietitians and pharmacists
  • Resources such as:

Register today or email us at


Membership News

Pennsylvania CB Offers Scholarships: Read one recipient's inspirational story

In 2015, the Pennsylvania State Coordinating Body started a student scholarship program, offering to pay for AADE student memberships for those who are willing to write an essay explaining why they are going into diabetes education. The following is an essay written by Angelica Mussa, a Dietetic Intern at La Salle University in Philadelphia.

It was around five years ago when my father received the prediabetes diagnosis. At the time I had not yet decided to study nutrition, and anything dealing with the word diabetes scared me. Fast-forward to two years later, and I had made the decision to become a Registered Dietitian. My classes began teaching me about diabetes, including complications and treatments. At this point, I became even more scared of working with this diagnosis than ever before because I knew all that could go wrong if poorly managed. Also, the information given to us for treatment felt complicated and intimidating to teach to patients.

This fall I began my dietetic internship with a community and clinical rotation. My community rotation preceptor was Cheryl Marco RD, CDE at Jefferson Endocrinology. I remember my first day as I told the front desk that I was there for Cheryl. A man sitting next to me turned and stated, “I never believed in dietitians until I met Cheryl, she has helped me control my diabetes in a way that I never thought possible.” It was then that excitement, rather than intimidation, filled my mind when speaking of diabetes. Little did I know at the time, I would get to learn diabetes education from one of the best diabetes educators there are.

What Cheryl taught me in three short months regarding helping clients self-manage their diabetes, could not have been learned in three years from a textbook. I sat through insulin management classes, insulin pump downloads and carbohydrate classes to name a few. Each time, I learned new ways to teach diabetes care, and I saw light bulbs going off with these patients. A look of excitement filled their faces upon being able to understand, in a simplified way, the tools that they could use to manage their symptoms. Some clients were even able to reduce their insulin dose solely by being taught the correct and easiest forms of management.

Finally, I was not scared of diabetes; instead, I found a passion to work with these patients. In my clinical rotation at Thomas Jefferson University Hospital I found myself jumping on every opportunity for a diabetes education consult. Each time, I worked to find the best, most simplified way to explain diabetes management to patients. I set out to find one goal, with each patient’s help, to work on for the management of their symptoms. I would then encourage them to seek an educator outside of the hospital to build on the education that they would need. I explained that this was the most important piece of managing their diabetes diagnosis.

Overall, I realized the importance an excellent diabetes educator can have on diabetes patients. I saw many success stories, and found a great passion for wanting to help contribute to those stories. I learned that simplification is key and that the more information given, the worse off you may leave a patient.

Diabetes does not have to be complicated, patients simply need the tools for management, and their whole life can change. My first and most important patient will always be my father. He certainly is not the easiest, but I have worked hard to educate him and push him to see a Certified Diabetes Educator. With this help, he has yet to fall into the type two diabetes category, and he tries to lead a healthier lifestyle altogether. You could say he, along with Cheryl, are my inspiration to become a Certified Diabetes Educator.


Membership Help Round-the-Clock with AADE 24/7

AADE 24/7What do you do when you’ve signed up for a program, it’s late in the evening or on Sunday afternoon, and you need assistance? We’d love to help, but unfortunately, we can’t always be there.

That’s why we’ve created AADE 24/7: Your Round-the-Clock Solution Center. You can access this feature at any time. Whether you’re just trying to log into your AADE account, update your contact information, or check on your continuing education credits, AADE 24/7 will show you how.

Here, you’ll see a listing of major topics, from Membership to My Password to My Learning. Click the desired general topic and then select a specific question. The step-by-step instructions with screen shots are easy to follow.

If there’s a topic that isn’t available, let us know and we’ll add it to the site.

We always welcome your suggestions. Just email us at


Reimbursement Questions? Ask the Expert

ThinkstockPhotos-155385811_nobackgroundDo you have a question about Medicare reimbursement? Do you need an answer on private payer coverage? As a member, you have access to the AADE Reimbursement Expert to help you solve your reimbursement problems.

Here are some of the more common questions the Reimbursement Expert has received. Go to the Q&A page to read the answers:

  • What is the average reimbursement for education?
  • Where can I find more information on DSMT reimbursement?
  • Where can a sample referral form for Diabetes Services, including DSMT be obtained?
  • Do private payers require ADA or AADE accreditation to bill DSME/T?
  • I am a CDE with a Medical provider number. Is it possible to bill DSMT services under my Medicare number?
  • Who can bill CPT Code 95251 for interpretation of continuous glucose monitoring?
  • Can DSMT be rounded up? For example, if 48 minutes of DSMT are provided, can we round up and bill two 30-minute units?
  • Does Medicare require a multi-disciplinary team in order to bill DSMT?



Coming Soon: A Mobile-friendly MY AADE NETWORK

As part of our redesign of MY AADE NETWORK, launching in March 2016, look for a new and improved experience while you’re on-the-go. The site is being redesigned using responsive web design, so you will have a consistent experience when using MY AADE NETWORK, no matter if you’re browsing from a desktop computer, your phone or a tablet.

mobile visualization MAN

Fig. 1: Mobile preview of new community homepage layout
Fig. 2: New thread listing layout with easy-to-use options to subscribe, favorite or search discussions
Fig. 3: New mobile layout for calendars

We will provide AADE members with a series of all-new training materials on how to use the site. They will be available later this month so that you are up to speed when the site launches in March.


Top Commenters: Recognizing exceptional insight

Each quarter the most helpful, insightful and/or eye-opening comments are voted on by our team of Online Community Contributors (volunteer members dedicated to facilitating conversations on MY AADE NETWORK) who pick two comments that truly stand out. Members whose comments are chosen each win a gift card and are recognized on their MY AADE NETWORK profiles with a Top Commenter badge.

Congratulations to this quarter’s winners, Rosalyn Marcus, DPM, RN, CDE and Barbara Gruennert, RN, BSN, CDE!

Commenter: Rosalyn Marcus, DPM, RN, CDE
Thread: Considering Reorganization of Diabetes Recognition Program
Topic: Inpatient Management COI Discussions

“Recognition from ADA or Certification from AADE is required for Medicare reimbursement. If you are not billing Medicare or others that use their payment criteria, then certification is not helping you. We do offer free classes but not exclusively. I know that the people at the ADA recognition are extremely knowledgeable and have even gone to a location to help with the recognition. The AADE is also extremely helpful with the process. The use of chronicle makes documentation easier and pulling required reports instantaneous. Do you know what the issue is with the denials? There might be an easy fix. There is so much expertise in this COI--we should be able to help you figure this out.

I saw in one of the posts the amount of downstream income that the diabetes programs provide--recommending eye exams, stress tests, foot exams, etc. etc. While the hospital may not see the direct benefit from the center, it is receiving payments resulting from the educator's recommendations. There is also an impact on cost savings by preventing readmissions, preventing ER visits for hypoglycemia that could be managed at home, etc.

Other funding opportunities exist via grants. You might want to consider an employee wellness program for those with diabetes or pre-diabetes especially if the hospital has self-funded insurance.

There are a few on demand webinars on the AADE website about program reimbursement, regulations, etc. I registered for one a few weeks ago and thought it was very helpful.”

Read the full thread

Commenter: Barbara Gruennert, RN, BSN, CDE
Thread: Type 1 Who Can’t Afford Long Acting Insulin
Topic: Inpatient Management COI Discussions

“We have many ‘self-pay’ patients that don't follow up with their physician consistently, so the patient assistance programs seldom work. Our physicians also utilize the ReliOn Novolin 70/30 even though I prefer the NPH & R combo - it all comes down to cost. I stress to these patients the importance of consistent meals and dosage times. My Sanofi rep says "unfunded" patients can go on line and get a $15 copay card for Toujeo; he also says that if they have insurance but it's on a higher tier the pharmacy should automatically apply this card if it is a national chain (but I suspect the patient may need to remind them).”

Read the full thread

The top commenter contest continues in 2016, so if you know of someone who gives exceptional advice, insight or help on MY AADE NETWORK, send us a tip! That member’s comment will be entered into the contest for the quarter in which it was posted.