Association of Diabetes Care & Education Specialists

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eFYI Newsletter

Feature Article:

Each November, we see the flood of holiday preparations begin. As soon as Halloween is over, stores already have Christmas and other winter holiday decorations for sale, and they’re promoting the biggest sales, the best deals, the best gifts to buy. Sometimes all this frenzy makes us forget that November contains the only holiday meant for showing gratitude: Thanksgiving.

This year was no different. That’s why we started off the month with National Diabetes Education Week, dedicated to celebrating diabetes educators. We want to recognize and show our appreciation for your contributions and commitment to the diabetes education field, as well as people with diabetes.

During the week of November 1-7, we debuted a new diabetes educator video to explain who a diabetes educator is and what they do to help others understand your role. We also released a Spanish-language Holiday Eating Tip Sheet.

In addition, November 14 was World Diabetes Day, and we participated in a Twitter chat (#WDDchat15) to discuss diabetes education and the use of the Diabetes Online Community (#DOC) for social support. President Deborah Greenwood and President-elect Hope Warshaw moderated the discussion during the hour, and it was a great discussion with some valuable input. Thank you to all who participated!

As we celebrate the rest of National Diabetes Month, don’t forget your importance. You help make a difference in the lives of people with diabetes and their families. You give them the tools and motivation to manage a difficult disease, as well as the hope to live the best life they can.

In the spirit of a season for gratitude: Thank you. We appreciate all that you do, and try to support you as you carry out this vital work.
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News and Activities:

This is your chance to join AADE’s roster of expert reviewers and help us continue to publish relevant, high-quality articles in AADE in Practice, our practice focused journal. 

Here's how it works:

AIP journal cover 2-1Upon receipt of each completed review, you will have 30 days of free online access to over 550 journals published by SAGE Publications and a 25% discount on all SAGE books ordered online. We appreciate receivin​g reviews within four weeks of the email date.

Reviewers receive requests by email and may accept or decline with a simple click. If you accept, you can complete your review quickly and easily online. We strive to limit requests to no more than one article every two months.

Please indicate your interest by completing this brief online form. Be sure to list your area(s) of expertise. 

Questions? Please email AADE in Practice Editor-in-Chief Teresa Pearson, MS, RN, CDE, FAADE, at aadeinpractice@gmail.com.
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 AADE16 friday aug 12-monday aug 15, 2016

AADE16 is taking San Diego by storm from Friday, August 12 – Monday, August 15, 2016! We are hard at work planning every detail to make sure this is the best meeting yet. 

We appreciate all of the feedback you have provided and we continue to make program improvements to meet your changing needs. Here are some of the big changes that you will notice at AADE16:

•  We shifted the meeting’s date and pattern to Friday through Monday to reduce the amount of time you need to spend out of the office. 

•  Registration rates will remain the same as 2015. Register by Friday, April 22 to receive the lowest, early bird rate ($345 member | $545 nonmember)!

•  We 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 AADE16? Start the discussion with your employer now. Use this letter to help you build your case.

•  Looking to save on hotel costs while in San Diego and meet a new colleague? You can do both by taking advantage of the "Annual Meeting Room Share Request" page on MY AADE NETWORK. Just post your request and await a reply from another attendee interested in sharing a room. You will need to create an account, if you do not already have one.

Registration will open on Tuesday, March 1! Stay up to date on the latest regarding AADE16.
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New ones: Spanish Healthy Holiday Eating; Navigating the Grocery Store

conquering-the-grocery-store

Over the past couple of years, we’ve created a number of downloadable resources that are perfect handouts for your patients. They include a series on proper insulin injection techniques, a thorough review of sexuality and diabetes, and tips for traveling with diabetes. You will also find a tip sheet on hypoglycemia, a guide to understanding how aging affects diabetes, and an overview of the ever supportive Diabetes Online Community, also known as the DOC. We also offer a series of worksheets on the AADE7 Self-Care Behaviors™ in English and Spanish, and a Spanish_HolidayEating_Thumbseries dedicated to healthy eating during the holidays and other big food events.

New to the series is our Healthy Holiday Eating tip sheet in Spanish and a guide to navigating the grocery store.

Flu season is upon us. In order to promote the importance of getting a flu vaccine, especially for adults aged 65 and older who have diabetes, AADE has teamed up with the National Council on Aging (NCOA) and Sanofi Pasteur. 

As we know, influenza is a contagious disease that can be severe and life-threatening, especially for those who are older. Many people do not understand the dangers of the flu, which can include mild to severe illness, worsening of other health problems, hospitalization and even death.

People with diabetes are more likely to develop complications like pneumonia. They may also see an increase in blood glucose and a decline in good eating habits. 

Older adults have flu vaccine options–including the traditional, standard-dose flu vaccine and a higher-dose vaccine. Both options are widely available at doctor’s offices and local pharmacies. All flu vaccines are a Medicare Part B benefit, which means there is no copay for beneficiaries 65 years of age and older. 

To learn more about the campaign and also download helpful graphics and materials for your patients, go to NCOA’s Flu & You website
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Are you interested in expanding your resume? We are offering Diabetes Prevention Program Lifestyle Coach (LSC) Training classes which prepare attendees to deliver the year-long, CDC-led National Diabetes Prevention Program (DPP) in their community.

This two-day, in-person, AADE training (taught by Master LSC trainers) will enable trainees to facilitate the National DPP and maintain the CDC’s Diabetes Prevention and Recognition Program. These programs support and guide their participants to delay or prevent type 2 diabetes. 

Join us on December 9-10 in Chicago, IL for the final training of 2015. Stay tuned for 2016 dates.
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New Nutrition Enhancement to AADE's Diabetes Goal Tracker Mobile App

my nutrition screenshotTo help your patients better manage their type 2 diabetes we have enhanced our free Goal Tracker mobile app to include nutrition tracking. This new tool allows people with diabetes to set healthy eating goals and track their progress through daily nutrition logging and education. The enhancement also includes the ability to create and share your own diabetes-friendly recipes and meals. Learn how to download this free app. Special thanks to Tate & Lyle for funding this enhancement.
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Final USPSTF Guidelines Released

Last fall, the U.S. Preventative Services Task Force (USPSTF) released a draft recommendation opening up diabetes screening as a free preventative service. AADE and the Diabetes Advocacy Alliance (of which AADE is a member) submitted comments encouraging a broad definition for who would qualify and suggested all diabetes educators also weigh in.

One year later, the final guidelines have been released and “recommends screening for abnormal blood glucose as part of cardiovascular risk assessment in adults aged 40 to 70 years who are overweight or obese.” It went on to say “Clinicians should offer or refer patients with abnormal blood glucose to intensive behavioral counseling intervention to promote a healthful diet and physical activity.”


Our take 

Positives: These new guidelines allow more people to be screened than previously. Also, more people with prediabetes will be eligible to take advantage of such programs as AADE’s Diabetes Prevention Program

Limitations: The guidelines are too limited. First, only CVD is listed as a risk factor. Second, adults aged 20-40, where the rate of undiagnosed diabetes is nearly 60 percent higher than the adult population as a whole, are left out. Additionally, minority populations at an increased risk are not addressed.  

 AADE will continue to work with key stakeholders on policy issues which are important to diabetes educators, as well as people with diabetes.

Read the new guidelines.
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Whether you are just beginning your career in diabetes education or you are looking for topic-specific information to enhance your existing practice, AADE has a variety of online courses to meet your needs.

Basic Diabetes Education Courses:
Start here if you are just new to the field of diabetes education

•  Fundamentals of Diabetes Care
•  ABC’s of Diabetes Education

Topic-Specific Courses:
For a detailed study of a specific diabetes-related topic, consider one of the following

•  Facilitating Behavior Change
•  Gestational Diabetes
•  DSMT Reimbursement
•  DSMES Program Management
•  Insulin Pump Therapy
•  Diabetes and Chronic Kidney Disease
•  Monitoring: From Measuring to Mastering Management (three-part series, free to members!)
     -  Level 1
     -  Level 2
     -  Level 3

New courses are being added in 2016 so check back often for the latest updates.
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Are you currently participating in Communities of Interest? Make sure you’re taking full advantage of AADE’s network of more than 14,000 diabetes educators by utilizing this exclusive resource. It’s easy to participate and you’ll benefit from significant knowledge and expertise that are shared on a variety of topics, many of which likely have an impact on you and your patients you serve.

Learn more about these Communities of Interest and how you can get involved today:

 •  Advanced Practice    •  Pediatric and Camp Educator 
 •  Complications and Care    •  Pharmacy
 •  Cultural Diversity    •  Physical Activity
 •  Diabetes Prevention    •  Plant Based Nutrition for Diabetes
 •  Diabetes Technology    •  Post Career
 •  Disabilities    •  Pregnancy/Reproductive Health
 •  Home Health Care    •  Public Health
 •  Inpatient Management    •  Veterans Affairs/Department of Defense
 •  Office and Clinic Based    

Don't forget to check out the following Practice Area Discussion Groups. These are other discussions taking place, which will become full-fledged Communities of Interest if sufficient interest is shown.

•  Behavioral/Mental Health
•  Diabetes Educators in Industry
•  Young Adults with Diabetes

Learn how to change your email preferences with the COI Subscribing Guide 2015.
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Use this monthly schedule to plan ahead for your favorite live webinars

2015 Upcoming Schedule:

December 2:
Motivational Interviewing Techniques 
Learn practical ways to motivate your patients with diabetes to make positive behavior changes.

December 16:
2016 Annual Reimbursement Update
Discuss the specifics of 2016 DSME/S reimbursement including any changes that must be incorporated in business practices in the new year.

All topics and dates are subject to change. Check out the complete schedule.
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Do you have your entry in the Fall Member Referral Contest yet? If not, refer your friends and colleagues and get entered for your chance to win one of multiple gift cards being awarded in a few weeks. 

Referring a member is easy. All you have to do is complete this brief online form. We will follow-up with the person you referred and once they join, you’ll be entered. Not only will you have the chance to win a gift card, but you’ll also benefit from knowing you helped someone receive access to free CE, patient resources, education, research, networking and much more.

Don’t delay though – this is the final month of the Fall Member Referral Contest. Refer a member by December 7, and you may join these previous Fall winners:

September
•  Carolyn Fogarty (Springboro, Ohio)
•  Katherine Lalisan (Birmingham, Ala.)
•  Patricia Lebel (Santa Monica, Calif.)

October
•  Donna Doty (DeMotte, Ill.)
•  Francine Kerber (Midlothian, Va.)
•  Debra Newbolds (Carbondale, Ill.)
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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, Joyce Najarian, RN, MSN, CDE and Carla Mellon, RN, BSN, CDE!

Commenter: Joyce Najarian, RN, MSN, CDE
Thread: How to Keep Inpatient Diabetes Education Statistics for Productivity Report
Topic: Inpatient Management COI Discussions

“We track # of consults with specific time spent: both direct and indirect time, as we do a lot of background case management for education consults. We track type of service, actions, diagnosis, age, etc. for reporting purposes as well.

We also track # of patients we follow on our daily hypo and hyper lists as we make glycemic recommendations and monitor compliance with protocols (IV insulin, hypo CPG, etc.). Many of these patients we are not necessarily seeing for education, but we are doing 1:1 face time or education in rounds with the nurses and providers (~30 minutes/case). We graph data for both consults and this, and share on a regular basis to show growth.

We also have been able to demonstrate reduced hypo/hyper rates when we are involved, along with improved LOS (length of stay), all of which has been a big help for us to justify our roles and FTE. (Start in one area, show rate changes, expand, etc. – you will be amazed how when they see you are not a money maker, but are making a big difference in cost avoidance by reducing LOS how that helps!)

If you do formal staff education, you will want to report how many staff you trained, too.

CDE’s make a big difference! You are on the right track to collecting data to prove it!”


Read the full thread.

Commenter: Carla Mellon, RN, BSN, CDE
Thread: Glucometers at Discharge Revisiting
Topic: Inpatient Management COI Discussions

“I know this has been a touchy subject, but we have found that providing a meter really does not help the patient if they can't afford the strips and in a lot of our patient situations, that is the case. Our 'free' meters only came with 10 strips. They will only check FSBG as long as they have those free strips for that meter. In our experience the 'free' meter has expensive strips, usually. So we have been teaching the patient to monitor using our unit meter since the process is the same and encouraging them to contact their insurance and find out which meter they prefer the patient obtain. If they have high co-pay, have not met deductible or not insured we recommend Relion meter at Wal-mart or the Up and Up at Target. We actually have a list of affordable meters and strips we provide for them. This presents a nice lesson in problem solving... can't tell you how many patients I have had to tell me, ‘I have 3-4 of those free meters at home, but I can't afford the strips’”

Read the full thread.
Know someone who gives exceptional advice, insight or help on MY AADE NETWORK? Send us a tip with a link to the submission, and that member’s comment will be entered into the contest for the quarter it was posted.

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