Association of Diabetes Care & Education Specialists

Practice Resources

Addressing the Full Scope of Cardiometabolic Conditions

With diabetes often comes a host of related complications. Diabetes care and education specialists also don’t just treat diabetes; they look at the full range of cardiometabolic conditions: diabetes obesity, hypertension and cardiac disorders. PROJECT VISION is about making others aware of this additional role and ensuring that people with diabetes understand that diabetes care and education specialists provide more holistic care. 

We define cardiometabolic to include obesity, prediabetes, diabetes and the full cardiometabolic spectrum. Cardiometabolic conditions encompass both microvascular damage, including but not limited to the eyes, kidneys and nerves, and macrovascular damage to the cardiovascular system, i.e., heart attack, stroke and insufficient blood flow to the legs.

Featured ADCES Blog Post

Barb Schreiner, PhD, APRN, CPLP, CDE, BC-ADM

Diabetes Care and Education Specialists Are Addressing Cardiometabolic Conditions

By Barbara Schreiner, PhD, APRN, CPLP, BC-ADM, CDCES

The boundaries across therapeutic interventions are blurring as we manage diabetes and its cardiovascular comorbidities. Increasingly, diabetes care and education specialists are addressing cardiovascular health in our persons with diabetes. But what is driving this intertwining of metabolic and cardiovascular conditions? 

Related Education 

Advanced Practice Certificate: Managing Diabetes Complications covers 7 key diabetes complications including hypertension, kidney disease, neuropathy, diabetes-related eye disease, sexual issues and dental disease. 8.5 CE

Recorded Webinar: Reducing Cardiovascular Risk in T2DM with SGLT2 Inhibitors and GLP1-Receptor Agonists: Translating Evidence into Patient Outcomes reviews the latest data on cardiovascular outcomes and provides practical diabetes care and education specialist-driven strategies to optimize the appropriate use of novel agents as part of type 2 diabetes and CVD management. 1 CE. 60 minutes. Free to ADCES Members

Recorded Webinar: Medical Nutrition Therapy to Reduce Risk for and Manage Cardiovascular Disease which uses case studies to illuminate CVD-MNT recommendations. 1 CE. 60 minutes

Recorded Webinar: Glycemic Management in People with High Cardiovascular Risk provides strategies for integrating the results of CVD outcome trials with SGLT-2 inhibitors and GLP-1 agonists into daily practice. 1 CE. 60 minutes

Recorded Webinar: A Practical Approach to Integrating the 2018 ACC/AHA Cholesterol Practice Guidelines for PWDs which uses case studies to assess CVD risk and treatment. 1 CE. 60 minutes

Recorded Webinar: A Practical Approach to Integrating the 2018 ACC/AHA Cholesterol Practice Guidelines for People with Diabetes will compare the 2018 guidelines to other current dyslipidemia recommendations and will illustrate the recommendations through case examples. 1 CE. 60 minutes 

Focus On: Obesity and Diabetes

Guidance for Diabetes care and education specialists

Diabetes care and education specialists have many opportunities to assist people who have diabetes and are overweight or obese, including implementing lifestyle changes and exploring medication options. Read AADE’s practice paper on addressing obesity and downlead an array of additional materials such as advocacy efforts by AADE and our partners, educational courses, journal articles, and PWD-focused tip sheets.

Obesity and Diabetes Practice Paper

Readers of this practice paper will: 

  • Understand the classifications for diagnosis of overweight as well as the three classes of obesity based on BMI.  
  • Understand the relationship between hormone balance and its effect on weight.
  • Get familiar with gut microbiome and understand how they can talk with individuals in a way that will resonate with them and help them to understand how certain foods can assist or make weight loss efforts difficult.  
  • Understand the progression of obesity and be able to make recommendations when individuals are in the prevention phase. 
  • Understand how the AADE7 Self-Care Behaviors™ can be effective in decreasing the progression to overweight and obesity. 
  • Know medication and surgical options.

Focus On: Heart Disease and Diabetes

Resources for People with Diabetes

Developed in 2016, these resources cover the link between diabetes and cardiovascular disease (CVD), offer targets of care, give tips on avoiding heart disease and provide a list of questions people with diabetes should ask their healthcare team. Note: I’m not sure the best way to incorporate this CVD tip sheets.

What is the Link?

What is the Link?

Covers the key risk factors for heart disease and the connection between heart disease and diabetes.

Also available in Spanish/Español.

Targets of Care

Targets of Care

Gives the current recommended ranges for blood pressure, blood glucose, cholesterol, BMI and physical activity. Also provides some strategies for reducing risk.

Also available in Spanish/Español.



Using the AADE7 Self-Care Behaviors as its framework, this tip sheet offers suggestions for preventing the development of heart disease. 

Also available in Spanish/Español.

Top 5 Questions

Top 5 Questions for your Diabetes Team

Gives people with diabetes five areas they should cover with their care team covering the areas of risk, treatment options, safety issues, herbal products and steps to take to avoid developing heart disease.

Also available in Spanish/Español.

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