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Association of Diabetes Care & Education Specialists

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Practice Resources

Resources on Glucose Monitoring

Educator Tools for Providing Guidance 

Insulin Pump Therapy

Self-monitoring of blood glucose (SMBG) has been the norm for many years. Although much attention and research is currently focused around CGM, SMBG is still an important tool used by the majority of people living with diabetes.

Our SMBG and CGM resources include tip sheets that provide helpful advice to people living with diabetes and advocacy resources related to seniors' access to the supplies they need. Educational courses are also available.





Practice Guidance

The Diabetes Care and Education Specialist's Role in Continuous Glucose Monitoring 

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The goal of this paper is to outline topics that should be covered by diabetes care and education specialists when teaching people with diabetes and their families or significant others in the utilization of CGM and interpretation of the data it provides. It is imperative that the diabetes educator who incorporates CGM into their practice understands the potential advantages of CGM, both as a personal and professional system, and maintains a high level of expertise in this subspecialty of diabetes education.  

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Self-Monitoring of Blood Glucose Using Glucose Meters in Management of Type 2 Diabetes

SMBG Using Glucose Meters in Management of T2D

This practice paper focuses on how the diabetes care and education specialist can work with their patients to choose an appropriate meter, understand how to use it, and also how to determine when to check blood sugar based on recommendations, medications, and treatment plans. Results are then used to make tweaks in eating plans, exercise habits, medication timing and dosages, problem solving, stress reductions and more.

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The Huddle: Conversations with the Diabetes Care Team

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EPISODE SUMMARY

In this episode, continuous glucose monitoring (CGM) expert Diana Isaacs explains the difference between CGMs and BGMs (blood glucose monitors), provides guidance on selecting the right device, and advice on how providers can onboard people with diabetes to their new devices. We also discuss how healthcare providers and diabetes care and education specialists can implement CGMs into their practice and why diabetes care and education specialists in particular should be leading the charge to incorporate more technology in practice. We wrap up the conversation with a brief discussion on what’s coming next and what you can do right now to better inform yourself about CGM.

 


 

Professional and Personal CGM Implementation Playbooks

ADCES has partnered with fellow healthcare associations to create new guides provide an inclusive and unbiased approach to implementing both Personal CGM and Professional CGM Programs into a practice, whatever its size. They include a step-by-step approache to implementation, additional resources and the latest research.

Learn More
 


 

Pocket Guide - Continuous Glucose Monitoring: Connecting the Dots

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Pocket Guide - Continuous Glucose Monitoring: Connecting the Dots

This pocket guide explains the differences between blood glucose monitoring (BGM) and continuous glucose monitoring (CGM). Learning about and living with CGM is explained in depth and is also illustrated with case studies.

Download the CGM Guide


CGM guide en español

 


 

Resources for People with Diabetes

A set of downloadable PDFs and podcasts for diabetes care and education specialists to use with patients to illustrate the importance of glucose monitoring, expert recommendations plus tips and tricks for safe, accurate testing. 

Tip Sheet: The Basics: What's In It For Me? Also available in Spanish/Español

Tip Sheet: ​Insider Tips and Tricks Also available in Spanish/Español

Tip Sheet: Expert Recommendations Also available in Spanish/Español

Tip Sheet: How to Be A Diabetes Detective Also available in Spanish/Español

Tip Sheet: Understanding High Morning Blood Sugars Also available in Spanish/Español

PriMed Podcast: Is Continuous Glucose Monitoring Right For You? 

PriMed Podcast: How to Reap the Benefits of CGM and Maintain Your Device

 

Understanding Time in Range

Help your clients who are using a CGM understand their glucose numbers and learn how much time they are spending in their target range.

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Also available in Spanish/Español 

 
 



ADCES Journal Articles 

The Science of Diabetes Self-Management and Care/The Diabetes Educator

SMBG Out of Control
Volume: 39, 5: pp. 689-695. First published July 29, 2013
Tahir Chaudhry, David C. Klonoff, MD, FACP

Using the Common Sense Model of Self-Regulation to Review the Effects of Self-Monitoring of Blood Glucose on Glycemic Control for Non-Insulin-Treated Adults with Type 2 Diabetes 
Volume: 39, 4: pp. 541-559. First published June 7, 2013
Jessica Y. Breland, MS, Lisa M. McAndrew, PhD, Edith Burns, MD, Elaine A. Leventhal, MD, PhD, Howard Leventhal, PhD

The Impact of Self-Monitoring of Blood Glucose on a Behavioral Weight Loss Intervention for Patients with Type 2 Diabetes
Volume: 39, 3: pp. 397-405. First published June 26, 2012
Lisa M. McAndrew, PhD, Melissa A. Napolitano, PhD, Leonard M. Pogach, MD, MBA, Karen S. Quigley,PhD, Kerri Leh Shantz, MPH, Stephanie S. Vander Veur, MPH, Gary D. Foster, PhD

Self-Monitoring of Blood Glucose Is Associated With Problem-Solving Skills in Hyperglycemia and Hypoglycemia
Volume: 38, 2: pp. 201-218. First published March 26, 2012
Jing Wang, PhD, MPH, RN, Janice Zgibor, PhD, Judith T. Matthews, PhD, MPH, RN, Denise Charron-Prochownik, PhD, CPNP, FAAN, Susan M. Sereika, PhD, Linda Siminerio, PhD, RN, CDE

The Diabetes Educator Journal

ADCES in Practice Articles

SMBG Is Not Dead
Christopher Parkin, MS
First Published August 19, 2019

Glucose Variability and the Use of Continuous Glucose Monitors in People with Type 1 and Type 2 Diabetes
Betty Lu, BS, PharmD; Jennifer D. Goldman, RPh, PharmD, CDE, BC-ADM, FCP
First Published October 18, 2018

Meaningful Monitoring: Empowering People with Diabetes
Deborah Greenwood, PhD, RN, BC-ADM, CDE, FAADE
First Published August 16, 2016; pp. 22-27

Simple Tips For Teaching Blood Glucose Testing Technique
Christine Veenendall, BSN, RN, CDE
First Published June 20, 2014; pp. 56–56

Blood Glucose Monitoring
Tamara J. Swigert, MSN, RN, CDE
First Published December 18, 2013; pp. 28-34

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Education for Your Practice

Online Courses

CGM-Focused Programming in Partnership with PriMed

CGM Selection and Initiation in People with Type 2 Diabetes

Learn how to identify people with diabetes who would benefit from CGM, what type of CGM devices are currently available, and how to collaborate using shared decision-making with people with diabetes to select a CGM device. Free to ADCES Members, .5 CE for nurses and pharmacists

Interpreting CGM Data: Deciphering the Ambulatory Glucose Profile to Understand Glycemic Control

Explains the types of data obtained with CGM, including the components of the ambulatory glucose report (AGP), and how to interpret this information for individual diabetes management. Free to ADCES Members, .5 CE for nurses and pharmacists

Applying CGM Data to Clinical Practice in People with Type 2 Diabetes

Using patient case scenarios, this module will review ambulatory glucose profile (AGP) reports obtained from CGM devices and discuss how to apply their information in management of diabetes. Free to ADCES Members, .5 CE for nurses and pharmacists

Programming in Partnership with Endocrine Society and Clinical Care Options

We've developed an online course and set of resources to help you overcome the most common barriers to incorporating CGM into your practice? View the comprehensive program

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Online Course: CGM: Merging Patient Satisfaction with Data-Driven Glycemic Control

Review key evidence and expert recommendations on leveraging CGM for the optimal management of persons with diabetes.
Free for ADCES Members

  • Topic 1: Role and Recommendations for CGM to Improve Outcomes
  • Topic 2: Comparison of Available and Emerging CGM Technology
  • Topic 3: Diabetes Medical Minute: Incorporating CGM Into Practice
  • Podcast: Diabetes Medical Minute: Role of the Diabetes Care and Education Specialist in CGM
Register Now

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Continuous Glucose Monitoring: Connecting the Dots

Continuous glucose monitoring (CGM) is the gold standard for managing blood glucose. This online course will guide you through:

  • Benefits of CGM for people with diabetes, their caregivers and providers
  • Value of CGM downloads and resulting suggestions for lifestyle and medication adjustments
  • Overcoming potential barriers and challenges to the utilization of CGM

Plus, this course is free for ADCES members.

Register Now
Person looking at Continuous Glucose Monitoring data on smart phone

Continuous Glucose Monitoring: Real World Case Studies in Pattern Management

Enhance your continuous glucose monitoring (CGM) data interpretation knowledge in this DANA-exclusive online course.

Dig into CGM essentials, and detailed cases with a wide variety of real-world situations as you learn to interpret and analyze CGM reports. After completing the course, you'll be able to translate CGM data into actionable treatment and identify proper application of pattern management to treatment decisions.

ADCES members only

Log In and Register Now

Woman checking blood glucose

Individualizing and Optimizing Self-Monitoring of Blood Glucose (SMBG)

 Learn how best to support people's diabetes self-care with personalized, structured SMBG processes in this new online course.


You'll gain the skills necessary to help individuals interpret the effects of food, physical activity, and medications on glycemic control, achieve target blood glucose levels, and prevent complications.

Plus, this course is free for ADCES members.

Register Now


Recorded Webinars

CGM Data in Clinical Practice

Participants will be able to identify the various components in CGM reports, develop a systematic approach to sifting through all the data, and generate key discussion points from the data when working with people who have diabetes. This  presentation will highlight the use of an interprofessional team approach and provide practical pearls regarding which reports may work best for given practice settings or patient populations. 90 minutes. 1.5 CE

The Ins and Outs of Starting a CGM Program

Participants will learn the ins and outs of starting a CGM program utilizing both professional and personal CGM. The expert co-presenters have each successfully started a program in a rural setting and a big health-system respectively. Topics will include the logistics of setting up a new program including reimbursement details, patient recruitment, getting referrals, insurance coverage, maintaining inventory for professional CGM, and helping patients transition from professional to personal CGM. 90 minutes, 1.5 CE

The Next Generation of CGM: How Flash Glucose Monitoring is Revolutionizing Diabetes

Advances in CGM are changing glucose management from a largely reactionary approach to one that is predictive in nature. Flash glucose monitoring is part of this revolution. How we leverage these new tools in practice will depend on providers’ understanding of newer technology and their ability to effectively communicate practice guides to their patients. This program will update clinicians on how flash glucose monitoring is changing the landscape and how clinicians have put practical guides into action to make the most of newer technologies. 90 minutes, 1.5 CE

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