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.






Perspectives In Practice

The Diabetes Care and Education Specialist 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 (PWD) 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. **Access this practice paper through ADCES' Danatech website, free for ADCES members. 

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.


The Huddle: Conversations with the Diabetes Care Team

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.

 



 

ADCES & AANP Professional CGM Implementation Playbook

professional cgm playbook

This newly created toolkit will help you implement a professional CGM program within your health system. Professional CGM programs offer people with diabetes the ability to use CGM devices for short periods of time so both they and their diabetes care team can optimize diabetes self-management through user-generated data. The Professional CGM Playbook was developed in partnership with the American Association of Nurse Practitioners.

 



 

Resources for People with Diabetes

A set of downloadable PDFs 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. 

The Basics

Glucose Monitoring - What's In It for Me

Insider Tips and Tricks

Glucose Monitoring - Insider Tips and Tricks

Recommendations

Glucose Monitoring - Expert Recommendations

Educator Tips

Glucose Monitoring - Turning Information Into Insight

Also available in Spanish/Español
Also available in Spanish/Español
Also available in Spanish/Español






Advocacy Spotlight:

Mail Order Supplies & Medicare's Competitive Bidding Program

ADCES has been closely tracking Medicare beneficiary access to safe, effective, and high-quality diabetes testing supplies (DTS). Since 2013, we have seen a marked decrease both in the number of Medicare claims submitted for DTS and in the number of suppliers (mail order and retail). This has created significant safety and access issues for Medicare beneficiaries with diabetes trying to get the supplies they need.

ADCES and others have been active in asking CMS to make immediate and meaningful changes to the program. Despite these advocacy efforts, CMS made no adjustment to the price of DTS during the gap period. As a result, it is likely that claims for DTS will continue to decrease, despite the fact that the number of Medicare beneficiaries with diabetes continues to rise. It is now increasingly difficult for Medicare beneficiaries to access accurate, quality DTS at current CBP prices. ADCES has been active in commenting to CMS on this issue and continues to look for opportunities to dialogue with the agency and other stakeholders to improve access to DTS and reduce negative health outcomes for Medicare beneficiaries with diabetes.

Read ADCES' Letter to CMS


Understanding Medicare's Mail Order Program for Diabetes Testing Supplies

Resources developed by ADCES' Professional Practice Committee that help Medicare beneficiaries with diabetes learn how to get the supplies they need, and tips for diabetes care and education specialists to help them.  

Tips for Diabetes Care and Education Specialists

Mail Order Program Educator Tip Sheet

Tips for Medicare Beneficiaries

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ADCES Journal Articles 

The Diabetes Educator Journal

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

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

Certificate Programs

ADCES-CGM-in-Practice-Badge

Continuous Glucose Monitoring

Free to ADCES members, this 14.5 hour CE-accredited CGM Certificate Program includes a curated group of peer-reviewed publications, product-specific videos and downloadable guides and patient tools to have at your fingertips

  • The course plan includes interactive, advanced case studies and case study videos
  • This certificate program includes a course on the ins and outs of starting a CGM Program and links to a Professional CGM Implementation Playbook to guide your workflow and maximize your reimbursement
Upon completion you will earn a digital badge to promote your knowledge and skill.

Online Courses

Line graph with data on tablet screen

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.

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


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.



BGM Counseling

AADE7 Self-Care Behaviors: Monitoring

This 7-module course covering the AADE7 Self-Care Behaviors -- Healthy Eating, Being Active,Taking Medication,Problem Solving, Reducing Risks and Healthy Coping -- can be take individually or all together. If you manage a diabetes education program, this is a great way to meet the staff training requirement.


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

New to Devices? Insulin Pump and CGM Basics

Designed for those new to diabetes management devices, this webinar provides an overview of the similarities and differences between insulin pump therapy and CGM devices currently available. You will learn how insulin pumps work, and the advantages and disadvantages of pump therapy, CGMs and hybrid closed-loop systems. 60 minutes, 1 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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