Episode Summary:Angela Forfia from ADCES and Sarah Ann Piper from Emory Centers joined us live at ADCES23 to talk about an exciting new partnership on a grant offered by the Centers for Disease Control and Prevention. The grant will focus on advancing access to diabetes education and prevention resources for those in underserved communities. Hear as Angela and Sarah explain how this will come to life over the next 5 years.Resources:Learn more about the MATCH grant and ADCES’s role here: Association of Diabetes Care and Education Specialists to participate in $50 million cooperative agreement to expand diabetes prevention efforts. (diabeteseducator.org)Learn more about Emory Centers here: Home - Emory Centers for Public Health Training and Technical Assistance

Read our recent blog, Three Heads Are Better Than One: The Effect of New CMS Measures on Nurses, Dietitians, and Certified Diabetes Care and Education SpecialistsWant to learn more about Glytec’s eGlycemic Management System®? Get additional resources for diabetes care and education specialists here.See the next evolution of GlucoMetrics® in action and check out our latest enhancements.Visit the Glytec at Booth #1915 at ADCES23 to meet the team and get your questions answered.

To learn more about this initiative, visit bridgingthegapdiabetes.orgFor more information on the project, read this Journal of General Internal Medicine article: Integrating Medical and Social Care to Reduce Diabetes Inequities: Lessons from the Bridging the Gap Program | SpringerLink

To learn more and register for this year’s annual conference, visit adcesmeeting.org.To learn more about ADCES’s 50th anniversary and hear stories from our members, visit ADCES 50th Anniversary (diabeteseducator.org)To become a member of ADCES, visit diabeteseducator.org/join

To learn more about diabetes camps and find or support camps near you, visit the Diabetes Education & Camping Association at: Diabetes Education & Camping Association – Uniting the Global Diabetes Camping Community through Education and Leadership (diabetescamps.org)To access training modules provided by the American Diabetes Association, visit: American Diabetes Association | Research, Education, Advocacy

Jennifer Okemah, MS, RDN, BCADM, CDCES, CSSD, shares her experience running diabetes programs and flipping them from cost centers into revenue generators. The episode is full of practical tips diabetes care and education specialists can use to leverage their role as diabetes technology experts for new streams of revenue. She also shares tips on how you can track performance to demonstrate the value you bring to your health system. Resources:Learn more about the ADCES Annual Conference: ADCESmeeting.orgMore resources to help you demonstrate your value: DiabetesEducator.org/ValueJennifer’s website: www.salutenutritionPLLC.comJennifer’ LinkedIn: (10) SALUTE NUTRITION, PLLC: Overview | LinkedInJennifer’s Instagram: Salute Nutrition, PLLC (@salutenutrition.pllc) • Instagram photos and videosJennifer’s Facebook: Salute Nutrition, PLLC | FacebookADCE Accreditation and Reimbursement Boot Camps: DiabetesEducator.org/Reimbursement

As CGM technology continues to evolve, it's important that those working with people with diabetes understand the different devices available and how to help people find the best fit for them. Celia Levesque, an advanced practice provider for the Department of Endocrine Neoplasia and Hormonal Disorders at M.D. Anderson Cancer Center in Houston, TX, joins The Huddle to discuss the latest updates in the world of CGM technology, as well as advances that she would like to see in the future and how to help people with diabetes find the device that best fits their needs.ResourcesFor more information about CGM options, visit danatech.org.To view all CGMs currently available, visit our find & compare CGMs page: CGM l Compare CGM Features l danatech (diabeteseducator.org)Will insurance cover a CGM? Find out with our free CGM insurance lookup tool at: CGM Insurance Coverage Look-Up Tool (diabeteseducator.org)Interested in training on the devices mentioned in this podcast? Visit our danatech device training page for current and future training events.

Thomas Blevins, MD, an Endocrinologist from Texas Diabetes and Endocrinology in Austin, TX, joins The Huddle to talk about interchangeable biosimilar insulin. We discuss what interchangeability means and the evidence supporting it. You’ll also hear about the options interchangeable biosimilar insulin presents for healthcare systems and people with diabetes.This episode is sponsored by ViatrisResourcesWebinar on Interchangeable Biosimilar Insulin (Free and non-CE):  The New Frontier of Interchangeable Biosimilar Insulins  - bit.ly/3vxUWZ1Tip Sheets on Interchangeable Biosimilar Insulin in English Viatris_Tip_Sheet_v3_04202022 (diabeteseducator.org) and Spanish Viatris_Tip_Sheet_v3_04202022_spa (diabeteseducator.org)Insulin delivery resources from ADCES: www.DiabetesEducator.org/InsulinBlevins, T. C., Barve, A., Raiter, Y., Aubonnet, P., Athalye, S., Sun, B., & Muniz, R. (2020). Efficacy and safety of MYL-1501D versus insulin glargine in people with type 1 diabetes mellitus: Results of the INSTRIDE 3 phase 3 switch study. Diabetes, obesity & metabolism, 22(3), 365–372. https://doi.org/10.1111/dom.13904Viatris website: http://www.viatris.com

On this episode of The Huddle we talk to Mary Lou Perry, who brings more than 30 years of experience in the area of diabetes nutrition clinical practice and was appointed to the ADA Professional Practice Committee last March. Mary Lou shares how others can be a part of the committee, a few key highlights from the 2023 ADA Standards of Care, and examples of how the updated standards can be applied in practice.Resources:To read the full 2023 Standards of Care, visit: https://diabetesjournals.org/care/issue/46/Supplement_1To watch an ADCES webinar that dives a bit deeper into the Standards of Care, visit: http://send.adces.org/link.cfm?r=5gLLYpGIeV6Y9dpuQo-W2A~~&pe=IajtqA5LETl6XmGrk0YTISnsQijzMKrfWkc79cPqpTRNp3eEShKQUAVzFBrLt-EYJga4sPUlv60Ad-aq--2vbw~~&t=VmwSIkiOmBxB5rwPQvGKrw~~To apply to be a part of an ADA committee, visit: https://diabetes.org/about-us/who-we-are/applications/national-committees-call-applicationsFor ADA public comment, visit: professional.diabetes.org/SOC

Chief Executive Officer of the Certification Board for Diabetes Care and Education Specialists(CBDCE) Sheryl Traficano, MBA, CAE, answers common questions about eligibility and requirements for the Certified Diabetes Care and Education Specialist (CDCES) credential. Tune in to get a better understanding of the requirements for hours, and how to accrue them. You’ll also hear about scholarship opportunities and how to apply for them.Resources:Learn more about the credential, including how to apply for and take the exam, at www.CBDCE.org. Access study resources for the exam at www.DiabetesEducator.org/CDCES. Access the current Certification Exam handbook from the Certification Board for Diabetes Care and Education (CBDCE) at  https://www.cbdce.org/documents/20123/66178/CBDCE-exam-handbook_Current.pdf/8e2fda09-9289-947c-7587-712a4e74f10a?t=1588269156519Episode #52: How to Become a Certified Diabetes Care and Education Specialist: Requirements, Study Tips, Renewal Process and More: https://thehuddle.simplecast.com/episodes/how-to-become-a-certified-diabetes-care-and-education-specialist-requirements-study-tips-renewal-process-and-moreCBDCE Scholarships: www.cbdce.org/scholarships

Allyson Hughes, PhD, is an assistant professor at Ohio University’s Diabetes Institute. She’s a research psychologist by training but has developed a unique ability to turn data into policy change. You’ll hear about her unique perspective as a researcher and person with diabetes and get some direction on how you can leverage your research or findings for real change in the world of policy.Show NotesT1D Exchange https://t1dexchange.org/Quality Improvement Collaboration through T1D Exchange: https://t1dexchange.org/quality-improvement/collaborative/Learn more about the ADCES Annual Conference at www.ADCESmeeting.orgGet involved with ADCES Advocacy and Virtual Hill Day at www.diabeteseducator.org/advocacyLearn more about research at ADCES at www.diabeteseducator.org/researchLearn more about diabetes technology at www.Danatech.org

Beyond Type 1 is a global leader in the diabetes community with trustworthy resources on all aspects of diabetes, including healthcare. Julia Flaherty is a content manager at Beyond Type 1 with 20 years of experience living with type 1 diabetes. She’s faced her share of frustrations navigating healthcare and is here to share valuable information and resources that help address the pain points people with diabetes experience when it comes to healthcare coverage.Resources:Beyond Type 1: beyondtype1.orgBeyond Type 2: beyondtype2.org(Blog) Health Insurance 101: Selecting The Right Plan For Managing Type 2 DiabetesSuite of T1D  insurance resources: https://beyondtype1.org/insurance-type-1-diabetesSuite of T2D insurance resources: https://beyondtype2.org/insurance-type-2-diabetesHealthcare glossary: https://beyondtype1.org/healthcare-glossaryInsulin affordability resources: www.Getinsulin.orgBeyond Type 1 Mental health resources: https://beyondtype1.org/mental-healthBeyond Type 2 mental health resources: https://beyondtype2.org/mental-healthHaving Healthcare Cost Conversations to Improve Patient Outcomes: A Practical Guide: https://www.diabeteseducator.org/news/perspectives/adces-blog-details/adces-perspectives-on-diabetes-care/2022/02/07/cost-conversations-to-improve-outcomes

Cari Berget, MPH, RN, CDCES, joins The Huddle to discuss the Omnipod® 5 Automated Insulin Delivery system. We’re tapping into her expertise and involvement in clinical trials that used the Omnipod 5 to bring you the practical tips. Tune in to learn who is best suited for automated insulin delivery systems like the Omnipod 5 and how to onboard people with diabetes who would benefit from the Omnipod 5 system.This episode is sponsored by Insulet, makers of the Omnipod 5 System.Resources:  Cari Berget, Jennifer L. Sherr, Daniel J. DeSalvo, Ryan S. Kingman, Sheri L. Stone, Sue A. Brown, Alex Nguyen, Leslie Barrett, Trang T. Ly, Gregory P. Forlenza; Clinical Implementation of the Omnipod 5 Automated Insulin Delivery System: Key Considerations for Training and Onboarding People With Diabetes. Clin Diabetes 1 April 2022; 40 (2): 168–184. https://doi.org/10.2337/cd21-0083 Learn more about the Omnipod 5 system: www.omnipod.com/what-is-omnipod/omnipod-5ADCES Insulin Resources: www.DiabetesEducator.org/InsulinDelivery

Christie Schumacher PharmD, BCPS, BCACP, BCCP, BC-ADM, CDCES, FCCP, joins The Huddle to talk through the use of GLP-1 and GIP/GLP-1 receptor agonists for your people with type 2 diabetes.  You’ll learn what medications fall into the class of GLP-1 and GIP/GLP-1 receptor agonists, how they work and the benefits they can offer people with type 2 diabetes. These medications can be a useful tool in the therapeutic toolkit as highlighted in the recently updated ADA/EASD consensus statement, so this episode will offer practical considerations when initiating GLP-1 and GIP/GLP-1 receptor agonists in patients and managing possible side effects.We want to thank our sponsor, Lilly Diabetes, for their support of this episode.VV-MED-128766 ©2022 Lilly USA, LLC.  All rights reservedResources:ADA and EASD Consensus Report for the Management of Hyperglycemia in Type 2 Diabetes, 2022:  Management of Hyperglycemia in Type 2 Diabetes, 2022. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) | Diabetes Care | American Diabetes Association (diabetesjournals.org)ADCES Incretin-Based therapies tip sheet: DiabetesEducator.org/docs/default-source/living-with-diabetes/tip-sheets/medication-taking/incretin-based_therapies_tip_sheet_1006202291a90b03-fff9-4b81-98c9-42ef98f0c501.pdfEpisode Transcript: DiabetesEducator.org/docs/default-source/podcast-docs/incretin-full-show.docxMedication Taking Resources from ADCES: 1) For healthcare professionals: DiabetesEducator.org/MedicationTaking 2) For people with diabetes:  DiabetesEducator.org/TakingMedication

Teresa Pearson, MBA, MS, RN, CDCES, FADCES, joins us to talk about population health. She shares her early experience with population health. As you’ll hear, this model of care can greatly reduce total cost of care and improve health outcomes for people with diabetes. It’s a solid approach to demonstrate the value you bring to the diabetes care team, so make sure to listen to the entire episode to get actionable tips on information technology, data and reporting you can start implementing quickly.Resources:ADCES population health resources: DiabetesEducator.org/PopulationHealthADCES Value Toolkit: DiabetesEducator.org/ValueADCES Annual Conference information: ADCESmeeting.org

The National Practice Survey is conducted once every 5 years to help ADCES understand current trends in the diabetes care and education specialist workforce and how their services are integrated into the full care team. 2022 ADCES President Jan Kavookjian, PhD, MBA, FAPhA, FADCES, joins us to discuss why this survey is so important. She gives us a teaser of some of this year’s findings and explains how the results influence strategic planning and key initiatives at the association. ADCES gratefully acknowledges Joanne Rinker, MS, RDN, CDCES, LND, FADCES, Sheryl Traficano and the Certification Board for Diabetes Care and Education, the National Practice Survey writing group and any others involved for their support of the National Practice Survey.ResourcesKavookjian J, Bzowyckyj AS, DiNardo MM, et al. Current and Emerging Trends in Diabetes Care and Education: 2021 National Practice and Workforce Survey. The Science of Diabetes Self-Management and Care. 2022;48(5):307-323. doi:10.1177/26350106221120787ADCES Blog Post: Key Takeaways from Current and Emerging Trends in Diabetes Care & Education: 2021 National Practice and Workforce Survey: www.diabeteseducator.org/news/perspectives/adces-blog-details/adces-perspectives-on-diabetes-care/2022/10/10/key-takeaways-from-current-and-emerging-trends-in-diabetes-care-education-2021-national-practice-and-workforce-surveyValue of the DCES Toolkit: www.DiabetesEducator.org/ValueAsk the Reimbursement Expert: www.diabeteseducator.org/practice/ask-the-expert

Eva Vivian, PharmD, PhD, BC-ADM, CDCES, FADCES, and Daphne Smith Marsh, PharmD, BC-ADM, CDCES, discuss the impact of health disparities on-site at ADCES22 in Baltimore. You’ll hear their perspectives on the environmental and social factors that contribute to health disparities, both in and out of the clinical setting. You’ll also hear how diabetes care and education specialists and other healthcare professionals can address health disparities in simple, practical ways that meet the needs of the individual while building trust.Resources:ADCES Resources on Health Equity: DiabetesEducator.org/HealthEquityADCES22 On-Demand Sessions: ADCES22.orgEdgoose J, Quiogue M, Sidhar K. How to Identify, Understand, and Unlearn Implicit Bias in Patent Care. Fam Pract Management. 2019 Jul-Aug;26(4):29-33Reid H, Lin O, Fabbro RL, et al. Provider communication in black patients with T2DM is associated with glycemic control. Presented at: American Diabetes Association 80th Scientific Sessions; June 12-16, 2020. Abstract 52-LB.Akturk HK, Agarwal S, Hoffecker L, Shah VN. Inequity in racial ethnic representation in randomized controlled trials of diabetes technologies in type 1 diabetes: critical need for new standards. Diabetes Care. 2021;44(6):e121-e123.

Erin Palinski-Wade, RD, CDCES, LDN, CPT, joins The Huddle to discuss two key nutrients for blood glucose management and overall health: fats and fiber. Many adults with or at risk for type 2 diabetes aren’t getting adequate amounts of these nutrients. In this episode, we dive into the health benefits of dietary fats and fiber, highlight some nutrient-dense sources, like fresh avocado, and share some practical ways individuals can increase their intake of these nutrients.Disclosure: This episode is sponsored by Fresh Avocados – Love One Today®. Love One Today® is a leading source of the healthiest reasons and tastiest ways to enjoy fresh avocados. A science-based resource, it provides turnkey solutions that make it easy for health professionals to stay on top of the latest research and confidently recommend avocados. Episode Notes:Love One Today: https://loveonetoday.com/2020-2025 Dietary Guidelines For Americans: https://www.dietaryguidelines.gov/Schoeneck, Malin, and David Iggman. “The effects of foods on LDL cholesterol levels: A systematic review of the accumulated evidence from systematic reviews and meta-analyses of randomized controlled trials.” Nutrition, metabolism, and cardiovascular diseases : NMCD vol. 31,5 (2021): 1325-1338. doi:10.1016/j.numecd.2020.12.032Reynolds, Andrew N et al. “Dietary fibre and whole grains in diabetes management: Systematic review and meta-analyses.” PLoS medicine vol. 17,3 e1003053. 6 Mar. 2020, doi:10.1371/journal.pmed.1003053Dana E. King, Arch G. Mainous, Thomas A. Buchanan, William S. Pearson; C-Reactive Protein and Glycemic Control in Adults With Diabetes. Diabetes Care 1 May 2003; 26 (5): 1535–1539. https://doi.org/10.2337/diacare.26.5.1535Zhang X, Xiao D, Guzman G, Edirisinghe I, Burton-Freeman B.  “Avocado Consumption for 12 Weeks and Cardiometabolic Risk Factors: A Randomized Controlled Trial in Adults with Overweight or Obesity and Insulin Resistance.” The Journal of nutrition vol. 152,8 (2022): 1851-1861. doi:10.1093/jn/nxac126Zhu, Lanjun, Yancui Huang, Indika Edirisinghe, Eunyoung Park, and Britt Burton-Freeman. 2019. "Using the Avocado to Test the Satiety Effects of a Fat-Fiber Combination in Place of Carbohydrate Energy in a Breakfast Meal in Overweight and Obese Men and Women: A Randomized Clinical Trial" Nutrients 11, no. 5: 952. https://doi.org/10.3390/nu11050952Resources:Avocado nutrition 101How to choose and prepare an avocadoHow to cut, slice, peel and pit an avocadoHow to ripen avocados fasterHow to store avocadosAccredited Podcast: Avocados, Satiety and Mindful Eating in Diabetes with Erin Palinski-Wade, MS, RDN, CDEEducational Handout: Effects of avocado on LDL cholesterolNutrition Therapy for Adults with Diabetes or Prediabetes: A Consensus Report

Dr. David Klonoff and Dr. David Kerr are authors of a recent study that introduces a new practical metric, the glycemic risk index. They join the Huddle to talk about the practicalities of this emerging metric and share how it can be used by clinicians to quickly assess a person’s glycemic risk. It’s a fascinating conversation that will leave you with a tool to easier leverage CGM-generated data and produce improved health outcomes for your patients. ResourcesKlonoff, David C., et al. “A Glycemia Risk Index (GRI) of Hypoglycemia and Hyperglycemia for Continuous Glucose Monitoring Validated by Clinician Ratings.” Journal of Diabetes Science and Technology, Mar. 2022, doi:10.1177/19322968221085273GRI web-based calculator: https://www.diabetestechnology.org/gri/GRI Excel File to calculate multiple tracings: https://www.diabetestechnology.org/gri/gri-calculator.xlsx?ver=2Diabetes Digital Health book:  https://www.elsevier.com/books/diabetes-digital-health/klonoff/978-0-12-817485-2Diabetes Digital Health and Telehealth book: https://www.elsevier.com/books/diabetes-digital-health-and-telehealth/klonoff/978-0-323-90557-2

We caught Jane K. Dickinson PhD, RN, CDCES at ADCES22 in Baltimore, MD after she finished hosting a panel discussion. The panel showcased Julie K. Heverly at the DiaTribe Foundation, Mary Jane Roche from the College Diabetes Network, and T’ara Smith from Beyond Type 1. All three are individuals live with diabetes and took the stage to share their perspectives and experiences with DCESs. Jane joins us today to share the highlights of that discussion, along with some insights into how the DCES and other healthcare professionals can further support the needs of their patients.ResourcesADCES22 On-Demand Session available until October 24, 2022 at ADCES22.org.