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.

Resources

• Kavookjian 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:10.1177/26350106221120787
• ADCES 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-survey
• Value of the DCES Toolkit: www.DiabetesEducator.org/Value
• Ask the Reimbursement Expert: www.diabeteseducator.org/practice/ask-the-expert

Listen to more episodes of Diabetes Care Conversations at https://www.adces.org/practice/the-huddle-podcast

Learn more about ADCES and the many benefits of membership at adces.org/join.

The Diabetes Care Conversations Podcast is edited by JAG Podcast Productions: https://jagpodcastproductions.com/

Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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/HealthEquity
• ADCES22 On-Demand Sessions: ADCES22.org
• Edgoose J, Quiogue M, Sidhar K. How to Identify, Understand, and Unlearn Implicit Bias in Patent Care. Fam Pract Management. 2019 Jul-Aug;26(4):29-33
• Reid 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.

Listen to more episodes of Diabetes Care Conversations at https://www.adces.org/practice/the-huddle-podcast

Learn more about ADCES and the many benefits of membership at adces.org/join.

The Diabetes Care Conversations Podcast is edited by JAG Podcast Productions: https://jagpodcastproductions.com/

Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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.2020.12.032
• Reynolds, 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.1003053
• Dana 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.26.5.1535
• Zhang 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/nxac126
• Zhu, 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/nu11050952

Resources:

• Avocado nutrition 101
• How to choose and prepare an avocado
• How to cut, slice, peel and pit an avocado
• How to ripen avocados faster
• How to store avocados
• Accredited Podcast: Avocados, Satiety and Mindful Eating in Diabetes with Erin Palinski-Wade, MS, RDN, CDE
• Educational Handout: Effects of avocado on LDL cholesterol
• Nutrition Therapy for Adults with Diabetes or Prediabetes: A Consensus Report

Listen to more episodes of Diabetes Care Conversations at https://www.adces.org/practice/the-huddle-podcast

Learn more about ADCES and the many benefits of membership at adces.org/join.

The Diabetes Care Conversations Podcast is edited by JAG Podcast Productions: https://jagpodcastproductions.com/

Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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. 

Resources

• Klonoff, 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:10.1177/19322968221085273
• GRI web-based calculator: https://www.diabetestechnology.org/gri/
• GRI Excel File to calculate multiple tracings: https://www.diabetestechnology.org/gri/gri-calculator.xlsx?ver=2
• Diabetes Digital Health book:  https://www.elsevier.com/books/diabetes-digital-health/klonoff/978-0-12-817485-2
• Diabetes Digital Health and Telehealth book: https://www.elsevier.com/books/diabetes-digital-health-and-telehealth/klonoff/978-0-323-90557-2

Listen to more episodes of Diabetes Care Conversations at https://www.adces.org/practice/the-huddle-podcast

Learn more about ADCES and the many benefits of membership at adces.org/join.

The Diabetes Care Conversations Podcast is edited by JAG Podcast Productions: https://jagpodcastproductions.com/

Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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.

Resources

• ADCES22 On-Demand Session available until October 24, 2022 at ADCES22.org.

Listen to more episodes of Diabetes Care Conversations at https://www.adces.org/practice/the-huddle-podcast

Learn more about ADCES and the many benefits of membership at adces.org/join.

The Diabetes Care Conversations Podcast is edited by JAG Podcast Productions: https://jagpodcastproductions.com/

Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Maria Bustamante and Megan Martinez are involved in the diabetes care and prevention programs at the National Center for Farmworker Health (NCFH) and join us today to share some of the work they’re doing to improve health outcomes for the vital workforce of agricultural workers. While the topic may sound niche at first, you are likely to recognize the challenges faced by agricultural workers in your own patent populations, especially if you are working within immigrant communities, in rural, agricultural settings, or with men with physically demanding jobs. You’ll hear how Megan and Maria’s teams developed resources to meet people with prediabetes or diabetes where they are—and we’ll tell you how you can access these tools for your own practice! 

Resources

• Diabetes & U.S. Agricultural Workers Data: http://www.ncfh.org/diabetes-fact-sheet.html
• Ag worker access campaign: http://www.ncfh.org/ag-worker-access.html
• NCFH Diabetes Resource Hub: http://www.ncfh.org/diabetesresourcehub.html
• Jeopardy game: http://www.ncfh.org/uploads/3/8/6/8/38685499/jeopardy_guide-final_eng.pdf
• NCFH Diabetes Webinar Archive: http://www.ncfh.org/archived-webinars.html#diabetes_webinars
• NCFH Health Information and Referral Hotline: http://www.ncfh.org/callforhealth.html
• Telehealth readiness worksheet: http://www.ncfh.org/uploads/3/8/6/8/38685499/final_patient_telehealth_readiness_tool_.pdf
• Resource for being active for men who are already physically active: https://www.diabeteseducator.org/docs/default-source/living-with-diabetes/tip-sheets/aade7/adces-men-health-being-active-v1.pdf
• Resource for reducing risks: https://www.diabeteseducator.org/docs/default-source/living-with-diabetes/tip-sheets/aade7/adces-reducing-risk-english-final.pdf?sfvrsn=84c39758_2

Listen to more episodes of Diabetes Care Conversations at https://www.adces.org/practice/the-huddle-podcast

Learn more about ADCES and the many benefits of membership at adces.org/join.

The Diabetes Care Conversations Podcast is edited by JAG Podcast Productions: https://jagpodcastproductions.com/

Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Dr Jane Jeffrie Seley, MPH, MSN, NP, RN, APRN, BC-ADM, CDCES, FADCES, brings us the top highlights from the technology seen at the ADCES22 conference in Baltimore this year. She’s talking about what’s new and what’s next in CGM, BGM, insulin delivery, connected devices, and more.  Jane references specific of devices and manufacturers here, but keep in mind that these references are for educational purposes and do not represent an endorsement from ADCES.

Show Notes

• ADCES22 sessions on demand: ADCES22.org
• Learn more about the latest diabetes technology: Danatech.org

Listen to more episodes of Diabetes Care Conversations at https://www.adces.org/practice/the-huddle-podcast

Learn more about ADCES and the many benefits of membership at adces.org/join.

The Diabetes Care Conversations Podcast is edited by JAG Podcast Productions: https://jagpodcastproductions.com/

Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Alexis Skelley, LISW-CP/S, LCSW, CDCES, and Kersti Spjut, PhD, join The Huddle to talk about the dangers of perfectionism in diabetes. You’ll learn the risks and signs of unhealthy perfectionism in diabetes or prediabetes management and get practical steps to help these individuals develop a more flexible approach. You’ll even get some pearls of wisdom you can use yourself. 

Resources:

• ADCES22 sessions on demand: ADCES22.org
• Kersti's website: DrKerstiSpjut.com
• Kersti's Instagram (@drkerstispjut): instagram.com/drkerstispjut
• South Carolina AHAC: scahec.net
• Alexis’ Instagram (@Diabetes_Therapist): instagram.com/diabetes_therapist
• Dr. Kristin Neff's website and book: https://self-compassion.org/
• How to Keep House While Drowning (book) by KC Davis: https://www.strugglecare.com/book
• Research article on self-compassion and exercise:
  Rapoport, O., Bengel, S., Möcklinghoff, S., & Neidhardt, E. (2022). Self-compassion moderates the influence of procrastination on postponing sporting activity. Personality and Individual Differences, 185, 111242. https://doi.org/10.1016/j.paid.2021.111242
• Summary of the research on weight cycling and weight stigma: 
  What Is Weight Cycling? — Christy Harrison - Intuitive Eating Dietitian, Anti-Diet Author, & Certified Eating Disorders Specialist
  What Is Weight Stigma? — Christy Harrison - Intuitive Eating Dietitian, Anti-Diet Author, & Certified Eating Disorders Specialist

Listen to more episodes of Diabetes Care Conversations at https://www.adces.org/practice/the-huddle-podcast

Learn more about ADCES and the many benefits of membership at adces.org/join.

The Diabetes Care Conversations Podcast is edited by JAG Podcast Productions: https://jagpodcastproductions.com/

Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Quisha Umemba, MPH, BSN, RN, CDCES, joins us to discuss the serious impact of stress on people with cardiometabolic conditions like diabetes and prediabetes. You’ll hear how chronic stress can complicate self-management and care, and how a person’s behaviors in response to stress can either hinder or help their health. Tune in for practical tips and resources to help you identify signs of toxic stress in your patients and improve their healthy coping skills.

Resources

• Diversity in Diabetes Website: https://www.diversityindiabetes.org/
• American Psychological Association Fact Sheet on Health Disparities and Stress: https://www.apa.org/topics/racism-bias-discrimination/health-disparities-stress
• Chronic Stress and Healthy Coping Handout: healthy-coping-patient-flyer-v-1-(002).pdf (diabeteseducator.org)

Listen to more episodes of Diabetes Care Conversations at https://www.adces.org/practice/the-huddle-podcast

Learn more about ADCES and the many benefits of membership at adces.org/join.

The Diabetes Care Conversations Podcast is edited by JAG Podcast Productions: https://jagpodcastproductions.com/

Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.