Pub Date : 2019-08-19DOI: 10.1177/2325160319861447
C. Parkin
{"title":"SMBG Is Not Dead","authors":"C. Parkin","doi":"10.1177/2325160319861447","DOIUrl":"https://doi.org/10.1177/2325160319861447","url":null,"abstract":"","PeriodicalId":87215,"journal":{"name":"AADE in practice","volume":"7 1","pages":"12 - 16"},"PeriodicalIF":0.0,"publicationDate":"2019-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2325160319861447","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45698653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-08-19DOI: 10.1177/2325160319865976
B. J. Weedman
{"title":"You Built a What?! Do-It-Yourself Automated Insulin Delivery Systems","authors":"B. J. Weedman","doi":"10.1177/2325160319865976","DOIUrl":"https://doi.org/10.1177/2325160319865976","url":null,"abstract":"","PeriodicalId":87215,"journal":{"name":"AADE in practice","volume":"7 1","pages":"24 - 31"},"PeriodicalIF":0.0,"publicationDate":"2019-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2325160319865976","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46693601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-08-19DOI: 10.1177/2325160319865249
Kirsten Yehl
Citing the SEARCH for diabetes in youth study (SEARCH) and the US Census Bureau population demographic projections, the latest practice paper published by AADE, “Pediatric Diabetes: The Role of the Diabetes Educator Based on Etiology of the Diagnosis,” addresses the rapidly rising incidence rates of both type 1 and type 2 diabetes in the pediatric population. Diabetes education is critical for this age group as educators work closely with both children and their families and must address developmental stages, family dynamics, and health literacy. The different forms of diabetes require unique educational strategies for approaching the disease, and the variability in educational approach from one form to another can have a positive impact on health outcomes for children with diabetes. In this article, we outline the highlights for addressing each form of the condition. For more detailed information on addressing the diabetes educational needs in the pediatric population, please refer to the full practice paper.
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Pub Date : 2019-08-19DOI: 10.1177/2325160319868184
S. Ponder, K. L. Mcmahon
{"title":"Sugar Surfing: Basics for Diabetes Educators","authors":"S. Ponder, K. L. Mcmahon","doi":"10.1177/2325160319868184","DOIUrl":"https://doi.org/10.1177/2325160319868184","url":null,"abstract":"","PeriodicalId":87215,"journal":{"name":"AADE in practice","volume":" ","pages":"18 - 22"},"PeriodicalIF":0.0,"publicationDate":"2019-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2325160319868184","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48116994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-08-19DOI: 10.1177/2325160319861453
B. Gillenwater, Andrew N. Wakefield, Jessica S Triboletti, Jasmine D. Gonzalvo, Ashley H. Meredith
Glucagon-like peptide-1 (GLP-1) receptor agonists are a class of injectable medications used to improve glycemic management in people with type 2 diabetes. The first medication in this class, exenatide (Byetta), gained FDA approval in November 2009 and requires twice-daily dosing within 60 minutes prior to morning and evening GLP-101: A Diabetes Educator’s Guide to Glucagon-Like-Peptide-1 Receptor Agonists
{"title":"GLP-101: A Diabetes Educator’s Guide to Glucagon-Like-Peptide-1 Receptor Agonists","authors":"B. Gillenwater, Andrew N. Wakefield, Jessica S Triboletti, Jasmine D. Gonzalvo, Ashley H. Meredith","doi":"10.1177/2325160319861453","DOIUrl":"https://doi.org/10.1177/2325160319861453","url":null,"abstract":"Glucagon-like peptide-1 (GLP-1) receptor agonists are a class of injectable medications used to improve glycemic management in people with type 2 diabetes. The first medication in this class, exenatide (Byetta), gained FDA approval in November 2009 and requires twice-daily dosing within 60 minutes prior to morning and evening GLP-101: A Diabetes Educator’s Guide to Glucagon-Like-Peptide-1 Receptor Agonists","PeriodicalId":87215,"journal":{"name":"AADE in practice","volume":"7 1","pages":"32 - 41"},"PeriodicalIF":0.0,"publicationDate":"2019-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2325160319861453","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44503788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-07-01DOI: 10.1177/2325160319852613
K. Kemmis
It is hard to be involved in diabetes care and not hear about population health. Some of us are deeply entrenched in “pop health,” and others feel far removed and may not even quite understand the concept. Most of us are probably somewhere in the middle. There is a whole vocabulary used in pop health (starting with the terms population health and pop health) that we may hear but don’t really understand. Given that diabetes is often the case study used when people talk about pop health, it is an area that we should all start to get comfortable with and embrace as we move forward. So, what is pop health? Put most simply, it is the health of populations. In the past, we generally worked in diabetes care with the sole focus on the individual rather than a population. We still focus on the individual during day-to-day encounters but now include the concept of thinking about the very big picture of how our work is related to the whole population. In this issue of AADE In Practice and in an upcoming issue of The Diabetes Educator journal, you will see articles that help you better understand pop health. If you’re new to the topic, you can start to develop a sense of how pop health affects your work and how you fit into it. I expect you will start to realize that without realizing it, you are naturally incorporating some of the key concepts of pop health into what you do. For example, let’s consider the concept of social determinants of health (SDOH), a term that comes into play in pop health. When working in diabetes education with an individual or a group, we must consider the influence the external environment has on diabetes care and self-management. This can include such things as access to health care, the physical environment, availability of food and places to be active, social support, education, and economic stability, to name a few. We might not think of the terminology of SDOH but do consider how these areas influence the health of the people we serve. The concept of pop health is weaved throughout our PROJECT VISION, AADE’s vision for the specialty. Let’s look at each strategy of the vision with a lens on pop health.
参与糖尿病护理而不了解人口健康是很难的。我们中的一些人对“流行健康”深信不疑，而另一些人则觉得与之相距甚远，甚至可能不太理解这个概念。我们大多数人可能处于中间的某个地方。在流行健康方面有一整套词汇(从人口健康和流行健康开始)，我们可能听过，但并不真正理解。考虑到当人们谈论大众健康时，糖尿病经常被用作案例研究，这是一个我们都应该开始适应和接受的领域，因为我们在前进。那么，什么是大众健康呢?最简单地说，就是人民的健康。过去，我们在糖尿病护理方面的工作通常只关注个人，而不是群体。在日常接触中，我们仍然关注个人，但现在包含了思考我们的工作如何与整个人群相关的大局的概念。在本期的《AADE In Practice》和即将出版的《糖尿病教育者》杂志中，你将看到帮助你更好地了解大众健康的文章。如果你对这个话题不熟悉，你可以开始了解流行健康如何影响你的工作，以及你如何适应它。我希望你会开始意识到，在没有意识到的情况下，你很自然地将流行健康的一些关键概念融入到你的工作中。例如，让我们考虑健康的社会决定因素(SDOH)的概念，这是一个在大众健康中发挥作用的术语。在与个人或团体进行糖尿病教育时，我们必须考虑外部环境对糖尿病护理和自我管理的影响。这可以包括诸如获得医疗保健、物质环境、食物和活动场所的可用性、社会支持、教育和经济稳定等等。我们可能不会想到SDOH的术语，但确实会考虑这些领域如何影响我们所服务的人的健康。流行健康的概念贯穿于我们的PROJECT VISION, AADE对专业的愿景。让我们从大众健康的角度来看待这一愿景的每一项策略。
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Pub Date : 2019-07-01DOI: 10.1177/2325160319851494
{"title":"Catching Up With Communities of Interest","authors":"","doi":"10.1177/2325160319851494","DOIUrl":"https://doi.org/10.1177/2325160319851494","url":null,"abstract":"","PeriodicalId":87215,"journal":{"name":"AADE in practice","volume":"7 1","pages":"59 - 59"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2325160319851494","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44095160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-07-01DOI: 10.1177/2325160319850640
Kellie Rodriguez
Population health provides an exciting opportunity for diabetes educators and our specialty practice of diabetes education. Population health offers a robust framework for diabetes educators, known for our advanced skills in Diabetes SelfManagement Education and Support (DSMES), to demonstrate our expertise and value in an expanded capacity beyond traditional roles. As health care is rapidly evolving with outcomebased payment models, providers and health systems are becoming more focused on and aware of those factors that positively and negatively drive patient outcomes. Organizations are looking at process and personnel opportunities to deliver care more effectively and efficiently. Diabetes educators are an excellent and underutilized resource for patients, the care team, and the organizations or health systems for whom we provide services. Population health could well provide the answer to increased recognition and impact for the specialty. For many diabetes educators, this begs the question of “Where do I fit into population health?” The answer is that diabetes educators fit into every aspect of the population health framework—it’s what we do!
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Pub Date : 2019-07-01DOI: 10.1177/2325160319843370
John D. Bucheit, E. Sisson
According to the 2017 American College of Cardiology (ACC) and American Heart Association (AHA) guidelines, unmanaged hypertension is responsible for more cardiovascular-related deaths in the United States than any modifiable risk factor except smoking. Its prevalence depends on the blood pressure used to classify patients. Estimates using ACC/AHA criteria of 130/80 mmHg now suggest 46% or nearly half the US population has high blood pressure. A study from the American Heart Journal found people with diabetes are twice as likely to have hypertension compared to others at the same age without diabetes and have an overall prevalence of 80%. The high prevalence of hypertension in people with diabetes elevates their risk for the development of microand macrovascular complications. Both contribute to morbidity and mortality in people with diabetes, but data from the UKPDS trial found the leading cause of death is due to macrovascular disease. The purpose of this article is to review the application of the 2017 ACC/AHA blood pressure guidelines to people with diabetes.
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