The Huddle: Conversations with the Diabetes Care Team

On this episode of The Huddle, Wendy Mobley-Bukstein, PharmD, BCACP, CDCES, CHWC, NASM-CPT, FAPhA, FADCES and Debbie Hinnen, APN, BC-ADM, CDCES, FAAN discuss the importance of medication persistence, how to talk to clients about starting and staying on diabetes medications, and strategies to help clients stay consistent with their medication taking. This episode was made possible with support from Lilly, A Medicine Company.

Learn more about the latest in diabetes technology on danatech: danatech l Diabetes Technology Education for Healthcare Professionals

Learn more about the ADCES7 Self-Care Behaviors: Self-Care Tips (ADCES7)

References:

This week on The Huddle, we're resharing an episode from last summer featuring Kristine Batty, PHD, APRN, BC-ADM, CDCES, FADCES as she discusses her experience both living with Type 1 diabetes and working with people with diabetes as a certified diabetes care and education specialist. She shares the importance of putting yourself in your client's shoes in order to understand their goals and pain points and support their needs, especially when it comes to diabetes technology.

Visit danatech here: danatech l Diabetes Technology Education for Healthcare Professionals

Learn more about the latest developments in T1D...

Registration is open now for ADCES25 taking place August 8-11 in Phoenix, AZ! Our conference planning chair Christina Whitehouse, RN, MSN, APRN, ARNP, FADCES, CDCES, shares what to look forward to at this year's conference, and why ADCES' annual conference is the place to be for all diabetes care and education specialists and other professionals in the diabetes space. 

Register for this year’s annual conference at ADCES 2025 Annual Meeting

Explore all there is to see in Phoenix at Roosevelt Row Arts District | Downtown Phoenix

Listen to more episodes of The Huddle at...

On this episode of The Huddle, Chris Memering, MSN, RN, CDCES, BC-ADM, talks about the value that diabetes care and education specialists bring to the inpatient care setting. She outlines the importance of continuity of care between the inpatient and outpatient setting, how DCES in inpatient help increase patient satisfaction and safety, and how others in the inpatient setting can demonstrate their value to their hospital leadership.

Learn more about how to showcase the value of the diabetes care and education specialty in our value toolkit created especially for ADCES members. Log in here to view the...

This week on The Huddle, we're resharing a discussion with current ADCES President, Veronica Brady, PhD, FNP-BC, BC-ADM, CDCES, FADCES. Veronica discussed the concept of unconscious bias, how it shows up in our everyday lives and in working as health care professionals, and how we can practice cultural humility to better serve the needs of people with and at risk for diabetes. 

Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.

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

In the first episode in a multi-part diabetes technology series, Kathryn Evans Kreider DNP, FNP-BC, BC-ADM, FAANP, joins The Huddle to discuss integrating diabetes technology into primary care. She talks about the importance of embracing digital technology in primary care and how health care professionals in primary care can take tangible steps to better utilize the technology available to them.

Learn about the latest advances in diabetes technology on danatech:  Diabetes technology for healthcare professionals | Danatech

Check out the two-part Integrating Diabetes Technology into Primary Care course here: 

Michael See MS, ACSM-CEP, NBCHWC, CDES joins the Huddle to share his expertise and experiences in bringing physical activity to people with type 2 diabetes who also have physical limitations. He covers topics like how to assess physical limitations, their prevalence in people with type 2 diabetes, and how to use a motivational interviewing approach in conversations with your clients. This episode was made possible with support from Lilly, A Medicine Company.

Learn more about this topic in our latest patient/client handout (support for the development of this handout was provided by Lilly, A Medicine Company): a...

Eileen Egan, DNP, FNP-C, BC-ADM, CDCES, FADCES joins The Huddle to share her expertise about the interplay between weight and glycemic management in people with Type 2 diabetes, the importance of meeting glycemic and weight goals early after a Type 2 diabetes diagnosis, as well as best practices for helping people stay motivated and engaged. This episode was made possible with support from Lilly, A Medicine Company.

Learn more about this topic in this accompanying patient/client handout (support for the development of this handout was provided by Lilly, A Medicine Company): adces_tipsheet_early_control2.pdf

On our latest episode of The Huddle, Sheetal Shah, founder of MettaHealth Partners discusses the evolving realm of AI, the role DCESs and other health care professionals can play in embracing and adopting AI technology, and the importance of keeping a human element in the technology.

Learn more about MettaHealth Partners here: MettaHealth Partners

Learn more about the National Institute of Standards and Technology (NIST) here: National Institute of Standards and Technology

Stay up to date on all things related to diabetes technology on danatech: Diabetes technology for healthcare professionals | Danatech

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During a special episode of The Huddle recorded live at our 2024 annual meeting, we sat down with incoming ADCES President Veronica Brady, PhD, FNP-BC, BC-ADM, CDCES, FADCES. Veronica discussed the impact she wants to leave behind as President this coming year, as well as the concept of unconscious bias, how it shows up in our everyday lives and in working as health care professionals, and how we can practice cultural humility to better serve the needs of people with and at risk for diabetes. 

Please note: since the recording of this episode, Kirsten Yehl has since m...

Lucia Novak MSN, ANP-BC, BC-ADM joined The Huddle to discuss the role of basal insulin in type 2 diabetes, when to initiate it, and how to have discussions about basal insulin with your clients that make them feel comfortable, informed and empowered.

This episode was made possible with support from Lilly, A Medicine Company.

Resources: 

American Diabetes Association Professional Practice Committee; 9. Pharmacologic Approaches to Glycemic Treatment: Standards of Care in Diabetes—2024. Diabetes Care 1 January 2024; 47 (Supplement_1): S158–S178. https://doi.org/10.2337/dc24-S009

Look AHEAD (Action for Health in Diabetes) study. Look AHEAD (Actio...

People with diabetes who are newly starting insulin may have concerns and fears, many of which are caused by beliefs about insulin that may not be accurate. Susan Guzman, PhD, joined The Huddle to talk about the potential fears that may come up when someone is starting insulin, and how diabetes care and education specialists can address these fears and provide support so that people feel comfortable and informed when taking insulin.  

This episode was made possible with support from Lilly, A Medicine Company.

Listen to more episodes of The Huddle at ad...

Having elevated cortisol levels can lead to a variety of side effects, and it may impact people with diabetes in a number of ways. Natalie J. Bellini DNP, FNP-BC, BC-ADM, CDCES joined The Huddle to talk about hypercortisolism, how it is diagnosed, and its potential effects on type 2 diabetes management. This episode is sponsored by Corcept.

Learn more about Corcept here: Corcept Therapeutics

View a recorded webinar that dives deeper into cortisol levels and diabetes management (sponsored by Corcept): A Closer Look at Difficult-to-Manage Diabetes – Is Cortisol at Play?

Learn more about the CA...

Diabetes-related foot conditions like ulcers and amputations can be very serious, but these complications are preventable when comprehensive foot exams are prioritized. Podiatrist Dr. Mark Hinkes joined The Huddle to talk about the importance of foot health and comprehensive foot exams for people with diabetes, and how we can use data collected from these foot exams to predict potential future risk. 

Learn more about the International Working Group on the Diabetic Foot here: Home - IWGDF Guidelines

View Mark's book "Healthy Feet for People with Diabetes" here: Healthy Feet for People With Diabetes: Hinkes DPM, D...

On this episode of The Huddle, we're joined by Lucille Hughes, DNP, MSN/Ed, CDCES, BC-ADM, FADCES, Director of Scientific Communication, Information, and Education at Embecta. Lucille discusses some of the unique care needs to consider when working with people with Type 2 diabetes who take insulin, how the DCES and other members of the diabetes care team can help to address their specific diabetes burdens and struggles, and how care for people with Type 2 diabetes differs from that of Type 1 diabetes.

This episode is sponsored by Embecta.

Find up-to-date diabetes technology product information, device training...

Recorded live at ADCES24, we sat down with Jane Jeffrie Seley, DNP, MPH, MSN, GNP, BC-ADM, CDCES, CDTC, FADCES​ to talk about the latest in diabetes technology and what to expect in the coming year, how diabetes technology overall is evolving and changing, and how diabetes technology can more seamlessly be integrated into primary care settings.

Please note that this episode was recorded in August and some of the technology and updates discussed in future tense may now be in different stages of development or release. References to specific devices and manufacturers are for educational purposes and do...

Recorded live at the ADCES24 annual meeting, we sat down with Senior Manager of the Diabetes Education Program at HealthPartners, Erin L. DaRosa, MBA, RDN, LD, CDCES. Erin discussed how she showcases the value of the DCES specialty in her own work and how you can speak the language of key stakeholders in your practice to articulate your value, as well as how to build trust and get a seat at the table.

Interested in learning even more about highlighting your value? Check out our member-only Showcasing Your Value Toolkit for modules, tips, videos, handouts and more...

This week on The Huddle, we're resharing an episode with Miguel Johns, Co-Founder & CEO of mmnt and creator of Milton. Miguel discussed how the use of artificial intelligence (AI) can benefit health care professionals across the diabetes space and how this technology is growing and changing. Topics include addressing some of the current opportunities and challenges associated with AI in health care, how AI can provide improved clinical decision support, and where this technology may be headed in the future.

Explore danatech here: Diabetes technology for healthcare professionals | Danatech (adces.org)

For more information on...

For those with diabetes who use insulin pump therapy, having access to training and education on this technology is key to success. David Jopke, DNP, FNP-C, BC-ADM, CDCES, Tracy Newell RD LD, CDCES, RD, LD, CDCES, Erin L. DaRosa, MBA, RDN, LD, CDCES join The Huddle to talk about their experiences creating a  team-based formal process for becoming an insulin pump trainer, and how practice settings that want to offer insulin pumps and automated insulin delivery system options to people with diabetes can create their own formalized process.

Learn more about HealthPartners here: HealthPartners – Top-Rated insurance and hea...

We know research is crucial for making continued advances in diabetes care for all populations. Rachel Stahl-Salzman, MS, RD, CDN, CDCES, and Kerri Knippen, PhD, RDN, LD, BC-ADM, FAND, join us on The Huddle to talk about their latest research projects related to pregnancy in diabetes, some of the outcomes and learnings of each study, and how diabetes care and education specialists can be leaders in this work, even without a research background.

View Rachel's research poster diving deeper into this topic here: Annual QIPS Symposium | Weill Department of Medicine (cornell.edu)

Learn more about...

Kristine Batty, APN, BC-ADM, and CDCES talks about her experience both living with Type 1 diabetes and working with people with diabetes as a CDCES, and how understanding both sides of the desk can help to optimize health outcomes. 

Visit danatech here: Diabetes technology for healthcare professionals | Danatech (adces.org)

View Kristine's video series below:

Reducing Diabetes Technology Burnout (youtube.com)

Continuous Glucose Monitoring: Managing Expectations (youtube.com)

Breaking Down Diabetes Technology Barriers (youtube.com)

The Essentials of CGM Accuracy (youtube.com)

Listen to...

This episode is sponsored by Medtronic.

Painful diabetic peripheral neuropathy (DPN) can significantly impact a person with diabetes and their quality of life. Nalani Hunsaker PA-C, MCMSc, BC-ADM, a paid consultant for Medtronic, joins The Huddle to talk about Medtronic’s spinal cord stimulation therapy option, how the procedure works, and its success in relieving pain from DPN. Please reach out to http://www.medtronic.com/dpnconnect to connect with a Medtronic representative today. If you would like to share more information with your patients check out http://www.medtronic.com/dpnpain.

Learn more about DPN...

Last year, ADCES received funding from the Centers for Disease Control and Prevention toward work aimed at advancing access to diabetes education and prevention resources for those in underserved communities. In anticipation of updates on progress made thus far at this year's upcoming annual meeting, we're resharing a previous episode of The Huddle in which Angela Forfia from ADCES and Sarah Ann Piper from Emory Centers explained how this will come to life over the next 5 years.

Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.

Learn more about ADCES and...

On this episode of The Huddle, Miguel Johns, Co-Founder & CEO of mmnt and creator of Milton, discusses how the use of artificial intelligence (AI) can benefit health care professionals across the diabetes space and how this technology is growing and changing. Topics include addressing some of the current opportunities and challenges associated with AI in health care, how AI can provide improved clinical decision support, and where this technology may be headed in the future.

Explore danatech here: Diabetes technology for healthcare professionals | Danatech (adces.org)

For more information on Miguel or mmnt, visit Milton...

The decision on whether to screen yourself or loved ones for Type 1 diabetes risk can be a very personal one. In the last episode of a three-part series, we're joined by Laura Smith PhD, CDCES and Holly O’Donnell, PhD as they discuss the psychosocial factors to consider when talking about T1D screening—including the reasons why a person may or may not want to be screened and how to talk to children and their families about what a potential diagnosis means for them.

Educational grant support for this episode provided by Sanofi.

View our...

Registration for ADCES24 is now open! Each year, ADCES' annual conference brings together thousands of professionals in the diabetes care space, and this year's event is not one to miss! Conference chair Lisa Hodgson, RD, CDN, CDCES, FADCES joins The Huddle to share all of the exciting sessions and events to look forward to this year in New Orleans.  

Learn more and register at ADCES24 (adcesmeeting.org)

Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.

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

Screening for Type 1 diabetes is crucial for earlier detection and management of the disease, but many people don’t know that they should be screened or how to access that screening.  In the 2nd episode in our three-part series on T1D screening, University Hospital’s Chief of Staff - Office of President & CEO, Franklin Hickey, PhD, RN, NEA, BC, Executive Director of Community and Population Health, Colette Barrow Adams, PhD, MPA, MDiv, and JDRF Patient Navigator, Courtney Harris joined The Huddle to talk about a partnership with Breakthrough T1D (formerly JDRF) that has allowed more than 1,000 people to be...

Chief Scientific and Medical Officer for the American Diabetes Association, Dr. Bob Gabbay, joined The Huddle live at ADCES' 2023 annual meeting in August. He touched on the challenges of addressing diabetes in primary care and the value of a DCES in this area, as well as the importance of active listening, perceived value, and engaging teaching styles when working with people with diabetes.

Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.

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

Advanced practice dietitian Amy Hess Fischl MS, RD, LDN, BC-ADM, CDE joined The Huddle to talk about the various food factors that can impact glucose levels, how to help people with diabetes address and understand the factors that impact them most, and how people with diabetes may adjust their insulin doses based on these various factors.

This podcast is being produced in collaboration with JDRF. JDRF works to improve the lives of individuals living with T1D by providing meaningful educational resources for health care professionals and community members. 

See a full list of factors t...

Addressing the inequities that exist in diabetes care relies on each and every one of us in the diabetes space. On this episode of The Huddle, we spoke with Dr. Osagie Ebekozien, Chief Medical Officer at the T1D Exchange and award-winning researcher. Dr. Ebekozien talked about T1D Exchange’s Health Equity Advancement Lab (HEAL) and it's work in advancing health equity for underserved populations. He also outlines actionable steps, no matter how big or small, that DCES across the country can take to advance this work in their practices.

Please note, this podcast was originally re...

Live at ADCES23, ADCES Immediate Past President Lucille Hughes, DNP, MSN/Ed, CDCES, BC-ADM, FADCES joined The Huddle to introduce ADCES's new strategic plan, and to explain the importance of community involvement and knowing your worth when it comes to diabetes care and education.

View ADCES' full 2024-2028 full strategic plan here: adces-strategic-plan.pdf (sitefinity.cloud)

Learn more about the plan in this series of blogs: Advance the Expertise of the DCES: A Core Goal of the 2024-28 ADCES Strategic Plan

Strategic Plan Goal #1: Improve Access to Diabetes Care and Education: A Strategic...

Understanding the ins and outs of Type 1 diabetes and its stages is key in accurately screening for and managing the disease. In the first of a three-part series, we're joined by Anastasia Albanese-O’Neill, PhD, APRN, CDCES. In this episode, Dr. O'Neill talks about common misconceptions of T1D, as well as the stages of T1D and the importance of evaluating and understanding these stages when diagnosing and working with people and families affected by T1D.  

Educational grant support for this episode is provided by Sanofi.

View our guide covering some of t...

The continued advances being made in diabetes technology are exciting, but for some they may also be intimidating. Certified diabetes care and education specialist Dr. Eligio David Soliman Jr. joins The Huddle to talk about lower-tech insulin delivery options, the differences between these options, and how low-tech delivery can benefit the lifestyles of certain people with diabetes. Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast. Learn more about ADCES and the many benefits of membership at adces.org/join.

Debbie Hinnen APN, BC-ADM, CDCES, FAAN joins The Huddle to share her expertise and experiences starting patients with type 2 diabetes on injectable, non-insulin therapies. We will cover topics like how to have a conversation with someone who may have concerns about starting a patient on an injectable, setting realistic expectations, storage and side effects.  

Disclosures:  Speaker/Consultant for Eli Lilly and Company, Boehringer Ingelheim, Novo Nordisk, Intuity

This podcast was developed in partnership with Eli Lilly and Company.

Resources:  

Download a patient-focused tipsheet that complements the to...

Amy Hess Fischl MS, RD, LDN, BC-ADM, CDE joins the Huddle to share her expertise and experiences providing support to patients with type 2 diabetes as they are experiencing weight reduction while on injectable, non-insulin therapies.  We will cover topics like patient experiences with changes in appetite and food intake, nutritional counseling for people experiencing weight reduction and emphasizing the importance of exercise as well.  

Disclosures:  Speaker for Abbott Diabetes Care, Insulet, Xeris Pharmaceuticals

This podcast was developed in partnership with Eli Lilly and Company.

Resources: 

Downloa...

A lot of disinformation exists concerning how to safely exercise while living with diabetes, particularly Type 1 diabetes. Ginger Vieira, athlete and author of "Exercise with Type 1 Diabetes: How to exercise without scary lows or frustrating highs", joins The Huddle to discuss how to help people with diabetes feel empowered to exercise while managing their potential high and lows.

Resources:  

Learn more about Ginger and her work on her website: https://www.gingervieira.com/

Access Ginger's book on exercise and Type 1 diabetes here: https://www.amazon.com/Exercise-Type-Diabetes-exercise-frustrating/dp/B0BYGNFQ47/

L...

ADCES’ Diabetes Technology Conference is coming up December 1-2 in Chicago! We’re joined by conference co-chair Gary Scheiner, MS, CDCES as he shares all the exciting things to look forward to at this year’s event—including hands-on device trainings and educational tracks for different experience levels. 

Resources:

Register for the 2023 Diabetes Tech Conference here: https://diabetestechconference.org/

Learn more about diabetes technology overall on danatech: Diabetes technology for healthcare professionals | Danatech (diabeteseducator.org)

Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.

Learn more abou...

Endocrinology nurse practitioner Brad Hise joins this episode of The Huddle to discuss all things related to basal insulin. Brad touches on how to titrate basal insulin, ensuring that a person's insulin injection technique is effective, and how to support people on insulin in persisting with their medication routine.

Educational support for this episode is provided by Sanofi.

Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.

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

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 mi...

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 Specialists

Want 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.

Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.

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