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Pathophysiology and Management of Type 1 Diabetes
Published in Emmanuel C. Opara, Sam Dagogo-Jack, Nutrition and Diabetes, 2019
Schafer Boeder, Steven Edelman
Appropriate nutrition is an essential component in the management of T1D. Medical providers must be well-versed in diabetes-specific nutrition and proficient in sharing this knowledge with patients. Ideally, individuals with T1D should have access to a multidisciplinary team including a certified diabetes educator and a registered dietitian specializing in diabetes-related nutrition. Understanding the effects of carbohydrates and other macronutrients on blood glucose levels and insulin requirements can empower people with T1D to make informed dietary and treatment decisions.
Diabetes Self-Management Education and the Diabetes Team
Published in Jack L. Leahy, Nathaniel G. Clark, William T. Cefalu, Medical Management of Diabetes Mellitus, 2000
Diabetes nurse clinician: Provides care, management, and instructional services. The title implies specialized training, although it may be on-the- job-training. Most clinicians have at least an undergraduate degree. Diabetes nurse specialist or diabetes clinical specialist: Advanced level of practitioner. These individuals have at least Master of Science degree in a specialized area of study. They have the training, expertise, and autonomy to provide most clinical management responsibilities, including patient and professional education. Certified Diabetes Educator: Diabetes educators who pass a certification examination become a certified diabetes educator (CDE). CDE is then added after their name and degree. Certified diabetes educators must pass a certification examination every 5 years to maintain certification. CDE implies a minimal standard of knowledge, expertise, and skills in all aspects of diabetes education.
Association between smoking and glycemic control in men with newly diagnosed type 2 diabetes: a retrospective matched cohort study
Published in Annals of Medicine, 2022
Hon-Ke Sia, Chew-Teng Kor, Shih-Te Tu, Pei-Yung Liao, Jiun-Yi Wang
A well-trained certified diabetes educator conducted face-to-face interviews using a computer-assisted standard form to assess and record each person's smoking status at DCMP enrolment and thereafter once a year. All participants were categorised as either smokers or non-smokers based on smoking status at baseline. Smokers were defined as those who had been smoking until enrolment, including social smokers and daily smokers. Non-smokers included those who had never smoked and those who had quit smoking. Considering that availability of baseline smoking status does not represent the continuation of smoking throughout the entire year, data collected at the endpoint were incorporated into a sensitivity analysis, in which participants were divided into four groups: persistent smoking (+/+), persistent non-smoking (–/–), quit smoking (+/–), and irresolute smoking (–/+) (the signs indicated the smoking status at baseline/endpoint) (Figure 1). Based on consumption of cigarettes per day (CPD), smokers were subdivided into heavy smokers (>20 CPD) and light smokers (≤20 CPD).
Maternal shift-and-persist coping, SES, and adolescent type 1 diabetes management
Published in Children's Health Care, 2020
Daniel Mello, Deborah Wiebe, Cynthia Berg
Adolescents completed the Self Care Inventory (Lewin et al., 2009) to index their adherence over the previous month. This scale has strong associations with other clinically validated metrics of adherence (e.g., the Diabetes Self-Management Profile), as well as glycemic control, in an adolescent sample similar in age to the sample in the current study (Lewin et al., 2009). Two items were added to reflect current treatment standards through consultation with a certified diabetes educator (i.e., How well have you followed recommendations for counting carbohydrates? How well have you followed recommendations for calculating insulin doses based on carbohydrates in meals and snacks?). Adolescents rated how frequently they completed each management behavior (e.g., glucose testing, administering insulin) using a 1 (never did it) to 5 (always did thus as recommended without fail) scale. Scores were computed by averaging ratings across items. In the present sample, α = 0.88, M = 3.77, SD = 0.63.
Evaluating Patient Navigation to Improve First Appointment No-show Rates in Uninsured Patients with Diabetes
Published in Journal of Community Health Nursing, 2019
Kendra R. Weaver, Michele Talley, Melissa Mullins, Cynthia Selleck
The PATH Clinic’s Care Coordinator, a registered dietitian and certified diabetes educator, served as the patient navigator. She called each referred patient at least weekly but more frequently if deemed necessary. The patient navigator used a semi-structured script (Figure 1) to conduct calls but was also free to adapt the script according to patient needs based on her expertise. The script included questions about potential barriers to attending appointments and performing diabetes self-care along with an algorithm to address each identified barrier. The script was developed based on professional experience, experiences at the PATH Clinic, literature review, and consultations with experts in indigent care. During calls, the navigator identified potential and/or actual barriers for attending the scheduled appointment. If problems were identified, the navigator consulted with the clinic social worker for assistance with overcoming barriers to attendance and the clinic nurse practitioners regarding medical issues.