SteveDE

SteveDE

Diabetes Education

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All Content by SteveDE

  1. How do you collect CDE hours?

    Also, you do not have to be a CDE to provide diabetes education. The CDE certification does not change your license scope of
  2. How do you collect CDE hours?

    You do have to have some kind of a log or proof showing at least 1000 hours of diabetes education work. What I used was my payroll hours, when I was clocked in as a diabetes educator, its an...
  3. Ideal diabetic diet?

    I think what llg posted is reality. I personally believe the best meal plan is one that someone can live with long-term, be satisfied with, actually enjoy sometimes, but keep a balance. Fruits are...
  4. Anyone have an insulin drip policy they would care to share?
  5. Insulin drip policy

    Yes, more of a guide for titration, I think we have found some good examples to use that will work well for our facility. Thank you for the
  6. Carb counting is certainly important, however, a lot of nurses will need to be educated on how to count carbs properly. My main question would be, why isn't the patient counting carbs? Diabetes is a...
  7. mismanagement of diabetes in hospital

    As diabetes educators, we have to realize that our job doesn't "just" deal with educating the patient in how to live with and manage diabetes. Our job is completely diabetes, all the patients I see...
  8. Lantus BID

    Just wondering what your feelings or thoughts are on lantus BID for someone with type 2 diabetes. How does this help compared to lantus nightly? I see this as an unnecessary stick for patients,...
  9. Lantus BID

    I've never heard the 30 units per site? I would be interested to see where that comes from or if its one of those "urban legends". Many people routinely injection 30 plus units of long acting and...
  10. Ok, we have a patient we re-started on an insulin pump, this patient has medicare as primary, to get her approved for more than 3 test strips per day, medicare is saying the provider must register on...
  11. Lantus BID

    Thanks for the
  12. Our program is recognized by the ADA, material to be used is the AADE7, so its the same material, however, some patients will need more focus in various areas depending on the situation. I generally...
  13. I'm working on gaining information on how or IF Medicaid provides any reimbursement for diabetes self-management education or medical nutrition therapy? I know this could be state specific, so more...
  14. Humalog only, no background

    My first question would be what are his pre- and post-meal blood sugars? What does his glucose do in the middle of the night or before breakfast? While the A1C is reasonable given his limited...
  15. U-500 in an insulin pump?

    I recently met with a patient that has used U500 in her insulin pump the entire 8 years she has had an insulin pump and is doing well. She has medicare, so she does not have the CGM either, monitors...
  16. What are you thoughts on this class of medicine? There are 2 new ones on the market in the last year or two, studies appear to be good, but the idea behind having patients urinate out more glucose...
  17. sodium-glucose cotransporters

    Interesting Alisonisayoshi, I have concerns with it long-term, although I've been wrong before. I have wondered about why it couldn't be used for type 1 diabetes since they specifically work on the...
  18. I am looking for anyone with experience dealing with in office CGM. I'm not talking about CGM that goes along with an insulin pump, but where the docking station is IN OFFICE. The patient would come...
  19. As a corrections nurse...

    How do you control diabetes in the prison? Does controlling diabetes issues help control behavior issues? Staff that have diabetes, how do they control their diabetes or are you able to help...
  20. As a corrections nurse...

    FutureCRNA, nurses and most medical personnel are often unaware of proper diabetes knowledge, however, I enjoy being a diabetes educator in a number of avenues, such as staff education, since most...
  21. As a corrections nurse...

    NO, its a fact finding assignment, I'm well past the homework
  22. Hypoglycemia

    CDEWannabe.....Side question here since you brought up the bayer contour next meter communication with your pump. I currently have a patient on medicare, had been using a one touch, has strips...
  23. Diabetes Self-Management Education

    My first comment is DSME is not just for people newly diagnosed with diabetes. It amazes every day how many people live with this disease for years and decades without any education, without any idea...
  24. Medicaid reimbursement?

    Hey SteveDE, from what Illinois Medicaid has told me is they do not cover any diabetes education or medical nutrition therapy since they do not recognize nurses or registered dieticians as providers....
  25. I've been a DE for about 1.5 years, work in a rural area, don't have endocrinologists anywhere near us, and therefore my experience with patients and insulin pumps is very, very slim. I have recently...