SteveDE

Also, you do not have to be a CDE to provide diabetes education. The CDE certification does not change your license scope of practice.

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 "official" list of hours that I can prove that I was worki...

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 important, but just like bread, potatoes, and pasta...

Anyone have an insulin drip policy they would care to share? Thanks!

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 feedback!

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 long-term disease, it doesn't stop at discharge, ...

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 every day has diabetes, so for the most part 100% o...

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, chance for more error, and even a chance for increased...

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 meal time units a few times a day, I highly doubt th...

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 pecos.cms.hhs.gov. This is something we haven't d...

Thanks for the information!

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 structure the usual education as the initial appt....

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 comments, the better. I am in Illinois and my unde...

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 diabetes education and lack of a longer acting insulin, ...

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 herself regularly which is needed for safety and s...

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 seems backwards to me. I understand that they would...

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 kidneys. Thanks for the information. Just out of ...

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 in to the office, have the CGM placed, and then r...

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 educate them on how to control their diabetes to increa...

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 staff have to deal with more than diabetes issues, I ...

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

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 already supplied for his one touch, but he is starting h...

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 on what diabetes is, how it works inside their bo...

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. The only way there is any reimbursement is when t...

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 gotten a referral that is wanting to get informat...