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Obesity Redefined: A Bold New Approach to Diagnosis
A recent publication in The Lancet: Diabetes & Endocrinology is prompting the medical community to rethink how obesity is screened and diagnosed. Endorsed by over 75 organizations worldwide, including scientific societies and patient advocacy groups, this consensus calls for a major overhaul of the language, classification, and diagnostic criteria used to address excess adiposity and its impact on the body. Interestingly, the commission not only includes international experts from diverse medical specialties and regions but also individuals with lived experience of obesity. Together, they aim to define ‘clinical obesity’ and establish objective criteria for its diagnosis. Let’s dive into their…
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2025 ADA Standards of Care: 4 Key Changes You Shouldn’t Miss
The start of a new year means one thing in diabetes care and education—new Standards of Care! While the guidelines continue to grow in size and detail, much like a thick phone book, their annual updates are incredibly important for shaping high-quality care for people living with diabetes. Here are four key updates I’m particularly excited to see this year. What are the Standards of Care? The ADA Standards of Care are widely recognized as the gold standard for evidence-based guidelines in diagnosing and managing diabetes and prediabetes. Grounded in the latest scientific research and clinical trials, these guidelines provide…
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New Year, New Services: Elevate Your Diabetes Care in 2025
Over the past year, I’ve been dedicated to expanding and refining the services I offer to provide exceptional support in diabetes care and education. As we step into 2025, it’s the perfect time to reintroduce these offerings to ensure both new and existing clients can fully benefit from everything available. Whether you’re just discovering my practice or have been with me for a while, here’s an overview of how these services can elevate your diabetes care and education. Contractual Services & Training In today’s rapidly evolving healthcare landscape, delivering comprehensive and effective diabetes care is more essential than ever. At…
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Embracing JOMO: Finding Peace in Professional Life
The article discusses the contrast between FOMO (Fear of Missing Out) and JOMO (Joy of Missing Out). It emphasizes the benefits of adopting a JOMO mindset, such as reduced stress, improved focus, and fulfillment, encouraging reflection on personal values and prioritizing intentional choices.
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The Value of Clinical Mentorship
Have you ever wondered what it might be like to have a clinical mentor? Someone you could message for support in a pinch, whether you’re feeling stuck or just need a second opinion? I know in my own professional journey, there were countless moments where I wished for that kind of guidance. As the sole dietitian—and later, the only diabetes care and education specialist—on staff, I often found myself full of questions with no one to turn to for immediate answers. Those experiences taught me just how valuable it is to have someone in your corner who’s been there before,…
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Entrepreneurship in Diabetes Care and Education
As I wrap up my first year as Chair and Founder of the ADCES Connect Entrepreneurship Community of Interest, I am deeply inspired by the creativity and innovation of my peers. What started as a simple desire to bring like-minded professionals together—those working outside traditional settings in diabetes care and education—has transformed into a year of professional growth, enriching networking opportunities, and the empowering realization that running a successful consultancy is possible. Join me as I share insights and reflect on the invaluable wisdom offered by seasoned DCES entrepreneurs. The Launch of the Entrepreneurship COI The Association of Diabetes Care…
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Product Review: Stelo by Dexcom
Continuous glucose monitoring without a prescription is finally here—introducing Dexcom Stelo! The Stelo Glucose Biosensor System (Stelo) is an over-the-counter device that delivers real-time glucose data, no prescription required. Designed for convenience and flexibility, it helps users easily and accurately monitor and manage their glucose levels. I’m excited to share my personal experience with the Stelo, including my first impressions and recommendations. Technical Specifications At first glance, the Stelo may look similar to the Dexcom G7, but it’s actually a new sensor designed specifically for people who do not use insulin. While both systems offer continuous glucose monitoring, the Stelo…
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Destigmatizing Diabetes
Diabetes stigma refers to the negative attitudes, judgment, discrimination, or prejudice directed at individuals simply because they have diabetes. This stigma can manifest both internally and externally. Internal stigma arises when individuals with diabetes internalize negative beliefs, often leading to feelings of self-blame, shame, and guilt. This can result in a sense of personal responsibility for their condition, undermining their self-esteem. In contrast, external stigma is imposed by others through judgmental attitudes, discriminatory behaviors, or insensitive comments. This external stigma can reinforce harmful internal beliefs, further exacerbating the emotional burden on those living with diabetes. The most damaging aspect of…
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Mitigating Therapeutic Inertia of GLP-1 Use in T2D
Glucagon-like peptide-1 receptor agonists, commonly known as GLP-1 RAs, have recently garnered significant media attention. Initially developed to improve glycemic control in patients with type 2 diabetes, these medications have also proven to be highly effective for weight loss and enhancing cardiovascular health. However, without proper initiation, titration, and support from the care team, they can often be ineffective and unsustainable. Patients can become stuck in therapeutic inertia. I had the pleasure of presenting on this topic with a pharmacy colleague at this year’s ADCES Annual Conference for diabetes care and education specialists. Here’s how we identified and provided solutions…
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ADCES24: Let the Good Times Role!
It was another great year at the Association of Diabetes Care and Education Specialists annual conference, this time in vibrant New Orleans. Packed full of engaging educational sessions, networking events, and a lively exhibitor hall, all set against the backdrop of a city with endless activities, this weekend was nothing short of the professional highlight of my year (so far). It was also my first time presenting at a national conference! Standing in front of my peers, sharing insights in diabetes care, was an exhilarating experience. The positive feedback that followed not only validated my hard work but also fueled…
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Over-the-Counter CGM Coming to a Pharmacy Shelf Near You
This has been the summer of over-the-counter CGM announcements. Continuous glucose monitors (CGMs), once only accessible through prescriptions, are now becoming readily available over the counter. This shift marks a significant step forward in the management of diabetes and other conditions that affect blood sugar levels. With several major brands introducing or expanding their OTC offerings, individuals now have more options and greater accessibility. The move towards OTC availability promises to empower more people to take control of their health with real-time glucose monitoring, providing a new level of convenience and insight into their glucose management. OTC CGM Options Dexcom…
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4 Clinical Pearls from the 2024 ATDC Conference
I was very fortunate to attend the 2024 ATDC Conference this year in beautiful Keystone, Colorado. The ATDC Conference has been an integral part of education and case-based studies of pipeline diabetes technology for over 30 years. This year’s focus included keynotes and plenaries on topics such as cardiovascular disease outcomes in both type 1 and type 2 diabetes, early detection strategies, updates in AID and Rx/OTC sensors, updates in macro- and microvascular complications, and even a possible cure for type 1 diabetes. Despite being an intimate event, hosted at almost 10,000 feet, there was no shortage of big names…
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At Home A1c Test Kits
An at-home A1c test kit can be a valuable metabolic screening tool for detecting elevated blood sugars due to insulin resistance, a key precursor of type 2 diabetes. These kits provide a convenient way to monitor and assess metabolic health status, especially for those who may be considered higher risk. What is an At Home A1c Test Kit? The A1c test provides a three-month average of blood sugar levels by measuring the amount of glucose molecules attached to hemoglobin proteins on red blood cells. To perform the test, a small blood sample from a finger stick is applied to a…
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GLP-1 Injectables for Older Adults
With the increasing interest in and popularity of GLP-1 injectable medications, there is a growing concern about their safety when used with older adults. This article reviews some of the benefits and concerns associated with the use of GLP-1 injectable medications in advanced age. Are GLP-1’s Appropriate for Older Adults? In general, age is not a contraindication to using GLP-1 medications. Individuals of any age can experience weight loss and improved metabolic health with a once-weekly injectable. In fact, medications like Ozempic or Trulicity can be safer options compared to others such as insulin or sulfonylureas, as they rarely cause…
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Reflecting on a Year of Achievement
As the new year approaches, there’s a temptation to eagerly embrace goal-setting in diabetes care and education, planning for the months ahead. It’s easy to quickly forget about our successes and instead pivot towards new hurdles on the horizon, especially if the past year was challenging or disappointing. While setting new goals can be a positive and motivating practice, it’s essential to reflect on our achievements. Recognizing and acknowledging these successes, irrespective of their scale, not only bolsters our confidence but provides valuable insights. The Practice of Reflection As a diabetes care and education provider, it’s important that we welcome…
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Your Guide to Diabetes Supplies: Continuous Glucose Monitoring
Managing diabetes can be incredibly challenging, especially with the demands of traditional fingerstick glucose monitoring. Thankfully, advancements in technology and expanded insurance coverage have made continuous glucose monitors (CGMs) more accessible than ever. In this post, we’ll delve into what CGMs are, how they work, their benefits, and how they can enhance the quality of life for individuals managing diabetes. All About Continuous Glucose Monitors What is a Continuous Glucose Monitor? A continuous glucose monitor (CGM) is a small device that measures glucose levels in a person’s interstitial fluid and transmits this data to a receiver or smartphone. Primarily used…
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ADCES23: A Mecca for Diabetes Care & Education
The Association of Diabetes Care and Education Specialists (ADCES) serves as the professional practice organization representing nurses, dietitians, pharmacists, advanced practice providers, and community health advocates working in diabetes care and education. The annual ADCES23 conference brings together leaders in the field to disseminate updates in clinical care and technologies. It’s also a wonderful opportunity to network. I’ve included some of the highlights from this years conference. I am already looking forward to ADCES24 in New Orleans! Professional Sessions The professional sessions are an opportunity to hear from experts in the field on original research and best practices in diabetes care and…
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Your Guide to Diabetes Supplies: Insulin Syringes
For many people living with diabetes, insulin injections are a part of everyday life. Vials and syringes were once the only way to prescribe insulin for home use. Despite the availability of insulin pens, many people living with diabetes continue to use syringes to administer their insulin. This is due to a combination of personal preference, insurance coverage, and a lack of awareness of alternative options. This article covers the functionality of insulin syringes, instructions for use, and tips for troubleshooting common issues with patients. What is an Insulin Syringe? An insulin syringe is a medical device specifically designed for…
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Your Guide to Diabetes Supplies: Insulin Pens
For many people living with diabetes, insulin injections are a part of everyday life. Traditionally prescribed using the vial and syringe method, insulin pens are becoming increasingly popular for their ease of use and comprehensive insurance coverage. Insulin pens offer a convenient and discreet way to administer insulin while on-the-go. They are easy to use, provide accurate dosing, and reduce the risk of needlestick injuries. This article covers the functionality of insulin pens, instructions for use, and tips for troubleshooting common issues with your patients. What is an Insulin Pen? An insulin pen is a medical device used to inject…
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Your Guide to Diabetes Supplies: Glucometers
Glucometers are one of the most commonly prescribed diabetes supplies. Understanding how to use a glucometer and interpreting the results accurately is essential for effective diabetes management. By using a glucometer, people with diabetes can track their blood sugar levels and adjust their diet and medication regimen accordingly. This article covers the functionality of a glucometer, instructions for use, and tips for troubleshooting common issues with glucometers. What is a Glucometer? A glucometer measures blood glucose levels using a small blood sample obtained by pricking a finger with a lancet. Results are displayed within seconds on the meter’s screen, allowing…
