New 2019 ADA Standards, From Meds to Technology – January Newsletter

by Coach Beverly
Beverly Thomassian, RN, MPH, CDCES, BC-ADM

January Newsletter now available!

For this newsletter, we provide highlights to the 2019 Standards, discuss our Question of the Week, reveal some study tips for the 2019 CDCES Examination, revisit the cost of insulin and share some of our most popular blog posts. Articles include:

• ADA Standards of Care From Meds to Technology, Compliance to Patient-Centered
• ADA Standard 9: Pharmacologic Management
• New ADA Standard 7: Diabetes Technologies
• CDCES Exam 2019 Updates
• Making a Difference Scholarship
• and more!

Click here to read our newsletter!

Our Diabetes Detective Team scans the diabetes news to discover the most relevant info that Diabetes Educators need in their daily practice. We post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE!  Sign up below!

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A recent review published by the academic British Medical Journal, “BMJ”, has found that high-fructose containing drinks may increase risk of type 2 diabetes more than other foods containing fructose.

Previous studies have confirmed that there is a link between sugary drinks and obesity. As few as two sugary drinks per week may raise the risk of type 2 diabetes considerably.

Now, a comprehensive review of existing research confirms that fructose-containing drinks can increase the risk of type 2 diabetes more than other foods that contain fructose.

The head researcher on the review, Dr. John Sievenpiper, aimed to find if fructose affects glucose levels and health in individuals with diabetes and without diabetes.

As we know, fructose is a monosaccharide that is found in many foods such as fruit, honey, and root vegetables.

However, processed fructose, often derived from corn and added to foods under the name high- fructose corn syrup, has found its way into many processed foods. These processed foods such as drinks, cereals, and baked goods add extra calories without adding fiber or other nutritional benefits.
Dr. John Sievenpiper’s research reviewed the outcomes of 155 studies and examined the effects that fructose from various food sources had on blood sugar levels. A1c, glucose and insulin levels were assessed.

The studies were separated into four separate groups based on their design:

• Substitution studies compared the energy derived from sugars with that from other carbohydrates.
• Subtraction studies removed sugar-derived energy from the participants’ diet and compared it with a regular diet.
• Addition studies added glucose-derived energy to the diet and compared it with a non-sugar-enhanced diet.
• Ad libitum studies replaced the energy from sugars with other nutrients that the participants were free to consume at will.

The review concluded that “nutrient-poor” foods that add excess calories (sugary drinks and sweetened juices) have harmful metabolic effects.

Some of the studies conducted did find that fructose had a harmful effect on fasting insulin levels.

However, most of the data revealed that fruit and fruit juice, which are high in fructose and fiber, may even benefit blood sugar and insulin levels of those with diabetes, when these foods do not add excess calories, the review suggests.

The take home message is:

Until more information is available, public health professionals should be aware that harmful effects of fructose sugars on blood glucose seem to be mediated by energy and food source.”

For more information on fructose and its effect on blood sugar and insulin levels, by MedicalNewsToday

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Ready to take your Diabetes knowledge to the next level? 2019 Upcoming Live Seminars and Webinars

You’re invited to join our Diabetes Education Community and Online University for 2019. We’ve designed our live seminars and online webinars for working healthcare professionals interested in expanding their diabetes knowledge and pursuing certification. Whether you join us online or in person, we believe in your success! Get Inspired – Read Student Success Stories

Upcoming Live Seminars in 2019. Earn CEs, gain diabetes insights, have fun! *Diabetes in the 21st Century – KP Oakland, CA 7.5 CEs | February 11th, 2019 Diabetes Educator Course – Sacramento, CA 32 CEs | April 10th – 12th, 2019 Women Leaders in Diabetes Conference – SF, CA 7.5 CEs | May 10th, 2019 Diabetes and Language Keynote – IHS Annual Diabetes Day – Sacramento, CA | May 23rd, 2019 New Diabetes Medication Algorithm Update – Pharmacy Symposium Henry Mayo | June 1st, 2019 Diabetes in the 21st Century – John Muir Hospital, Concord, CA 7.5 CEs | July 11th, 2019 Diabetes Educator Course – San Diego, CA 32 CEs | September 4th – 6th, 2019 Diabetes in the 21st Century, AADE Hawaii Chapter – Honolulu, HI 7.5 CEs | October 3rd, 2019 *Diabetes in the 21st Century – KP Oakland, CA | October 21st, 2019 Coach Beverly’s calendar for 2019 is filling up fast! To secure a date for Beverly to provide a Keynote Presentationor Diabetes in the 21st Century Seminar at your organization, or to request additional information, email us here! *by invitation only

Upcoming Live Webinars: Standards of Care 2019 – 1.5 CEs – January 24th, 2019 FREE Preparing for the CDCES® Exam Webinar – January 4th, 2019 FREE Preparing for the BC-ADM Webinar – January 30th, 2019 ADA Test Taking Tip Webinar – January 31st, 2019 Reserve my spot

Level 1 Diabetes Fundamentals Live Webinar Schedule – 9.0 CEs : Getting to the Nitty Gritty 1.5 CEs – January 10th, 2019 Nutrition and Exercise 1.5 CEs – January 11th, 2019 Insulin Therapy & Pattern Management 1.5 CEs – January 17th, 2019 Meds Overview for Type 2 – 1.5 CEs – January 18th, 2019 Standards of Care 2019 – 1.5 CEs – January 24th, 2019 Hypoglycemia, Sick Days, Foot Care 1.5 CEs – January 25th, 2019  Level 1 | Diabetes Fundamentals Live Webinar Schedule Brochure 2019 Reserve my spot Please note, when you purchase our online courses, you have instant access to the On-Demand courses via the Online University, PLUS we automatically enroll you in all live webinars updates. Level 3 CDCES Boot Camp Live Webinar Schedule – 12.0 CEs: Boot Camp 1 | Diabetes; Not Just Hyperglycemia – Feb 6th, 2019     Boot Camp 2 | ADA Standards of Care – Feb 7th, 2019 Boot Camp 3 | Insulin Therapy – From Basal/Bolus to Pattern Management – Feb 13th, 2019 Boot Camp 4 | Insulin Intensive – Monitoring, Sick Days, Lower Extremities – Feb 14th, 2019 Boot Camp 5 | Meds for Type 2 – Feb 20th, 2019 Boot Camp 6 | Medical Nutrition Therapy and Exercise – Feb 21st, 2019 Boot Camp 7 | Screening, Prevention and Treatment of Microvascular Complications – Feb 27th, 2019 Boot Camp 8 | Coping and Behavior Change – Feb 28th, 2019          Boot Camp 9 | “The Big Finish” Test Taking– March 6th, 2019 Level 3 | CDCES Exam Boot Camp Live Webinar Schedule Brochure 2019 Reserve my spot

Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and Commission on Dietetic Registration (CDR), Provider DI002. Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.*

• Are you feeling discouraged because your suggestions for improvement aren’t acknowledged?  
• Do you run into barriers when you try to implement change? 
• Are you ready to see your ideas come to light?

Join us to get inspired by diabetes champions.

Everyone is invited to hear the stories of women luminaries, who have taken risks, challenged the status-quo and were able to turn their ideas into action against the odds.

Learn from national diabetes health care leaders and mentors as they share their efforts to improve care. 

Get ready to be inspired!  You will hear the steps they took to overcome barriers, envision delivery of care from a new perspective and shift the diabetes landscape for the better.

Invite your colleagues to join this conference, designed to create new possibilities to improve diabetes across the care continuum.

It’s time to see your ideas come to light!

Keynote presenters include: | See detailed bio information here >>

• Ann Albright, PhD, RD – Director, Division of Diabetes Translation at the CDC
• Tracey Brown MBA, BChE – CEO, American Diabetes Association
• Nicole Johnson, DrPH, MPH, MA – National Director of Mission at JDRF
• Maureen McGrath, MS, PNP-BC, BC-ADM – Associate Clinical Professor, Director, Diabetes Minor, UCSF School of Nursing
• Susan Guzman, PhD – Director of Clinical/Educational Services, Behavioral Diabetes Institute, San Diego
• Edi Matsumoto, FNP, MSN, MFA, CDCES, BC-ADM – Montage Medical Group and Community Hospital of the Monterey Peninsula
• Theresa Garnero, APRN, BC-ADM, MSN, CDCES – Instructional Designer Specialist, UCSF School of Nursing, Founder, Sweet People Club
• Beverly Thomassian, RN, BC-ADM, MPH, CDCES – Founder, President, Diabetes Education Services
  

Agenda | Women Leaders in Diabetes

Brochure | Women Leaders in Diabetes Conference

Objectives:  By the conclusion of this conference, participants will:

1. Create new possibilities to improve diabetes care.
2. Gain fresh ideas and inspiration for your diabetes setting.
3. Develop a realistic action plan for change.
4. Collaborate and network with colleagues and experts in the field.

Since we are not accepting industry grants for this event, will you help us get the word out? (Here is a link you can post on social media or to send to your contacts.)

Don’t miss out on this first ever Women Leaders in Diabetes Conference! Register Today.

Registration Information

May 10th, 2019 | San Francisco, CA

Registration Fee:
Before Feb 15th, 2019: $219
After Feb 15, 2019: $249

• Registration Fee includes: 
  Catered breakfast and lunch
• Diabetes Med PocketCards
• 7.5 CEs for Nurses, RD and CA Pharmacists
• Ask the Expert Panel 
• Networking Opportunities 

Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and Commission on Dietetic Registration (CDR), Provider DI002

Location, Agenda and Objectives

Location: AC Hotel San Francisco Airport / Oyster Point Waterfront
1333 Veterans Blvd, South San Francisco, CA  94080

Agenda | Women Leaders in Diabetes

Brochure | Women Leaders in Diabetes Conference

Team of Experts: This program is a labor of love and passion. It is a dream co-opted by two Diabetes Nurse Specialists and Certified Diabetes Care and Education Specialists (CDCESs) who believe that women leaders make a powerful difference in the lives of people living with diabetes.

• Beverly Thomassian, Diabetes Education Services RN, MPH, CDCES, BC-ADM, President and Founder, Diabetes Education Services (www.diabetesed.net)
• Theresa Garnero, APRN, BC-ADM, MSN, CDCES, President and Founder of Diabetes Catalysts (www.diabetescatalysts.com)

Diabetes Education Services wants to wish our entire community a wonderful holiday season full of love, laughter and joy. As our gift of thanks, please enjoy some of our FREE Resources below!

To celebrate the season with our family and friends, we will be closed 12/24 – 12/28.

We look forward to another fantastic year in 2019!

Love,

Coach Beverly and Anne

Join us for free on January 4th @ 11:30 am PST

Nuts and seeds have been shown to display many nutritional benefits, studies have linked consumption of nuts to better cardiovascular health, fertility, and improved cognitive function. More recent studies have begun to find a connection between consumption of nuts and increased weight loss.

A study by the Harvard T.H. Chan School of Public Health assessed the effects of nuts on weight loss while another study by the School of Exercise and Nutritional Sciences at the San Diego State University examined its connection to satiety, blood sugar, and its effect on insulin response.

The Harvard study explored nut consumption in approximately 120,000 individuals (both men and women). Each subject was required to fill out a food frequency questionnaire every four years. Researchers provided all subjects with 1 ounce servings of nuts in place of their usual unhealthy snacks. They found that making this simple substitution decreased weight gain overall as well as decreasing risk for obesity.

The SDSU study took a closer look at the effects of Brazil nuts on insulin responses. The team of researchers examined 22 healthy adults, 20 of whom were women. Two trials were conducted with each participant either consuming 36 grams of pretzels or 20 grams of Brazil nuts. 48 hours were allowed between each trial. Both snacks had an equal amount of sodium and calories, however, the nuts increased overall satiety. Blood sugar and insulin levels were assessed 40 minutes after consumption. The group that consumed pretzels demonstrated a spike in both blood sugar and insulin though the other group did not. The author of the study states, “While both Brazil nuts and pretzels increased a sense of fullness after they were eaten, eating Brazil nuts stabilized postprandial blood glucose and insulin levels, which may  be beneficial in preventing diabetes and weight gain.”

Substituting nuts for another unhealthy snack during your day can help you feel full and maintain a healthy level of glucose while reducing the risk of obesity and diabetes! 

Research on this topic is still new and ongoing. Check out the article Daily serving of nuts may stave off weight gain, for more information.

Contributed by: Sofia Sepulveda

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