The Diabetes Educator
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Nutrition and Diet
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(Source: The Diabetes Educator)
Source: The Diabetes Educator - September 24, 2009 Category: Endocrinology Tags: Industry Update Source Type: journals
Effectiveness and Safety of Medication Adjustments by Nurse Case Managers to Control Hyperglycemia
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Conclusions
In this setting, hypoglycemia occurs infrequently in all groups, but at
higher rates with more intensive treatment. Nurse case management, whether
with or without medication adjustment, is effective in improving short-term
glucose control. (Source: The Diabetes Educator)
Source: The Diabetes Educator - September 24, 2009 Category: Endocrinology Authors: Curtis, J., Lipke, S., Effland, S., Dickinson, B., McCabe, A., Russell, B., Russell, M., Bloomquist, P., Wilson, C. Tags: Features Source Type: journals
Organizational Factors Associated With Self-management Behaviors in Diabetes Primary Care Clinics
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Conclusions
Health care providers and diabetes educators in primary care clinics should
consider how organizational characteristics of the clinic might influence
self-management behaviors of patients. The focus should be on better access to
evidence-based information at the point of care and self-management needs and
activities. (Source: The Diabetes Educator)
Source: The Diabetes Educator - September 24, 2009 Category: Endocrinology Authors: Kaissi, A. A., Parchman, M. Tags: Features Source Type: journals
Knowledge About Type 2 Diabetes Risk and Prevention of African-American and Hispanic Adults and Adolescents With Family History of Type 2 Diabetes
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Conclusions
Overall, there was a lack of knowledge about risk and prevention of type 2
diabetes among African American and Hispanic families at risk. From a public
health perspective, there is a critical need for innovative prevention
programs targeting families at risk for diabetes. (Source: The Diabetes Educator)
Source: The Diabetes Educator - September 24, 2009 Category: Endocrinology Authors: Cullen, K. W., Buzek, B. B. Tags: Features Source Type: journals
The Effect of Weight Reduction Interventions for Persons With Type 2 Diabetes: A Meta-analysis From a Self-regulation Perspective
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Conclusions
This meta-analysis underlines the importance of a self-regulation approach
for weight reduction interventions in diabetes patients, in particular, for
A1C outcomes. However, more research is needed to fully understand the
relationship among self-regulation, weight, and A1C. (Source: The Diabetes Educator)
Source: The Diabetes Educator - September 24, 2009 Category: Endocrinology Authors: Huisman, S. D., De Gucht, V., Dusseldorp, E., Maes, S. Tags: Features Source Type: journals
Understanding Type 2 Diabetes: Including the Family Member's Perspective
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Conclusions
This study reinforces the importance of understanding social context and
illness beliefs in diabetes management. It also highlights the potential for
including family members in discussions and education about diabetes
management. (Source: The Diabetes Educator)
Source: The Diabetes Educator - September 24, 2009 Category: Endocrinology Authors: White, P., Smith, S. M., Hevey, D., O'Dowd, T. Tags: Features Source Type: journals
Nurse Satisfaction Using Insulin Pens in Hospitalized Patients
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Conclusion
Nurses were satisfied with multiple aspects of insulin pens compared with
vials/syringes. Implementation of insulin pen devices does not increase
nursing time spent to teach patients to self-inject insulin and does not
increase insulin-related needlestick injuries. (Source: The Diabetes Educator)
Source: The Diabetes Educator - September 24, 2009 Category: Endocrinology Authors: Davis, E. M., Bebee, A., Crawford, L., Destache, C. Tags: Features Source Type: journals
Comparative Device Assessments: Humalog KwikPen Compared With Vial and Syringe and FlexPen
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Conclusions
Humalog KwikPen was significantly preferred over vial and syringe and
FlexPen. When compared with vial and syringe, Humalog KwikPen and FlexPen were
easier to use and operate, demonstrated superior accuracy of doses prepared,
and preferred by pen-naïve users. (Source: The Diabetes Educator)
Source: The Diabetes Educator - September 24, 2009 Category: Endocrinology Authors: Ignaut, D. A., Schwartz, S. L., Sarwat, S., Murphy, H. L. Tags: Features Source Type: journals
Perception of Barriers to Self-care Management Among Diabetic Patients
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Conclusions
The focus group discussions identified both barriers to diabetes management
and opportunities for improving care for underserved patients with diabetes.
The results are useful to improve the delivery of care and to develop
quantitative studies to explore particular areas of interest. Based on these
results, the current system needs to provide more support and education to
patients with diabetes. (Source: The Diabetes Educator)
Source: The Diabetes Educator - September 24, 2009 Category: Endocrinology Authors: Gazmararian, J. A., Ziemer, D. C., Barnes, C. Tags: Features Source Type: journals
Revisiting the Association Between Cardiovascular Risk Factors and Diabetes: Data From a Large Population-Based Study
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Conclusions
The results confirmed the importance of diabetes educators counseling
patients with hypertension or hypercholesterolemia about their increased risk
for developing diabetes. (Source: The Diabetes Educator)
Source: The Diabetes Educator - September 24, 2009 Category: Endocrinology Authors: Yang, K., Chasens, E. R., Sereika, S. M., Burke, L. E. Tags: Features Source Type: journals
Cost-effectiveness of Diabetes Self-management Programs in Community Primary Care Settings
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Conclusions
Self-management programs for type 2 diabetes are cost-effective from a
health systems perspective when the cost savings due to reductions in
long-term complications are recognized. These findings may justify increased
reimbursement for effective self-management programs in diverse settings. (Source: The Diabetes Educator)
Source: The Diabetes Educator - September 24, 2009 Category: Endocrinology Authors: Brownson, C. A., Hoerger, T. J., Fisher, E. B., Kilpatrick, K. E. Tags: Features Source Type: journals
Assessing the Value of Diabetes Education
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Conclusions
The collaboration between diabetes educators and physicians yields positive
clinical quality and cost savings. The analysis indicates that quality can be
improved, and cost reduced, by increasing referral rates to diabetes education
among low-referring physicians, specifically among men and people in
disadvantaged areas. More needs to be done to inform physicians about ways to
increase access to diabetes education for underserved populations. (Source: The Diabetes Educator)
Source: The Diabetes Educator - September 24, 2009 Category: Endocrinology Authors: Duncan, I., Birkmeyer, C., Coughlin, S., Li, Q., Sherr, D., Boren, S. Tags: Features Source Type: journals
New Therapeutic Horizons: Mapping the Future of Glycemic Control With Incretin-based Therapy
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Conclusion
Currently, 3 incretin-based therapies are available and widely used in
clinical practice. Several more agents are either under review by the Food and
Drug Administration (FDA) or are in the very late stages of development. For
diabetes educators trying to help their patients understand the differences
among their antidiabetic medications, a comprehensive understanding of these
agents and their role in therapy is imperative. (Source: The Diabetes Educator)
Source: The Diabetes Educator - September 24, 2009 Category: Endocrinology Authors: Campbell, R. K., Miller, S. Tags: Pharmacy Update Source Type: journals
Development of a DiaBEATes Nurse Champion Program
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Conclusion
Diabetes educators will find the DiaBEATes Nurse Champion program useful
for structuring educational programs within various practice settings. The
case studies are useful tools for evaluating specific application of diabetes
knowledge.
Background
The nearly 24 million people with diabetes strain the health care system in
terms of resources and health care dollars. According to the American Diabetes
Association (ADA) a hospital stay for a patient with diabetes costs almost 3
times the stay of a patient without
diabetes.1 The
higher costs associated with caring for a patient with diabetes is partly
attributed to ...
Source: The Diabetes Educator - September 24, 2009 Category: Endocrinology Authors: Uplinger, N., Turkel, M. C., Adams, P. C., Nelson-Slemmer, D., Pierce, S. Tags: Tool Chest Source Type: journals
Looking Ahead
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(Source: The Diabetes Educator)
Source: The Diabetes Educator - September 24, 2009 Category: Endocrinology Tags: Looking Ahead Source Type: journals
AADE News
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(Source: The Diabetes Educator)
Source: The Diabetes Educator - September 24, 2009 Category: Endocrinology Tags: AADE News Source Type: journals
Health Care Reform: AADE Outlines the Issues
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(Source: The Diabetes Educator)
Source: The Diabetes Educator - September 24, 2009 Category: Endocrinology Authors: Draheim, M. D. Tags: From the President Source Type: journals
The Value of Diabetes Education: Is It Cost-Effective?
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(Source: The Diabetes Educator)
Source: The Diabetes Educator - September 24, 2009 Category: Endocrinology Authors: Fain, J. A. Tags: Editorials Source Type: journals
Diabetes and Men's Health
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(Source: The Diabetes Educator)
Source: The Diabetes Educator - July 23, 2009 Category: Endocrinology Tags: Industry Update Source Type: journals
A National Study of the Diabetes Educator: Report on a Practice Analysis Conducted by the National Certification Board for Diabetes Educators
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Conclusions
Certification examination specifications were developed directly related to
the important activities that diabetes educators perform. Future forms of the
certification examination will continue to be matched to job-related,
criterion-referenced test specifications and will have strong evidence of
content validity. Future forms of the exam will contain 200 items at specified
cognitive levels with a representative sampling of tasks within 3 core areas
from the detailed content outline. (Source: The Diabetes Educator)
Source: The Diabetes Educator - July 23, 2009 Category: Endocrinology Authors: Zrebiec, J. Tags: Features Source Type: journals
A Self-instructional Program for Diabetes Educators on Preconception Counseling for Women With Diabetes
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Conclusions
Although CDEs knew relevant information, they lacked some specific
knowledge about PC, and they lacked confidence in their knowledge and in their
ability to counsel patients. Diabetes educators can benefit from an education
program to provide PC to their female patients, including adolescents.
Computer or Web-based accessibility could make this a low-cost and easily
disseminated program. (Source: The Diabetes Educator)
Source: The Diabetes Educator - July 23, 2009 Category: Endocrinology Authors: Cothran, M. M., Sereika, S. M., Fischl, A. R., Schmitt, P. L., Charron-Prochownik, D. Tags: Features Source Type: journals
Community-Based Peer-Led Diabetes Self-management: A Randomized Trial
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Conclusions
These findings suggest that people with diabetes without elevated A1C can
benefit from a community-based, peerled diabetes program. Given the large
number of people with diabetes and lack of low-cost diabetes education, the
DSMP deserves consideration for implementation. (Source: The Diabetes Educator)
Source: The Diabetes Educator - July 23, 2009 Category: Endocrinology Authors: Lorig, K., Ritter, P. L., Villa, F. J., Armas, J. Tags: Features Source Type: journals
Slowly Digestible Carbohydrate Sources Can Be Used to Attenuate the Postprandial Glycemic Response to the Ingestion of Diabetes-Specific Enteral Formulas
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Conclusions
Diabetes-specific enteral formulas rich in slowly digestible carbohydrate
sources can be equally effective in attenuating the postprandial blood glucose
response as low-carbohydrate, high-fat enteral formulas without elevating the
plasma triglyceride response. (Source: The Diabetes Educator)
Source: The Diabetes Educator - July 23, 2009 Category: Endocrinology Authors: Vanschoonbeek, K., Lansink, M., van Laere, K. M. J., Senden, J. M. G., Verdijk, L. B., van Loon, L. J. C. Tags: Features Source Type: journals
Patient Activation Is Associated With Healthy Behaviors and Ease in Managing Diabetes in an Indigent Population
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Conclusions
Higher scores on the PAM were associated with higher rates of self-care
behaviors and ease in managing diabetes; however, the indigent urban
population reported higher activation scores than found in previous studies.
The relationship between activation and outcomes needs to be explored further
prior to expanding use of this measure in this patient population. (Source: The Diabetes Educator)
Source: The Diabetes Educator - July 23, 2009 Category: Endocrinology Authors: Rask, K. J., Ziemer, D. C., Kohler, S. A., Hawley, J. N., Arinde, F. J., Barnes, C. S. Tags: Features Source Type: journals
Making Diabetes Education Accessible for People With Visual Impairment
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Conclusions
Diabetes education programs should include planning for full accessibility
for PVID. Diabetes organizations should publish teaching materials in
accessible format. (Source: The Diabetes Educator)
Source: The Diabetes Educator - July 23, 2009 Category: Endocrinology Authors: Williams, A. S. Tags: Features Source Type: journals
A Structured Educational Program Improves Metabolic Control in Patients With Type 2 Diabetes: A Randomized Controlled Trial
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Conclusions
A structured education group program centered in self-management improves
the glycemic control in patients with type 2 diabetes, reaching the peak
effect at 4 months, and lasting for up to 12 months. (Source: The Diabetes Educator)
Source: The Diabetes Educator - July 23, 2009 Category: Endocrinology Authors: Scain, S. F., Friedman, R., Gross, J. L. Tags: Features Source Type: journals
A Randomized Comparison of the Terms Estimated Average Glucose Versus Hemoglobin A1C
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Conclusions
Patients previously unfamiliar with the meaning of A1C, using either term
(A1C or eAG) resulted in an equal improvement in knowledge. Within this study,
eAG was not a more understandable term, or an easier concept for patients to
remember. Further research is needed to test whether use of the term A1C
should be replaced by eAG. (Source: The Diabetes Educator)
Source: The Diabetes Educator - July 23, 2009 Category: Endocrinology Authors: Brick, J. C., Derr, R. L., Saudek, C. D. Tags: Features Source Type: journals
Perspectives for Practice: Translating Estimated Average Glucose (eAG) to Promote Diabetes Self-management Capacity
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Conclusions
Adoption of the 2007 Consensus Statement will influence clinical practice
and decision making and subsequently influence self-management for individuals
with diabetes. (Source: The Diabetes Educator)
Source: The Diabetes Educator - July 23, 2009 Category: Endocrinology Authors: Rentfro, A. R., McEwen, M., Ritter, L. Tags: Today's Educator Source Type: journals
Continuous Glucose Monitoring Technology for Personal Use: An Educational Program That Educates and Supports the Patient
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Conclusions
Successful use of real-time CGM involves more than just patient enthusiasm
or interest in a new technology. Channeling patient interest into a structured
educational setting that includes the benefits and limitations of real-time
CGM helps to manage patient expectations. (Source: The Diabetes Educator)
Source: The Diabetes Educator - July 23, 2009 Category: Endocrinology Authors: Evert, A., Trence, D., Catton, S., Huynh, P. Tags: Tool Chest Source Type: journals
2009 EXHIBITION PREVIEW (AS OF May 22, 2009): August 5-8 {middle dot} Atlanta, Georgia
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(Source: The Diabetes Educator)
Source: The Diabetes Educator - July 23, 2009 Category: Endocrinology Tags: Features Source Type: journals
Looking Ahead
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(Source: The Diabetes Educator)
Source: The Diabetes Educator - July 23, 2009 Category: Endocrinology Tags: Looking Ahead Source Type: journals
AADE News
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(Source: The Diabetes Educator)
Source: The Diabetes Educator - July 23, 2009 Category: Endocrinology Tags: AADE News Source Type: journals
AADE Guidelines for Diabetes Education Answer Questions in a Changing Health Care Environment
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(Source: The Diabetes Educator)
Source: The Diabetes Educator - July 23, 2009 Category: Endocrinology Authors: Draheim, M. D. Tags: From the President Source Type: journals
AADE's 36th Annual Meeting and Exhibition 2009: Exploring New Dimensions in Atlanta, GA
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(Source: The Diabetes Educator)
Source: The Diabetes Educator - July 23, 2009 Category: Endocrinology Authors: Fain, J. A. Tags: Editorials Source Type: journals
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(Source: The Diabetes Educator)
Source: The Diabetes Educator - May 19, 2009 Category: Endocrinology Tags: Errata Source Type: journals
Blood Glucose Monitoring
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(Source: The Diabetes Educator)
Source: The Diabetes Educator - May 19, 2009 Category: Endocrinology Tags: Industry Update Source Type: journals
Reducing the Health Risks of Diabetes: How Self-determination Theory May Help Improve Medication Adherence and Quality of Life
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Conclusions
Health care providers' support for patients' autonomy and competence around
medication use and diabetes self-management related positively to medication
adherence, quality of life, and physiological outcomes among patients with
diabetes. (Source: The Diabetes Educator)
Source: The Diabetes Educator - May 19, 2009 Category: Endocrinology Authors: Williams, G. C., Patrick, H., Niemiec, C. P., Williams, L. K., Divine, G., Lafata, J. E., Heisler, M., Tunceli, K., Pladevall, M. Tags: Features Source Type: journals
Parenting Children With Diabetes: Exploring Parenting Styles on Children Living With Type 1 Diabetes Mellitus
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Conclusions
Parenting styles are not associated with diabetes control and quality of
life in children with type 1 diabetes. However, further research should assess
the impact of the determinants of parenting on children with type 1 diabetes
and quality of life. (Source: The Diabetes Educator)
Source: The Diabetes Educator - May 19, 2009 Category: Endocrinology Authors: Sherifali, D., Ciliska, D., O'Mara, L. Tags: Features Source Type: journals
Type 1 Diabetes Among Adolescents: Reduced Diabetes Self-Care Caused by Social Fear and Fear of Hypoglycemia
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Conclusions
Findings suggest that social anxiety, which is common in general
populations of adolescents, may interfere with behavioral adherence and
quality of life among adolescents with type 1 diabetes. Screening and
treatment of social anxiety may result in better adherence and increased
quality of life. (Source: The Diabetes Educator)
Source: The Diabetes Educator - May 19, 2009 Category: Endocrinology Authors: Di Battista, A. M., Hart, T. A., Greco, L., Gloizer, J. Tags: Features Source Type: journals
Daytime Sleepiness and Functional Outcomes in Older Adults With Diabetes
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Conclusions
These results indicate that sleep disturbances affect not only sleep
quality but also daytime function in older adults with diabetes. (Source: The Diabetes Educator)
Source: The Diabetes Educator - May 19, 2009 Category: Endocrinology Authors: Chasens, E. R., Sereika, S. M., Burke, L. E. Tags: Features Source Type: journals
A Randomized Trial of a Church-Based Diabetes Self-management Program for African Americans With Type 2 Diabetes
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Conclusions
The church-based intervention was well received by participants and
improved short-term metabolic control. (Source: The Diabetes Educator)
Source: The Diabetes Educator - May 19, 2009 Category: Endocrinology Authors: Samuel-Hodge, C. D., Keyserling, T. C., Park, S., Johnston, L. F., Gizlice, Z., Bangdiwala, S. I. Tags: Features Source Type: journals
Review of Family-centered Interventions to Enhance the Health Outcomes of Children With Type 1 Diabetes
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Conclusions
Family-centered interventions targeting children diagnosed with type 1
diabetes appear to be effective in enhancing health outcomes. These
interventions focused on traditional 2-parent families, and many did not
report race or ethnicity. Given the increasing number of single-parent
households and divorced parents, a need exists to explore and develop
family-centered interventions that target nontraditional family structures as
well as addressing cultural differences. (Source: The Diabetes Educator)
Source: The Diabetes Educator - May 19, 2009 Category: Endocrinology Authors: McBroom, L. A., Enriquez, M. Tags: Features Source Type: journals
Whole Grain and Legume Acceptability Among Youths With Type 1 Diabetes
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Conclusions
These findings demonstrate the variability in acceptability among whole
grains and legumes in youths with type 1 diabetes and the importance of
addressing acceptability when counseling youths or designing nutrition
interventions to improve consumption of these foods. (Source: The Diabetes Educator)
Source: The Diabetes Educator - May 19, 2009 Category: Endocrinology Authors: Gellar, L., Rovner, A. J., Nansel, T. R. Tags: Features Source Type: journals
Nutrition Evidence-Based Guidelines for Treating Hyperlipidemia in Children With Type 1 Diabetes: A Case Presentation
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Conclusions
In this case study, evidence-based nutrition guidelines have been evaluated
and reviewed to demonstrate heart-healthy eating for children with
hyperlipidemia and type 1 diabetes. It is known that approximately 40% to 50%
of children with elevated lipids will continue to have abnormal lipids into
adolescence and early adulthood. Therefore, early screening is recommended by
the AHA to track lipid changes during childhood and adolescence and to begin
treating abnormal LDL-C levels to prevent the development of
atherosclerosis. (Source: The Diabetes Educator)
Source: The Diabetes Educator - May 19, 2009 Category: Endocrinology Authors: Robinson, M. T. Tags: Case Study Source Type: journals
2009 EXHIBITION PREVIEW (as of April 13, 2009): August 5-8 {middle dot} Atlanta, Georgia
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(Source: The Diabetes Educator)
Source: The Diabetes Educator - May 19, 2009 Category: Endocrinology Tags: Features Source Type: journals
Looking Ahead
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(Source: The Diabetes Educator)
Source: The Diabetes Educator - May 19, 2009 Category: Endocrinology Tags: Looking Ahead Source Type: journals
AADE News
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(Source: The Diabetes Educator)
Source: The Diabetes Educator - May 19, 2009 Category: Endocrinology Tags: AADE News Source Type: journals
AADE 36th Annual Meeting: Experience "The August Rush"
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(Source: The Diabetes Educator)
Source: The Diabetes Educator - May 19, 2009 Category: Endocrinology Authors: Draheim, M. D. Tags: From the President Source Type: journals
Turning to AADE for Diabetes Education Accreditation
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(Source: The Diabetes Educator)
Source: The Diabetes Educator - May 19, 2009 Category: Endocrinology Authors: Fain, J. A. Tags: Editorials Source Type: journals
