IN PRACTICE A publication of the A merican A ssociation of Diabetes Ed ucators | January 2 014 Features 14Building Bridges: The Clinical Nurse Specialist Consultant Role in Improving Diabetes SelfManagement Education and Support for Medically Underserved Populations Jayne Quirk Crowther, RN, MSN, PHCNS-BC Terry Lumber, RN, CNS, MSN, CDE, BC-ADM, FAADE 28Blood Glucose Monitoring: Overcoming the Obstacles Tamara J. Swigert, MSN, RN, CDE “Testing hurts!” How many times have you heard this from a patient? Swigert provides practical tips for helping patients overcome their fears about and resistance to blood glucose monitoring. How do you provide high-quality diabetes self-management education and support efficiently and effectively in a rapidly changing health care 36The Top 3 Myths About CQI Debunked environment? Inova Diabetes Center Amber McCulloch, MA is doing it with innovative thinking Continuous Quality Improvement and teamwork. (CQI) is a requirement for AADE accreditation. If you are a bit intimidat- 22Project Lifestyle Change: A Community-Based Program to Prevent Diabetes Lucy Mullen, RN, BS, CDE Amy Folker, RN, CNP, CDE Emily Dagostino Mary Jo Desmond, RD, LDN More primary care physicians are recognizing prediabetes as a serious health issue and many are referring patients for diabetes education. But insurance does not cover it. Mullen, et al, tackle the problem by implementing a version of the Diabetes Prevention Program at the local level. 4 // AADE In Practice // January 2014 ed by the prospect of a CQI project, you are not alone. McCullough puts it all into perspective by shattering some common misperceptions. Also in This Issue 10 12 letters From the Editor From Our Readers From the President AADE in Practice is a journal of ideas. It’s a platform for diabetes educators and other health professionals to share innovations, challenges, Departments 42Food for Thought Healthy Shopping at the Dollar Store Pat DeHart, RN Joanna Hunter, RD 46Mind Sights Diabetes: A Family Story Joseph B. Nelson, MA, LP, CST 50Capsules The Role of SGLT2 Inhibitors in Clinical Practice Jerry Meece, RPh, CDE, FACA Columns 54 Practice Pearl In Pattern Management, Practice Makes Perfect Ann Carnes, RN, MN, CNS, CDE 56Reflections Giving Cindy Halstenson, RD, LD, CDE News & Events 58 new resources for educators and patients upcoming conferences 6 // AADE In Practice // January 2014 successes, and hopes with colleagues. That’s why we are excited to dedicate this page to you, our readers. We invite you to write to us with your thoughts and impressions about articles we’ve published. We welcome your reactions and questions about what you’ve read in these pages. We call on you to comment or expand on the concepts and strategies put forth. We ask that you support or challenge our authors’ words, as you see fit, and to give them the opportunity to hear and respond to you. Our hope is for open and honest discourse that leads to improved care and outcomes for our patients. You may send your comments to [email protected]. From Our Readers is a forum for commenting on articles published in AADE in Practice. The length should not exceed 800 words of text with a minimal number of references. One table or figure may be included, if necessary. Any comments regarding a specific article must include the title, author(s), and date of publication. Comments that include questions or critique of a previously published paper will be forwarded to the author(s) of that article for a reply. The sharing of ideas, experiences, opinions, and alternative views is encouraged. The Editor in Chief of AADE in Practice reserves the right to accept, reject, or excerpt letters for clarity and appropriateness of content, and to accommodate space requirements. Submissions may be sent to [email protected]. Correction: In the article by M. Kaye Kramer and Linda Siminerio, Diabetes Educators: Their Important Role in the Primary Prevention of Diabetes, the first sentence is displayed incorrectly. It should read: “It is estimated that more than 26 million Americans have diabetes and more than 79 million adults in the US have pre-diabetes.” We apologize for the mistake.