Formerly the AADE Annual Conference 20

REGISTER NOWSAVE $100 THROUGH FRIDAY, APRIL 24

2020ADCES

DIABETES CARE TECHNOLOGYEDUCATION

A D C E S A N N U A L C O N F E R E N C E R E G I ST R AT I O N G U I D E

Formerly the AADE Annual Conference

ATLANTA AUGUST 14 – AUGUST 17GEORGIA WORLD CONGRESS CENTER

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NEW NAME. SAME PASSION.Our name may have changed but this is still the premier diabetes care, education and technology event of the year! Over four action-packed days, ADCES20 will bring together the largest convergence of diabetes care and education specialists in the nation. Together, we will expand our expertise, elevate our thinking and connect as a community.

SET YOUR SIGHTS ON ATLANTA.From barbeque to baseball to blues, Atlanta is the heart and soul of the South. Experience a diverse and thriving cultural scene at local theaters, museums, galleries, concert halls and more. Whether you know it as the Big Peach, City in a Forest or simply the A, Atlanta welcomes you.

REGISTER NOW TO:EXPERIENCE SAVINGS. Register by Friday, April 24 for the best value and first choice of special ADCES20 rates at Atlanta hotels.

EARN CREDIT. Get up to 28 CE credits* based on the sessions you attend.

EXPLORE EXHIBITS. Discover new products, technologies and programs that make caring for people with diabetes a little easier.

ENGAGE. Learn something new, share with others and gather at fun social events planned during the conference.

*25 CE credits provided with an additional 3 CE credits from poster viewing for registered nurses, nurse practitioners and registered dietitians.

EXPECT MORE AS A MEMBER. Members save $200 off registration, plus gain access to education, resources and networking opportunities all year long.

through 4/24 from 4/25-6/26 starting 6/27

EARLY BIRD ADVANCE ONSITE

Member Rate

$365 $415 $465Nonmember Rate

$565 $615 $665

Welcome to ADCES, the Association of Diabetes Care & Education Specialists.

Our mission is to empower you, the diabetes care and education specialist, to fully embrace your integral role on the diabetes care team. This bold and strategic move to rebrand ourselves as a specialty and as an association allows us to more accurately represent our value and reach more people with or at risk for diabetes.

2020 is our time to redefine what it means to be a diabetes care and education specialist.

Together, we will continue to drive optimal outcomes for people with

diabetes and cardiometabolic conditions through the integration of clinical management, education,

prevention and support.

WE ARE DIABETES CARE AND EDUCATION

SPECIALISTS.

SAVE $100REGISTER THROUGH

FRIDAY, APRIL 24

adces20.org

2020ADCES

2 Learn more and register at adces20.org

DIABETES CARE

TECHNOLOGY

EDUCATION

EXPAND YOUR VIEWS:KEYNOTE SPEAKERS

SEE WHAT’S NEW AT ADCES20:

DIABETES CARE, EDUCATION, TECHNOLOGY

RAJ RATWANI, PhD, MA

Understand the promise of digital health technology through demonstrations of how it has positively transformed industries and is beginning to improve the care process. In this keynote presentation, you will explore user challenges and safety risks with digital technology through both federal policies and front-line clinical practice. Together, we’ll look at the impact of health IT on clinical judgement and decision making and outline a path to overcome current technology challenges through concrete actions.

Anne L. Peters, MD, CDCES

The use of technology in diabetes care has revolutionized treatment, but too often the cutting-edge technology is limited to individuals with higher income, education and enhanced insurance coverage. Even when coverage is available there are language and numeracy barriers to the use of the technology. This presentation will explore how we can better understand the lifestyle challenges of those we serve and learn to overcome some of the teaching and implementation barriers of using advanced technology for those in greatest need.

Kellie Antinori-Lent, MSN, RN, ACNS-BC, BC-ADM, CDCES, FADCES

Join ADCES President Kellie Antinori-Lent as she shares the latest updates from your newly reinvented association and what the organization is doing for you in 2020 and beyond.

FRIDAY, AUGUST

14SATURDAY, AUGUST

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SUNDAY, AUGUST

16

SPECIAL FOCUS DAYS

Want to focus on specific areas of practice? You can find sessions covering these specialties in each time slot on the following days:

FRIDAY, AUGUST 14Cardiometabolic Health Day

SATURDAY, AUGUST 15Technology Day

SUNDAY, AUGUST 16Behavioral Health Day

AFTERNOON QUICK HIT SESSIONS

Close out your days on Friday and Saturday by attending quick, 30-minute sessions on important topics from each track.

Thought-provoking titles include:

• Autism Spectrum Disorder and Type 1 Diabetes

• Plant-Based Toolkit to Invigorate Your DSMES Practice

• Using Insulin and Traveling Across Time Zones

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LEARNING ACADEMIESpowered by Danatech

Deepen your knowledge of CGM, insulin pump therapy, and insulin initiation and management by attending a Danatech Learning Academy. Each one sharpens your skill set and features sessions that build in complexity and provide an introduction to advanced-level learning. Academies are included in your registration.

FRIDAY, AUGUST 14Insulin Pump Therapy Academy

SATURDAY, AUGUST 15 CGM Academy

SUNDAY, AUGUST 16Insulin Initiation and Management Academy

MONDAY, AUGUST 17 CGM Academy (Encore)

Sara W. Reece (Moderator), PharmD, BC-ADM, CDCES, BCACP, FADCES; Ann L. Albright, PhD, RDN; James R. Gavin, MD, PhD; Ellen Medved, MBA, BSN, RN, CDCES; Guillermo E. Umpierrez, MD, FACP, FACE (Pictured above, left to right)

A panel of interprofessional diabetes experts from Georgia share their unique role in fulfilling the goals of the vision for the specialty. This lively panel discussion will provide you with tips and resources to grow your tool kit as diabetes care and education specialists.

FRIDAY, AUGUST

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MONDAY MORNING HOT TOPICS

Nutritional trends and fad diets invade your social media newsfeeds every single day! Finally, there is a place to address these never-before-answered questions at ADCES20:

The Sweet Truth about Low-Calorie SweetenersQuestioning the truth about sweeteners? Get the history of low-calorie sweeteners, the science as it relates to digestion and effects on blood glucose, and how to formulate key messages for your clients.

Protein and Diabetes: How Low Should You Go and When?Review the 2019 Nutrition Therapy for Adults With Diabetes or Prediabetes Consensus Report findings and protein recommendations for people with and without diabetic kidney disease.

Intermittent Fasting in The Management of DiabetesGet answers to questions like: What is intermittent fasting? Why do people with diabetes choose

intermittent fasting? What are the various plans? How do they implement it? What are the evidence-based outcomes?

Exploring Current Eating Patterns: Ketogenic, Low and Very Low Calorie Meal PlansCover the 2019 Nutrition Consensus Report with it’s focus on no one-size-fits-all eating plan and the literature that indicates the effectiveness of keto, low and very low carbohydrate eating plans.

Pharmacology Approaches to Obesity Summarize the current concepts in energy homeostasis management and major pharmacological treatments for obesity in the pipeline.

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2020ADCES


DIABETES CARE

TECHNOLOGY

EDUCATION

SCHEDULE AT A GLANCE

MONDAY, AUGUST 17Time CE Credits

6:30am – 7:30am Zumba

8:00am – 9:00am Education Sessions 1.0



11:45am – 12:45pm Education Sessions 1.0

1:00pm – 2:00pm Education Sessions 1.0


Hours and schedule are subject to change. Registration and education sessions will take place at the Georgia World Congress Center (Building B), 285 Andrew Young International Blvd NW, Atlanta, GA 30313.

* 25 CE credits are expected to be provided, with an additional 3 CE credits from poster viewing for registered nurses, nurse practitioners and registered dietitians.

The aforementioned credit is an estimate and may be subject to change.

Earn up to 28 CE credits* at ADCES20

DIABETES TECHNOLOGY IS

EVOLVING AT A RAPID PACE.

STAY A STEP AHEAD WITH

THE LARGEST EXPOSITION OF

DIABETES-RELATED PRODUCTS

AND SERVICES FROM 200+

COMPANIES. WITH APPLIED

DEMOS AND FIRST-HAND

EXPERTISE, YOU WILL LEAVE

INFORMED AND INSPIRED BY

THE INNOVATIONS SHAPING THE

FUTURE OF DIABETES CARE.

SPOTLIGHT ON THE EXHIBIT HALL

THURSDAY, AUGUST 13Time

12:00pm – 7:00pm Registration

1:00pm – 5:00pm Preconference Course** Reimbursement Boot Camp

1:00pm – 5:00pm Preconference Course** Pharmacology Boot Camp

12:00pm – 5:00pm RegiCeption Hosted by Xeris

5:30pm – 6:15pm Education Theater

5:30pm – 7:00pm Coordinating Body (CB), Local Networking Group (LNG) and Community of Interest (COI) Networking Reception - Open to all Attendees (Omni Atlanta Hotel at CNN Center)

FRIDAY, AUGUST 14Time CE Credits

7:00am – 3:00pm Registration

7:00am – 7:45am Education Theater

8:00am – 9:30am President’s Address & General Session

1.5

9:15am – 3:00pm Exhibit Hall Open

9:30am – 10:15am Unopposed Exhibit Hall Hours



12:30pm – 1:30pm Meet the Poster Authors 1.0

12:30pm – 2:30pm Unopposed Exhibit Hall Hours

12:45pm – 1:30pm Education Theaters




SATURDAY, AUGUST 15Time CE Credits

6:30am – 7:30am Zumba



8:00am – 9:00am General Session 1.0













6:00pm – 6:45pm Education Theater

7:00pm – 9:00pm Customer Appreciation Event - BD/Lilly (Omni Atlanta Hotel at CNN Center)

SUNDAY, AUGUST 16Time CE Credits



8:00am – 9:00am General Session 1.0








12:30pm – 1:30pm ADCES Annual Busines Meeting 1.0




5:30pm – 7:00pm Corporate Symposium 1.5

7:30pm – 10:00pm ADCES Celebration Event (Omni Hotel)

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2020ADCES


DIABETES CARE

TECHNOLOGY

EDUCATION

LEARNING TRACKS Explore sessions grouped into different learning categories to focus on the topics that interest you most.

• Clinical and Self-Management Care Integration

• Diabetes and the Cardiometabolic Continuum

• Psychosocial/Behavioral Health

• Leveraging Technology: Devices, Data and Patient-Generated Health Data

• Inclusive Person-Centered Care

• The Business Side of Diabetes

• Research

TYPE OF ACTIVITYThis activity includes both knowledge-based and applica-tion-based education sessions.

TARGET AUDIENCEThis continuing education activity should be of substantial interest to nurses, pharmacists, registered dietitians/nutritionists, PAs, nurse practitioners, MD/DOs and other healthcare professionals who care for individuals with diabetes and other related conditions.

EDUCATIONAL FORMATSGeneral Sessions (60 minutes) An exceptional lineup of keynote speakers will share their research, leadership and innovation in diabetes care.

Education Sessions (20, 30 or 60 minutes) Featuring application of principles, education, best practices and more from respected leaders in the field of diabetes care.

Research Sessions (60 minutes) Two 30-minute presentations that highlight research where the findings can be applied to clinical practice.

Corporate Symposia (90 minutes) Each session provides additional educational/informational opportunities.

Education Theater (45 minutes) CE not available. An in-depth look at new diabetes products, services, and practices.

CE CREDIT INFORMATIONADCES20 attendees can earn up to 25 credits of continuing education hours based on sessions attended and your professional designation. Up to three additional hours of poster credit can be offered to registered nurses, nurse practitioners and registered dietitians. Registered dietitians also may gain additional hours of credit for exhibit-viewing through their accrediting body.

The aforementioned credit is an estimate and may be subject to change.

Registered NursesThe Association of Diabetes Care & Education Specialists is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. This program provides 28.0 contact hours of continuing education credit.

Pharmacotherapeutic hours will be offered but have yet to be determined.

The ADCES is accredited as a provider of continuing nursing education by the California Board of Registered Nursing (CEP#10977).

PharmacistsThe Association of Diabetes Care & Education Specialists is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This program provides 25.0 contact hours (2.5 CEUs) of continuing education credit.

Registered DietitiansThe Association of Diabetes Care & Education Specialists (AM001) is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). CDR Credentialed Practitioners will receive 28.0 Continuing Professional Education units (CPEUs) for completion of these activities/materials. Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program or materials.

Nurse PractitionersPer the American Academy of Nurse Practitioners Certification Board, nurse practitioners attending ADCES20 are eligible to claim continuing education contact hours from ANCC or CME from AAPA. Pharmacotherapeutic hours will be determined and listed under the ANCC accreditation statement in the final program and on your continuing education statement of credit upon completion of your session evaluations.

CDR Performance Indicators• 5.1.2 — Applies understanding of informatics terminology and

input and output devices (e.g. laptop, smart phones, flash drive).

• 8.1.5 — Applies medical nutrition therapy in disease prevention and management.

• 8.2.1 — Assesses the physical, social and cultural needs of the individual, group, community or population.

• 8.3.1 — Maintains the knowledge and skill to manage a variety of disease states and clinical conditions.

Additional Performance indicators may be added

Learning Need Code5190 — Diabetes mellitus (disease/disorder)

Additional learning needs codes may be added

MCHES and CHES Credentialed AttendeesAn application for CHES (entry-level) / MCHES (advanced level) Category I continuing education contact hours (CECH) will be made to the National Commission for Health Education Credentialing, Inc. (NCHEC).

Physician AssistantsThis program is not yet approved for CME credit. The Association of Diabetes Care & Education Specialists plans to request 23.5 AAPA Category 1 CME credits from the AAPA Review Panel. Total number of approved credits is yet to be determined.

Certified Diabetes Care and Education SpecialistsTo satisfy the requirements for renewal of certification for the Certification Board For Diabetes Care and Education (CBDCE), continuing education activities must be diabetes-related and approved by a provider on the CBDCE list of approved providers (www.ncbde.org). CBDCE does not approve continuing education. The Association of Diabetes Care & Education Specialists (ADCES) is on the CBDCE list of approved providers.

Board Certified-Advanced Diabetes Management (BC-ADM®)ADCES is the administering body for the Advanced Diabetes Management credential. Continuing education programs offered by ADCES can be used toward fulfilling BC-ADM certification and recertification requirements.

THIS YEAR, ADCES20 IS FOCUSED ON ELEVATING YOUR EDUCATIONAL EXPERIENCE. PREPARE TO BE MOTIVATED BY SESSIONS THAT ENGAGE, SPEAKERS WHO INSPIRE, AND NEW OPPORTUNITIES THAT DRIVE YOU TO EXPLORE THE LATEST ADVANCEMENTS IN DIABETES PREVENTION AND MANAGEMENT.

All education sessions are open to participants on a first-come first-served basis. No registration is required.

EDUCATION SESSION INFORMATION

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Sessions are grouped into different learning categories to help you find the topics of greatest interest to you.

� LEVERAGING TECHNOLOGY: DEVICES, DATA AND PATIENT-GENERATED HEALTH DATA

� CLINICAL AND SELF-MANAGEMENT CARE INTEGRATION

� INCLUSIVE PERSON-CENTERED CARE

� THE BUSINESS SIDE OF DIABETES

� DIABETES AND THE CARDIOMETABOLIC CONTINUUM

� PSYCHOSOCIAL/BEHAVIORAL HEALTH

� RESEARCH

10:15AM – 11:15AM� DIABETES AND THE CARDIOMETABOLIC CONTINUUM

Cardiometabolic Disease and Risk of Type 2 Diabetes – Stopping the Continuum

In collaboration with AND (Academy of Nutrition and Dietetics)

Robert Eckel, MD; Penny M. Kris-Etherton, PhD, RDNThis session will describe the risk factors for cardiometabolic disease and the high risk of developing diabetes the longer cardiometabolic risk factors are present. Underrepresented groups have the highest prevalence of cardiometabolic risk factors at all ages, and the social disparities in health will become even greater as these individuals transition from having cardiometabolic risk factors to developing diabetes. This session will present current lifestyle recommendations for the prevention and treatment of cardiometabolic diseases. Diabetes care and education specialists will learn strategies, tools and resources to help individuals decrease cardiometabolic risk factors and, consequently, the risk of developing diabetes.


Personalizing Diabetes Care With Artificial Intelligence, Data-Mining and Data-Science TechnologyKaren A. Lindsley, DNP, RN, CDCES, CCRCThis session will review artificial intelligence (AI) terminology and use of AI in diabetes management with real-world examples. One example of the impact of AI is on retinopathy care including chronic disease prevention, early and remote radiologic diagnosis, and ophthalmology resource allocation. The use of big-data analysis, with an emphasis on data-sharing, will improve algorithm predictability. Self-data collection and auto-transmission support allows the personalization of care plans. On-site visits may be tailored differently, reduced or increased based on individual need.


Enjoyable Movement: Perspectives From People Living in Larger BodiesRagen Chastain; Megrette Fletcher, MEd, RD, CDCES; Ani Janzen, BS, MPHLarger people are even less likely to experience enjoyable movement. People who find enjoyable movement move their bodies more and gain health benefits beyond physical benefits, such as sense of community, improved mental health and spiritual connections. This session discusses how a focus on enjoyable movement makes real differences for larger people. Learn from our panelists in larger bodies who have found joyful movement personally and gone on to create enjoyable movement programs and resources for other larger people.

10:15AM – 10:45AM� CLINICAL AND SELF-MANAGEMENT CARE INTEGRATION

Food Management of Post-Bariatric Surgery Induced HypoglycemiaNicole Patience, MS, RD, LDN, CDCES, CEDRDThis presentation speaks to the challenges of managing post-bariatric surgery induced hypoglycemia, counseling strategies to support individuals and how to respectfully address fear of weight regain. Individuals grapple with major changes to eating habits and food choices as they struggle to regain glycemic stability. Attendees will learn a new and distinct prescriptive approach to food in order to manage hypoglycemia for this population.

These courses require a separate fee from ADCES20 and space is limited.

PRECONFERENCE COURSES LEARNING TRACKS

COLLABORATING ORGANIZATIONS

• American Academy of Nutrition and Dietitics

• American College of Clinical Pharmacy

• American Diabetes Association

• American Heart Association

• Centers for Disease Control and Prevention

• Certification Board for Diabetes Care and Education

• College Diabetes Network

• Food and Drug Administration

• JDRF

FRIDAY, AUGUST 14

THURSDAY, AUGUST 13 | 1:00pm – 5:00pm

▪ CARDIOMETABOLIC HEALTH DAY

PROGRAM ABBREVIATIONSADA American Diabetes Association

ADCES Association of Diabetes Care & Education Specialists

AND Academy of Nutrition and Dietetics

BC-ADM Board Certified Advanced Diabetes Management

CDCES Certified Diabetes Care and Education Specialist

CGM Continuous Glucose Monitor

DCES Diabetes Care and Education Specialist

DEAP Diabetes Education Accreditation Program

DPP Diabetes Prevention Program

DSMES Diabetes Self-Management Education and Support

eu-DKA Euglycemic DKA

FDA U.S. Food and Drug Administration

MDPP Medicare Diabetes Prevention Program

NDPP National Diabetes Prevention Program

SMBG Self-Monitoring of Blood Glucose

Pharmacology Boot Camp

Susan Cornell, PharmD, BS, CDCES, FAPhA, FADCES

Get a crash course in the pharmacology and pathophysiology of diabetes. Whether you are new to diabetes education and want to learn more about insulin versus non-insulin medications or are in search of a refresher on the latest drug classes, the Pharmacology Boot Camp is just what you need to strengthen your diabetes medication knowledge.

Reimbursement Boot Camp

Patty Telgener, RN, MBA, CPC

Successful reimbursement is the surest way to a financially sustainable diabetes education program. Review how to maximize your program’s reimbursement, avoid the most common billing mistakes and discuss billing codes for services implemented in your program. Learn how to act on claims falsely denied by Medicare or by a private payer. The Reimbursement Boot Camp is a must for anyone concerned about leaving reimbursement dollars on the table.

CORE CONCEPTS® COURSE*Please note, you cannot register for both ADCES20 and CORE Concepts as sessions overlap. Choose the one that best fits your learning objectives.

FRIDAY – SUNDAY, AUGUST 14 – 16 | 9:00AM – 5:00PM

Kim Coy DeCoste, RN, MSN, CDCES, MLDE, FADCES; David Miller, RN, MSED, BSN, CDCES, FADCES; Cecilia Sauter, MS, RDN, CDCES, FADCES; Condit F. Steil, PharmD, CDCES, FAPhA; Curtis Triplitt, PharmD, CDCES; Patti Urbanski, MEd, RD, LD, CDCES

Prepare to earn or renew your CDCES/CDE® credential by registering for a CORE Concepts® Course. Spend three days diving into the depths of diabetes education, learning from multidisciplinary experts, participating in hands-on activities (like carb counting) and connecting with peers while earning 23 CE. Another reason to attend: your CORE Concepts® registration gives you access to the ADCES20 general sessions, exhibit hall and evening events!

10 Learn more and register at adces20.org 11


Population Health Data Visualization Skills to Improve OutcomesLaurel Fuqua, RN, MSNA core skill set for diabetes care and education specialists in moving into population health management is understanding data visualization and how to use it for improved clinical and financial outcomes. The skillset includes the aggregation of diabetes data across multiple health information technology resources, analyzing the collected data into a single record and initiating actions that can improve outcomes. Data visualization utilizing new technologies allows diabetes care and education specialists and other stakeholders to quickly interpret the data and adjust variables to determine their effect.


Nutrition Interventions to Positively Impact Depression and AnxietyLinda Yarrow, PhD, RDN, CDCES; Kimberly A. Zeender Christy, RD, LD, CLCPeople with diabetes have higher prevalence of clinically significant psychopathology diagnoses such as depression and anxiety. There is evidence that nutrition and gut health may have significant impact on the brain and possibly affect mood. In this session, participants will learn about the gut microbiota-brain connection and the potential impact of gut health on mood disorders. Participants will learn about psychobiotics and other nutrition interventions that maximize the gut microbiome.


Decisions, Decisions: Understanding Available Diabetes Technology for Decision SupportMargaret Pellizzari, MBA, MS, RN, CDCES, CDTC, FADCES; Jane Jeffrie Seley, DNP, MPH, MSN, GNP, BC-ADM, CDCES, CDTC, FADCES, FAANThis session introduces the diabetes care and education specialist to innovative technological tools including diabetes devices designed for monitoring glucose, delivering insulin and providing real time decision support.


Partnering for Type 2 Diabetes Prevention: Collaboration in a Rural SettingJudith C. Hauswald, RN, BSN, CDCES; Angela Kroeze Visser, MPH, CHESImplementing a lifestyle change program such as the National DPP can be a challenge for organizations in a rural setting. In this session, diabetes care and education specialists will learn from an interprofessional team about a unique collaborative approach to addressing this challenge. Participants will learn how this team partnered with other organizations to address challenges related to referral systems, staff capacity, collaboration and organizational support.


Stories From the Field: How Community Practitioners Support Diabetes ProgramsBetsy Rodriguez, MSNLifestyle coaches, community health workers and diabetes care and education specialists are improving access and facilitating engagement and retention of participants in type 2 diabetes prevention and DSMES services in communities across the nation. In this session, a panel representing these community-based practitioners will share stories from the field.

10:55AM – 11:15AM� THE BUSINESS SIDE OF DIABETES

Engaging Health Care Providers in Encouraging Participation in the National DPPLaShonda Hulbert, MPH; Krista Proia, MPH; Leslie W. Ross, MPH, CHES; Renée Skeete, PhD, MAThe National DPP is effective in preventing or delaying type 2 diabetes. However, engaging healthcare providers to refer to this program is a challenge. During this session, participants will become familiar with the latest national data and evidence-based literature and resources to help overcome this challenge.

11:30AM – 12:30PM� PSYCHOSOCIAL / BEHAVIORAL HEALTH

Eat the Cupcake: Nutrition and Psychology Interventions to Treat Grazing, Bingeing and Night-Time EatingCarolyn Fisher, PhD, BCB; Anny Ha, MS, RD, BC-ADM, CDCESThis session will describe an innovative 6-week experiential eating program, Learning to Nourish, that utilizes psychological and nutritional interventions for people with diabetes in a large medical facility. The core components of this treatment program include promoting a positive attitude about food, food acceptance skills, challenging black and white thinking patterns promoting disordered eating, food exposures and internal regulation skills.


Interventions to Improve Diabetes Self-Care for Individuals Living With Developmental or Intellectual DisabilitiesLisa M. Golden, MAEd, HD, CRCCreating education and care plans for people with diabetes and intellectual or developmental disabilities can be challenging. This session will focus on providing person-centered care with consideration of support needs, including ideas that focus on function and barriers to self-care.


Diabetes Medication Update 2020: What’s New and on the Horizon?Andrew Bzowyckyj, PharmD, BCPS, CDCES; Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCESThis presentation will provide a practical, real-world approach to what the diabetes care and education specialist needs to know about medications recently FDA approved and those on the horizon. This includes new glucagon formulations, expanded indications for current glucose lowering medications, new formulations of GLP-1 agonists and novel agents in phase III trials. The presenters will provide case examples to demonstrate populations of people with diabetes who will benefit most from these new options.

FRIDAY, AUGUST 14 ▪ CARDIOMETABOLIC HEALTH DAY


Maximize Efficiency and Improve Outcomes With Downloadable Diabetes Device DataMarilyn Clougherty, RN, MSN, CDCES; Terri McGee, MS, RD, LDN, CDCES; Jessica McKevitt, RN, BSN, CPN, CDCESThis educational session will highlight unique features that Medtronic 670G, Omnipod and Tandem X2 have to offer. These features will be demonstrated with the use of real case studies with individuals’ pump downloads. The focus of this session will be to learn to quickly look for key elements in a download to help make effective treatment decisions to improve outcomes such as time in range and quality of life.

11:30AM – 12:00PM� THE BUSINESS SIDE OF DIABETES

Evaluation of a Rural Pilot Program Utilizing Care Coordination, Telemedicine and Diabetes PreventionSusan F. McLendon, DNP, APRN, PHCNS-BCAccording to the U.S. Census Bureau, rural areas cover 97% of the nation’s land area and contain 19.3 % of the population. An innovative pilot diabetes care program incorporating nurse care management, telemedicine for specialty care access and diabetes prevention is improving access to quality health care in rural southeast Georgia. The presenters will outline the elements of this program, its outcomes and how this may be translated into other rural areas.

12:00PM – 12:30PM� THE BUSINESS SIDE OF DIABETES

Telehealth Program Increases Access and DSMES Financial Viability: A Success StoryTony SongThis presentation will highlight best practices, pitfalls and the financial viability to implementing your telehealth program through an interactive case study of a DSMES program with more than 8 years of experience. CE is not available for this session.


Advocating for the Four Critical Times for DSMES with Primary Care ProvidersJoan Bardsley, MBA, RN, CDCES, FADCESIn 2015, the four critical times for DSMES in adults with type 2 diabetes were established by ADCES, ADA and AND. In 2019, for the first time the American Academy of Physician Assistants, American Association of Nurse Practitioners and American Academy of Family Physicians were asked to collaborate on the revision of this consensus report. In June 2020, each organization concurrently published this report in their organization’s journal and each organization will present a session covering it at their annual conference. The report addresses the four critical times adults with type 2 diabetes should receive self-management education; at diagnosis, annually and routine care, when complicating factors occur, and during transitions in care and life

11:50AM – 12:10PM� CLINICAL AND SELF-MANAGEMENT CARE INTEGRATION

Meet the Newly Revised AADE7 Self-Care Behaviors® Up CloseCarole Mensing, RN, MA, CDCES, FADCESThis session will present the revision of the AADE7 Self-Care Behaviors® including a focus on technology and the evolving role of the diabetes care and education specialist. Content focuses on how to integrate the AADE7® into a DSMES curriculum, and enable the objective measurement and documentation of self-care behavior changes.

12:10PM – 12:30PM� CLINICAL AND SELF-MANAGEMENT CARE INTEGRATION

Professional Competencies for Diabetes Care and Education SpecialistsDonna Ryan, MPH, RN, RD, CDCES, FADCESDiabetes care and education specialists provide collaborative, comprehensive, and person-centered care and education to people with diabetes and cardiometabolic conditions. The implementation of the vision for the specialty has led to an extensive research effort to examine who we are and what knowledge, skills, and abilities are necessary to become or continue to be diabetes care and education specialists in today’s dynamic healthcare environment. This presentation will articulate the competencies required for current and future diabetes care and education specialists as they pursue excellence in the specialty.

2:30PM – 3:30PM� PSYCHOSOCIAL / BEHAVIORAL HEALTH

Let’s Talk About Sleep: How to Integrate Healthy Sleep Behaviors Into Your DSMES CurriculumKerry Littlewood, PhD; Abhishek Pandey, MDPeople with type 2 diabetes are likely to report being poor sleepers. Yet many DSMES services do not target sleep as a modifiable risk factor or include tailored customized sleep hygiene education in their services. This interdisciplinary team will discuss ways to integrate healthy sleep into your DSMES services.


Once Upon a Time: Using the Art of Narrative Medicine & Storytelling in Diabetes CareLaurel Fuqua, RN, MSN“Tell me the facts and I’ll learn. Tell me the truth and I’ll believe. But tell me a story and it will live in my heart forever.” – Native American Proverb. All of us are prewired to understand the world through narrative, so it makes sense that the art of storytelling would be an essential part of every diabetes care and education specialist’s bag of tools. The speaker will discuss the evolution of narrative medicine and its powerful role in diabetes self-care. Participants will learn the essential elements of a good story and practice compelling storytelling.


ADA Update

In collaboration with ADA (American Diabetes Association)

Tracey Brown, CEOCome and learn about the current projects and programs being worked on at the ADA.

13 12 Learn more and register at adces20.org

�LEVERAGING TECHNOLOGY: DEVICES, DATA AND PATIENT-GENERATED HEALTH DATA

ADCES is Advancing the Specialty in Technology: Applications for the Diabetes Care and Education SpecialistFran Howell, MBA, DNP, APRN, CDCESThis session will review the purpose, history and evolution of the ADCES’ Technology Workgroup; outline the objective of ADCES’ inaugural Technology Summit and summarize the key insights; provide an overview of ADCES’ position statement on the role of the diabetes care and education specialist in leveraging technology to achieve diabetes and cardiometabolic outcomes; provide an overview of ADCES’ practice paper on the considerations for assessing practice readiness for including various technologies in the treatment and self-management of the person with diabetes; and discuss the impact of the position statement and practice paper on the diabetes care and education specialist.

2:30PM – 3:00PM�THE BUSINESS SIDE OF DIABETES

How One Health System Engages Physicians and Aligns Strategies for Type 2 Diabetes PreventionCindy Bruett, BS; James Figge, MD, MBAThis session will describe the strategies implemented by a health system to identify opportunities to integrate diabetes prevention into the system’s clinical practice. Presenters will share an approach to identify and deliver care to people with prediabetes, standardize workflows, use a team-based model to integrate into the community, identify key drivers of success, leverage physician champions, monitor performance and manage value-based payment models.

3:00PM – 3:30PM�LEVERAGING TECHNOLOGY: DEVICES, DATA AND PATIENT-

GENERATED HEALTH DATA

CGMs: Let’s Move From Awareness to Adoption!

In collaboration with The Leona M. and Harry B. Helmsley Charitable Trust

Laurel Koester, MPHEvidence shows that CGMs help people better manage their diabetes, but they are not used by the masses. Today, where people live, the type of healthcare provider they see, and what insurance coverage they have largely dictates if they have access to quality care and the best tools, like CGM, to manage their diabetes. The Helmsley Charitable Trust believes that access to quality care is a right, not a privilege for people living with diabetes. An area of focus for Helmsley to increase use of CGMs as a standard diabetes management tool, where appropriate. This session will unveil learnings from large-scale efforts supported by Helmsley and its partners to increase adoption of CGM and provide a sneak peek into the next phase of implementation.

�DIABETES AND THE CARDIOMETABOLIC CONTINUUM

Addressing Cardiovascular Risk Factors: The Million Hearts® Change Packages as a ResourceBrenna VanFrank, MD, MSPH; Hilary Wall, MPHAddressing cardiovascular risk factors, like hypertension and tobacco use, is an important component of comprehensive diabetes management. The Million Hearts® initiative, a national initiative to prevent 1 million heart attacks and strokes in 5 years, has focused priorities to optimize care, including achieving 80% hypertension management and treatment of tobacco use and dependence. This session will cover how Million Hearts® goals intersect with diabetes management, provide an overview of continuous quality improvement and offer actionable highlights from the Hypertension Control Change Package and Tobacco Cessation Change Package.

�THE BUSINESS SIDE OF DIABETES

Addressing Therapeutic Inertia Using a Novel Model in Primary CareArchana Bandi, MD; Meg J. Larson, DNP, FNP; Stacey Lutz-McCain, DNP, FNP-BC, CDCES; Ashley M. Summerville, PharmDThe state of diabetes care is in dire need of a paradigm shift to address primary care therapeutic inertia. Lack of experience among primary care providers with newer therapies and poor ancillary support, paired with long wait times in endocrine offices, often delays therapy optimization. The Diabetes Care Network team presents a collaborative approach that uses an endocrinologist-lead interdisciplinary team, telehealth-based tools and a data analytics-driven dashboard for individualized comprehensive care. The team will share the outcomes from strategies to decentralize diabetes care in a socioeconomically disadvantaged rural cohort. Team members will share case studies and their perspective based on individual roles.

2:30PM – 2:50PM�CLINICAL AND SELF-MANAGEMENT CARE INTEGRATION

Culinary Coaching for Home CookingAmy M. Egras, PharmD, BCPS, BC-ADMHealthy eating is one of the AADE7 Self-Care Behaviors®. One potential barrier to achieving healthy eating is the ability to cook at home. Culinary coaching is one approach that focuses on culinary education to help improve nutrition through home cooking. This session will discuss the Institute of Lifestyle Medicine Culinary Healthcare Education Fundamentals (CHEF) Coaching Program and how it is being implemented at one site in Philadelphia, PA.


Culinary Attitudes and Barriers in Low Income HouseholdsOlivia M. Newby, DNP, FNP-BC, CDCES; James E. Newby, MD, CDCES; Lauren Powell, MDThis presentation will focus on culinary attitudes and barriers of healthy eating in racial/ethnic minority groups and persons in low income households. The speakers will examine the barriers of cost, time, portion size and convenience. This session will provide culinary demonstration strategies thus helping participants move toward positive healthy eating.


Plant-Based Nutrition for Optimal Type 2 Diabetes OutcomesSuzanne Sorensen, RD, LD, CDCESThis session will review the evidence showing health benefits of plant-based eating specific to diabetes outcomes, such as decreased A1C, reduced cholesterol and blood pressure, and healthy body weight. Presenters will demonstrate how to open this conversation with clients affected by type 2 diabetes and will provide detailed information on counseling clients about balanced plant-based nutrition.

3:45PM – 4:45PM�INCLUSIVE PERSON-CENTERED CARE

Using Non-Stigmatizing Language When Counseling Individuals With Higher Weight BodiesRagen Chastain; Jane K. Dickinson, RN, PhD, CDCES; Megrette Fletcher, MEd, RD, CDCES; Ani Janzen, BS, MPHThe language diabetes care and education specialists use directly impacts the health and behaviors of larger people with diabetes. This presentation will explore how words like “obesity,” “person with obesity,” and “person living in a larger body” are stigmatizing because they pathologize the body or alienate higher weight individuals from their body. This discussion will help diabetes care and education specialists understand the impact of stigma on individuals with a BMI greater than 30 and how to effectively discuss higher weight in non-stigmatizing ways.

�CLINICAL AND SELF-MANAGEMENT CARE INTEGRATION

The Comprehensive Management of Obesity and Diabetes: Tips and Tricks From the Trenches

In collaboration with The Obesity Society

Joy Pape, MSN, RN, FNP-C, CDCES, WOCN, CFCN, FADCESDiabetes care and education specialists focus on the prevention and management of diabetes. Excess weight and obesity are comorbidities of prediabetes and diabetes. Attend this lively presentation sharing skills to assess individual readiness to prioritize weight and glucose management.

�PSYCHOSOCIAL / BEHAVIORAL HEALTH

Easing the Transition to Life With Diabetes ComplicationsSusan Guzman, PhDThe development of complications from diabetes represents a challenging life transition, including adjusting to life with a diabetes complication and the stresses of managing yet another chronic condition. This session will cover how diabetes care and education specialists can assist people through the grief and loss process, coping with uncertainty of the future, and finding new ways to have a full and rewarding life.



Learning Academy: Insulin Pump Therapy - The Basics of Insulin Pump Therapy Part 1Mindy L. Saenz, RD, LDN, CDCESThis session will cover the basics of insulin pump therapy. Diabetes care and education specialists will understand assessing readiness, assisting with pump selection, onboarding, reimbursement and persistence.


Using Data from Technology Tools to Optimize Glycemic Management During ExerciseMark Harmel, MPH, CDCES, CCRCThis session will demonstrate the diabetes care and education specialist’s role in interpreting data from CGMs and other technology tools to help people with diabetes improve athletic performance and cardiovascular health.


Supplements for Cardiometabolic Diseases: What Diabetes Care and Education Specialists Need to KnowLaura Shane-McWhorter, PharmD, BC-ADM, CDCESDiabetes care and education specialists help people manage glycemic parameters, blood pressure, hyperlipidemia and obesity. People with diabetes often include complementary health approaches including natural products such as botanicals, minerals and other natural products collectively known as dietary supplements. This presentation will familiarize attendees with the research and pharmacology of several popular products, including adverse effects and drug or disease interactions, and will address appropriate counseling strategies.


Diabetes as a Side Effect: Treating Medication-Induced DiabetesAndrew Bzowyckyj, PharmD, BCPS, CDCES; Kathryn Holt, PharmD, BCPS; Amanda Stahnke, PharmD, BCACPAdvances in medicine have dramatically improved the lives of people living with a variety of health conditions. Although these medications may be effective for these conditions, some may increase the risk of hyperglycemia and/or overt diabetes. Today’s diabetes care and education specialists must be well prepared to assist people with managing their diabetes despite other medications “fighting back.” This interactive presentation will provide a case-based approach to identifying and managing common scenarios featuring medication-induced diabetes.



Learning Academy: Insulin Pump Therapy - The Basics of Insulin Pump Therapy Part 2Lori L. Bednarz, RN, MSN, CDCESThis presentation will highlight the advanced features of currently available insulin pumps. The attendee will learn how to encourage insulin pump users to utilize advanced pump features to optimize diabetes care.


The Beneficial Effects of Exercise in Type 2 DiabetesRoeland J. Middelbeek, MDThis presentation will discuss the role of physical activity and exercise in human health and disease, with a particular focus on obesity and type 2 diabetes. Numerous studies have demonstrated the benefits of exercise in preventing and delaying the onset of type 2 diabetes. In this session, diabetes care and education specialists will learn the beneficial effects of exercise training and routine physical activity for people with prediabetes and type 2 diabetes.


CBD: Yes, People With Diabetes Are Using It!Kam Capoccia, PharmD, BCPS, CDCESThe use and availability of cannabidiol (CBD) has exploded worldwide. People with diabetes are using CBD in a variety of formulations for numerous ailments such as neuropathy and retinopathy. It is critical for the diabetes care and education specialist to be knowledgeable about the pharmacologic properties of CBD, the various formulations, safety, efficacy and current evidence related to its use. This presentation will discuss CBD and its benefits, adverse effects, drug interactions and available literature related to its use in diabetes.

FRIDAY, AUGUST 14 ▪ CARDIOMETABOLIC HEALTH DAY


SATURDAY, AUGUST 15 ▪ TECHNOLOGY DAY


Diagnosis or Death: The Challenges of Missed Diagnosis of Type 1 DiabetesTom A. Karlya, BA; Susan Weiner, MS, RDN, CDCES, FADCESDiabetes care and education specialists are often aware of the heartbreaking outcomes of those whose type 1 diabetes was not detected when symptoms were first reported. With the rise in incidences of type 1 and type 2 diabetes diagnosed via DKA, this presentation will discuss the latest published data as well as initiatives currently available on diabetes symptom awareness. The session will share proactive solutions for educating healthcare professionals, families and the community at large on the signs and symptoms of type 1 diabetes.


Successes and Challenges: Diabetes Coalitions in Rural AppalachiaAngela N. Stuart, MS, RD, LD, CDCESOver the past 20 years the Appalachian Diabetes Control and Translation Project (ADCTP) at Marshall University (MU), funded by the Appalachian Regional Commission and CDC, has helped mobilize 92 diabetes coalitions in distressed counties in nine Appalachian states. MU provides training on various evidenced-based programs, startup funding, and guidance to help strengthen coalitions. This session will cover successes, lessons learned and the reporting structure from this project. Limitations of the current diabetes standards of care for communities in this health disparity region will be highlighted.


Using a Teaching Kitchen to Enhance Pediatric Diabetes EducationRosalind R. Atkins, MPH, RD, CDCES; Katie B. Mick, RD, LD, CDCESAfter families learn the basics of carb counting and insulin doses, there is so much more for them to learn. The struggle is getting them to return for additional education. This presentation will describe the results of an interactive teaching kitchen model that has increased follow-up education attendance, increased satisfaction of care, and taught numerous cooking and nutrition skills. Come learn how to implement similar strategies in your education and support program, with or without an actual teaching kitchen.


Autism Spectrum Disorder in Type 1 Diabetes: Management Skills and ToolsShideh Majidi, MDIt is important to understand the unique difficulties of type 1 diabetes management in those with autism spectrum disorders (ASD) in order to appropriately adapt the diabetes care plan. This presentation will provide effective tools and skills for diabetes care and education specialists counseling people with ASD and type 1 diabetes.


Autonomic Neuropathies: Diagnosis, Treatment and OutcomesEileen Egan, DNP, FNP-C, BC-ADM, CDCES, FADCESAutonomic neuropathies are a heterogeneous, complex group of disorders that are difficult to diagnose and therefore often go unrecognized while people are suffering. This presentation will provide information on prevalence, diagnosis and available treatment options for autonomic neuropathies. As a result, the diabetes care and education specialist will be better equipped to employ strategies to assist individuals to achieve improved outcomes.


REACH: Reinvent a Life of Cardiometabolic HealthAnn Marie Barilla, MHSc, RD, LDNREACH is an education program presented to individuals who have experienced a recent cardiac event and have the diagnosis of diabetes. The purpose of REACH is to move individuals towards a plant-forward eating plan, improve physical activity participation and enhance stress management skills to promote optimal health and wellness.


Use of Select Glucose Lowering Therapies in Kidney ProtectionLauren G. Pamulapati, PharmD, BCACP; Evan Sisson, PharmD, MSHA, BCACP, CDCES, FADCESRecent evidence suggests use of select glucose lowering therapies for both glycemic management and delayed progression of end-stage renal disease. This presentation will review the evidence and practical strategies to improve blood pressure in people with diabetes. In addition to traditional approaches, the use of glucose lowering therapies for renal protection will also be discussed. Further, through the use of case studies and audience response, the presenters will assist participants developing a strategy to integrate the results of renal outcome trials into daily practice.


TRAP: A Systematic Approach to Mitigate Insulin Pump-Related Adverse EventsMonica DiNardo, PhD, ANP, CDCES; Jamie L. Estock, MA; Jolynn M. Gibson, RN, MSN, CDCES; R Harsha Rao, MD, FRCPInsulin pumps account for the second highest number of device injuries reported to the FDA and are underreported. This session will cover the importance of reporting events to improve awareness of risks posed by pumps. We will describe TRAP, a process for tracking and analyzing insulin pump issues across all insulin pump wearers. We will provide guidance on how to prioritize risks and implement corrective strategies.

9:45AM – 10:45AM�CLINICAL AND SELF-MANAGEMENT CARE INTEGRATION

State-Of-The-Art Inpatient Diabetes Management for the Diabetes Care and Education SpecialistMichelle Magee, MD; Carine M. Nassar, MS, RD, CDCES; Guillermo E. Umpierrez, MD, FACP, FACEThis session will bring inpatient and outpatient diabetes care and education specialists up to date on the state of inpatient diabetes self-management education and support that can be applied across the care continuum. The presenters will review the increasingly robust evidence for specific inpatient glycemic management strategies. Presenters will highlight the evidence and strategies around transitions in care from the hospital or emergency department to home, to help assure optimal glycemic management and reduce readmissions.


Learning Academy: Continuous Glucose Monitoring - Connecting the Dots Part 1Carla Cox, PhD, RD, CDCES; Sherri L. Horvat, MSN, APRN, FNP-BC, CDCES; Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCESParticipants will be able to identify the various components in CGM reports, develop a systematic approach to sifting through all the data, and generate key discussion points from the data when working with people who have diabetes. This presentation will highlight the use of an interprofessional team approach and provide practical pearls regarding which reports may work best for given practice settings or populations.


Practical Tips to Make the Most out of 15-Minute SessionsSandra Arevalo, MPH, RDN, CDN, CDCES, CLC, FADA; Lorena Drago, MS, RD, CDN, CDCESDiabetes care and education specialists often lack adequate time necessary to address challenges and barriers to self-care. In this session, attendees will learn about tools and cultural approaches to quickly identify what really matters to the person with diabetes. Presenters will share a wealth of simple techniques, real-life examples and data collection tools to help you effectively communicate, especially when time is short.


Building Primary Care Provider Competency to Screen and Refer High-Risk Individuals to the National DPPAnita Balan, MPH, MCHES; Madeline Brady, MPH, CHES; Ifetayo Johnson, MAPrimary care providers play a critical role in screening, testing high-risk vulnerable populations for prediabetes and referring them to CDC-recognized Lifestyle Change Program. The American College of Preventive Medicine, the American Medical Association and the Black Women’s Health Imperative are using a unique collaborative approach to expand the capacity of healthcare organizations to: 1) screen and test African American women with prediabetes and refer them to the National DPP Lifestyle Change Program; 2) address social needs to improve engagement and retention of participants; and 3) collect and report data to measure the impact of interventions.


Building Hypoglycemia Confidence and Minimizing Fear in People With and Those Affected by DiabetesChristine A. Beebe, MS; William Polonsky, PhD, CDCESHypoglycemic confidence (HC) represents the degree to which one feels able and secure regarding his/her ability to stay safe from hypoglycemia-related complications. Without adequate HC, self-management may be impaired and glycemic success is less likely. This session will explore practical strategies building HC in people with diabetes and their family members.

11:00AM – 12:00PM�DIABETES AND THE CARDIOMETABOLIC CONTINUUM

How The National Diabetes Prevention Program Operations Center is Moving Prevention Farther, Faster: A Demonstration

In collaboration with CDC (Centers for Disease Control)

Ann L. Albright, PhD, RDN; Tyler LoftisThe National DPP is now an advanced infrastructure for delivering the lifestyle change intervention shown to prevent or delay type 2 diabetes throughout the country. To reach millions of people with prediabetes, we need an operations center that allows the diabetes prevention ecosystem to bring information together in ways that allow us to interact and see connections we have not been able to see before. In this session you will hear about the current assets in the operations center and see a live demonstration of the first applications. You will also have the opportunity to offer suggestions about what else could be included.


Learning Academy: Continuous Glucose Monitoring - Real-World Case Studies in Pattern Management Part 2Carla Cox, PhD, RD, CDCES; Sherri L. Horvat, MSN, APRN, FNP-BC, CDCES; Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCESParticipants will be able to discuss with the person with diabetes the importance of downloading CGM data and sharing it with the healthcare team to be able to aid in the decision making to maximize glucose time in range. A review of the international guidelines for interpretation of the CGM data and applying it to case examples will enhance the learner’s ability to recognize patterns and help in the decision-making process.


Developing an Inpatient Diabetes Program Considering Social Determinants of HealthTammi Boiko, MSN, RN, BC-ADM, CDCES, FADCESSafety-net hospitals provide a significant level of care to low-income, uninsured and vulnerable populations. Developing a new, clinical-best-practice diabetes program is challenging. Including SDOH adds an additional layer of challenges. Utilizing an interdisciplinary team approach is successful in identifying community and hospital requirements. This session will highlight guidelines from the Joint Commission’s Advanced Disease-Specific Certification for Inpatient Diabetes Care which provide a solid foundation, while meeting the American Diabetes Association’s clinical practice recommendations.


Hypoglycemia and the Pivotal Role of the Diabetes Care and Education SpecialistMelanie L. Duran, BSN, RN; Virginia Valentine, APRN, BC-ADM, CDCES, FADCESHypoglycemia is the limiting factor in the glycemic management of diabetes. This session will review the physiology of hypoglycemia, primarily the result of treatment with an insulin secretagogue or insulin. The diabetes care and education specialist holds the critical role in inpatient and outpatient settings, helping people prevent hypoglycemia and sharing information about new opportunities for treatment.

FRIDAY, AUGUST 14


SATURDAY, AUGUST 15 ▪ TECHNOLOGY DAY

11:00AM – 11:30AM� LEVERAGING TECHNOLOGY: DEVICES, DATA AND PATIENT-


Is There an App for That? Navigating App TechnologyJennifer C. Smith, RD, LD, CDCES; Susan Weiner, MS, RDN, CDCES, FADCESDiabetes care and education specialists need to collaborate with people with diabetes using therapeutic problem solving tools to aid with the 24/7 nature of life with diabetes. Presenters will examine the growth of technology, available and emerging apps, and the potential benefits of digital technology for people with diabetes.

11:30AM – 12:00PM� LEVERAGING TECHNOLOGY: DEVICES, DATA AND PATIENT-


Apps, Apps and More Apps: How Do We Know if They Are Helpful or Harmful?Jane Jeffrie Seley, DNP, MPH, MSN, GNP, BC-ADM, CDCES, CDTC, FADCES, FAAN; Rachel Stahl, MS, RD, CDN, CDCESDiabetes care and education specialists are well positioned to play a key role in recommending helpful apps to individuals based on personal preferences and treatment goals. This presentation will discuss the advantages and disadvantages of a variety of diabetes-related mobile health apps, provide an overview of the authors’ top picks and discuss creative ways to integrate these tools into clinical practice.

1:30PM – 2:30PM� DIABETES AND THE CARDIOMETABOLIC CONTINUUM

Medication, Technology Onboarding and PersistenceJasmine Gonzalvo, PharmD, BCPS, BC-ADM, CDCES, LDE, FADCES; Teresa McArthur, MS, RD, CDCESThe world of technology is expanding rapidly. There are amazing tools and resources available to assist in medication persistence. Learning how to use these tools can be confusing or overwhelming. This presentation will provide an overview of technology available for medication persistence and how to overcome the common barriers to medication persistence and adoption of technology. Being able to differentiate measures for persistence is essential to better outcomes. Presenters will review various strategies to successfully help onboard individuals to a variety of relevant technology and discover the value these tools can provide.


Improving Glycemic Management While Reducing Risk With an Integrated Automated Dose Calculator Smart Insulin PenColleen Miller-Owen, MSN, APRN, CDCESTeaching individuals to adjust their meal-time dose using an insulin to carbohydrate ratio (ICR) and insulin sensitivity factor (ISF) generally requires manual calculation of bolus doses, which is time consuming and can lead to dosage errors and suboptimal glycemic management. With the advent of smart insulin pens, individualized insulin settings can be preprogrammed in a phone app, allowing the doses to be accurately calculated, including accounting for active insulin or insulin-on-board (IOB) to minimize insulin stacking and resulting hypoglycemia. In this session, we will present the results of a real-world study to evaluate if the use of a smart insulin pen improved glycemic management with type 1 or type 2 diabetes while minimizing hypoglycemia.


Overcoming Roadblocks and Barriers: Showcasing Success in DEAP DSMES ServicesSacha Uelmen, RDN, CDCESA panel of quality coordinators from ADCES DEAP programs will highlight the steps they took to create, rebuild or sustain successful DSMES services in their community. DSMES services are underutilized across the country despite benefits comparable to leading medications. Yet many DSMES services are growing, expanding and leading change across their communities and organizations. What are they doing differently? Quality coordinators are not “just” diabetes care and education specialists. They have to be business-minded data people making connections with key stakeholders, all while marketing their services. This session will focus on pearls of wisdom that can be replicated in your own DSMES setting.

� PSYCHOSOCIAL / BEHAVIORAL HEALTH

Life Transitions for Youth with Type 1 Diabetes: What Works, What Doesn’t?

In collaboration with CDN (College Diabetes Network)

Christina Roth; Jennifer Saylor, PhD, APRN, ACNS-BC; Harsimran Singh, PhDYouth with type 1 diabetes face challenges as they undergo life transitions. With strong support networks both in their personal lives as well as from their healthcare providers, emerging adults with type 1 diabetes can thrive. This session will focus on highlighting evidence-based tools that could be implemented by families and healthcare providers supporting this population to achieve improved outcomes.


“Mom Post”: A Modified Prevention Program for Post-GDM WomenElizabeth Burkland, RD, LD, CDCES; Thyra L. Cox, MSN, RN, BA, CDCES, CHCWomen who have gestational diabetes mellitus (GDM) are at high risk for conversion to type 2 diabetes. Post-GDM moms are eligible for the National DPP but they rarely are willing to sign up. The presenters will provide the details of an evidence-based intervention, “mom post,” a modified type 2 diabetes prevention program for women who had GDM, including the barriers that exist for these women.


Using Virtual Delivery to Improve Retention and Enhance Outcomes in the National Diabetes Prevention ProgramMiriam Bell, MPH; Elizabeth Ely, MS; Maria Romero, BSN, MA; Susan Van Aacken, MSPPIn 2015, the National Diabetes Prevention Program (National DPP) began formally recognizing online delivery of the lifestyle change program. In 2018, distance learning became a formally recognized delivery mode. Major differences exist between online and distance learning with respect to structure, as well as demographics of participants. However, both online and distant learning programs have proven to be effective. This session will present the various mechanisms for delivery through technology, outcomes associated with online and distance learning delivery, approaches that work, and areas where improvement is needed.


Can Education Put the Brakes on the Progression of GDM to Type 2 Diabetes?Carrie A. Arnold, MS, RD, CDCES; Donna L. Jornsay, MS, CPNP, BC-ADM, CDCESHistorically, postpartum glucose testing has been completed in less than half the women with a history of GDM. Even in recent years, 42% of women with a GDM history failed to complete postpartum glucose testing. Our postpartum data show an alarmingly high rate of IGT/type 2 diabetes at 4-12 weeks postpartum. Presenters designed a 2-hour postpartum education class in a group setting for women with a GDM history while they do their 2-hour oral glucose tolerance test. This class includes healthy eating, being active, future diabetes risk, psychosocial adjustment and lactation education. Results and lesson learned will be shared.

� DIABETES AND THE CARDIOMETABOLIC CONTINUUM

You’re Gonna Hear Us Roar: Working with Lions Clubs to Advance Diabetes Prevention and DSMESAngela M. Forfia, MAExpanding the reach of DSMES or DPP means increasing community awareness. Both diabetes and prediabetes remain underdiagnosed, and even for those with a diagnosis, awareness of DSMES and CDC-recognized lifestyle change programs and their value to prevent or delay type 2 diabetes and type 2 diabetes complications remains low. It can be especially challenging to get the word out within rural areas or smaller cities. By working with Lions Clubs, diabetes care and education specialists can turn a whisper of awareness into a ROAR. You will hear from a panel of DSMES quality coordinators and CDC-recognized lifestyle change programs working with Lions to increase awareness of prediabetes, connect people to care and partner to provide person-centered support through community-based care extenders.

4:00PM – 5:00PM� DIABETES AND THE CARDIOMETABOLIC CONTINUUM

Application of Lessons Learned from Cardiovascular Outcome and Renal Trials on SGLT2 Inhibitors and GLP-1 Receptor AgonistsClipper F. Young, PharmD, MPH, BC-ADM, CDCES, BCGPSGLT2 inhibitors and GLP-1 receptor agonists have slowly become the backbone in glucose management, and more findings from various clinical trials have demonstrated their positive benefits in people with type 2 diabetes. This educational session focuses on providing the pertinent information on cardiovascular and renal outcome trials of SGLT2 inhibitors and GLP-1 receptor agonists and how the findings from these trials have been shaping the roles of these agents in the management of comorbid conditions. An interactive activity will be incorporated into this session to enhance integration and consolidation of information.

� LEVERAGING TECHNOLOGY: DEVICES, DATA, AND PATIENT GENERATED HEALTH DATA

Clinical Evidence for Decision Support ToolsRayhan Lal, MDPeople with diabetes must make insulin dosing decisions multiple times per day. These choices require mental effort, including making calculations and attempting to recall past effects to inform present conclusions. To reduce this continual cognitive demand, industry has attempted to create software that can perform the needed calculations and ultimately use past data to support clinician or individual decision-making. The regulatory landscape for clinical decision support tools is rapidly changing. The latest FDA clinical decision support software guidelines were issued 9/27/2019 and proposed greater scrutiny for machine learning in which providers cannot independently evaluate the decision-making process.


It’s Not What You Say, It’s How You Say It: Motivational Counseling StrategiesMarlisa Brown, MS, RDN, CDCES, CDNAchieve better results by combining smart goals, motivational interviewing, coaching, stages of change and behavioral strategies. Couple this with customized messages designed individually for each person, and better listening skills and body language for success. Help individuals overcome fears and show that you care about their goals and the challenges they face. Embrace individualized care with strategies that lead to long-term success.


Myths, Realities and Real-World Applications: A Panel of Women Who’ve Experienced Pregnancy Complicated by Type 1 DiabetesMarina Chaparro, RD, CDCES; Jennifer Smith, RD, CDCES; Ginger Viera, BSDiabetes is the most common complication during pregnancy, affecting around 7% of all pregnancies. In this session, we will discuss the many faces of pregnancy complicated by diabetes and discuss the differences in how education is tailored. Presenters will review the evidence and dispel common myths related to pregnancy. We will discuss the real-life challenges experienced by the speakers, all women with type 1 diabetes, and help translate the theory into practice. Pearls of wisdom will be highlighted throughout.


Providing Inclusive Person-Centered Gestational Diabetes Care to Vietnamese and Hispanic PopulationsLaura M. Garcia, MSN, BSN, PHN, RN, CVN, CDCES, CPTThis session will cover unique cultural techniques used in Vietnamese and Hispanic populations of women with gestational diabetes to result in healthier babies.


Using Remote Client Monitoring to Engage People With Diabetes and Improve OutcomesDiana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES; Dawn R. Noe, RDN, CDCES; Hillary Sullivan, RDN, LDPeople with diabetes use technologies to monitor their health, including glucose, blood pressure, physical activity, meal tracking, sleep and weight. Medicare now recognizes billing and reimbursement for remote patient monitoring. There is tremendous opportunity for diabetes care and education specialists to use remote monitoring and virtual care to optimize health outcomes. Providing continuous and real-time care aligns with the ongoing demands of chronic disease. This session will demonstrate how the diabetes care and education specialists can utilize pattern management skills with remote monitoring to enhance outcomes for the people with diabetes. Case studies will be incorporated throughout the session.


Beyond the Blame Game: Supporting Healthcare Professionals in Routine CareKatharine Barnard-Kelly, PhDDue to time and lack of sufficient communication skill development, it is difficult for some healthcare providers to adequately listen to the concerns of the people they serve. On the converse, people don’t feel adequately heard. In this session, relevant factors that impact barriers and facilitate treatment engagement for self-care will be addressed. Healthcare professionals can have meaningful and productive conversations with the populations they serve.


▪ BEHAVIORAL HEALTH DAY



Motivational Interviewing for Telehealth Delivery of Diabetes Management: A Systematic Review of Randomized Control TrialsJan Kavookjian, MBA, PhD, FAPhA; Cassidi McDaniel, BS; Heather P. Whitley, PharmD, BCPS, CDCESThis session will discuss the results from a systematic review of randomized controlled trials (RCTs) that used a modified Cochrane method to explore and report evidence and gaps in the literature for motivational interviewing and telehealth delivery of diabetes care and education. A three-tiered search/review used established key words and databases and resulted in 15 retained RCTs. Motivational interviewing impact across the outcomes spectrum (behavioral, clinical, humanistic, economic) varied by target outcomes (8 of 11 studies targeting A1C reported reduction). The most impactful intervention methods will be described along with their implications for diabetes care and education specialists.


Personal Resistance Building to Prevent Professional BurnoutPerry M. Gee, PhD, RNThere are scientific methods to measure burnout that can drive the identification of tailored, evidence-based answers to these complex issues for the diabetes care and education specialist. Different specialties (dietitians, nurses, pharmacists, etc.) have unique burnout needs and potential solutions that are discussed in the literature. Across the board personal resilience building is a method to combat the effects of burnout in the workplace. This talk will explore simple evidence-based personal resilience building activities and explore additional activities to enhance resilience in clinical departments.



The Good, the Bad and the Ugly: Troubleshooting Skin Issues and Conditions With Wearable Diabetes TechnologyNick Galloway, BSN, RN, CDCES; George P. Trotter, BSN, RN, CDCESThe use of wearable diabetes technology has become a staple of diabetes management. User benefits and health outcomes seen with these devices support their continued use. With short and long-term use, however, skin issues and conditions may result, which may deter some users. This session will discuss common skin issues encountered with chronic device use and offer prevention and care tips for users and providers.


Cardiac Autonomic Neuropathy: An Interactive Case StudyTracy Fasolino, PhD, FNP-BC, ACHPN, RN; Kim Pickett, PhD, APRN, BC-ADMCardiac autonomic neuropathy (CAN) is a frequently underrecognized complication of diabetes. Although the pathogenesis of CAN is not completely known, hyperglycemia is most likely the leading cause. We welcome you to join us in this interactive case study illustrating a person with diabetes who presents with specific cardiac complaints, as we review signs and symptoms and brief pathogenesis of CAN, along with the most recent up-to-date guidelines outlining diagnosis and treatment.


Value of Community Engagement and Support for DIY Closed-LoopersKate FarnsworthOpen source, DIY closed-loop systems have become a force in the type 1 diabetes world. Kate Farnsworth, creator of the Looped community group will share the technology options available, the importance of community and some of the outcomes that the thousands of DIY closed-loop users in her group have been able to achieve.


Current Recommendations Using Insulin and Traveling Across Time ZonesChris Memering, BSN, RN, CDCES, FADCESThis presentation gives recommendations based on the current literature, including the AACE guidelines on using insulin when traveling across time zones. Participants will apply guidance utilizing case studies and the current guidelines.


Using Mindfulness in Veterans to Lower Diabetes DistressNicole M. Beyer, MA; Monica DiNardo, PhD, ANP, CDCES; Angela D. Phares, MSMindfulness benefits veterans with depression and PTSD, but little is known about the impact of mindfulness in those with diabetes. This presentation will share our experiences and participant perspectives of a mindfulness-based diabetes education intervention that utilizes a digital application to support daily mindfulness in everyday life. Additionally, we will examine associations between mindfulness, diabetes distress (DD), stress-related symptoms, and glycemic management (A1C) and show how incorporating a mindfulness intervention into DSMES can target both DD and A1C in at-risk populations.


A Plant-Based Toolkit to Invigorate Your DSMES PracticeGeraldine Adams, RN, CDCES; Neal Barnard, MD; Meghan Jardine, MS, MBA, RDN, LD, CDCESThis presentation will profile successful plant-based DSMES services. Recommendations for program success will be presented, including how to individualize the plant-based approach, use of SMBG or CGM to interpret the response of clinical parameters to plant-based nutrition, use of engaging education activities and how to address behavioral health. A toolkit will be provided to all participants with customizable PowerPoint slides, handouts and a facilitator’s guide.


Endocrine Society’s Hypoglycemia Prevention Initiative and How Diabetes Care and Education Specialists Can Reduce Hypoglycemia

In collaboration with Endocrine Society

Jasmine Gonzalvo, PharmD, BCPS, BC-ADM, CDCES, LDE, FADCES; Robert Lash, MD; Hope S. Warshaw, MMSc, RD, BC-ADM, CDCES, FADCES; Debbie Zlomek, RN, BC-ADM, CDCESSince 2015, the Endocrine Society has been focusing on reducing the incidence of hypoglycemia in the U.S. The Hypoglycemia Prevention Initiative, includes crafting the strategic blueprint HypoPrevent, a pri-mary care study developing quality measures for clinical practice, and KNOW HYPO, a consumer awareness campaign. The Endocrine Society has worked with ADCES on elements of the initiative. Diabetes care and education specialists have been involved in this initiative includ-ing serving on the steering committee and helping develop the quality measure set. The HypoPrevent study coordinator is a DCES in a mul-tisite primary care practice. In this role, the coordinator has promoted the varied roles DCES can play in a national effort to reduce incidence of hypoglycemia to reduce morbidity, mortality and related costs.


An Updated Look at DKA and Hyperosmolar HyperglycemiaMary Korytkowski, MDDKA and HHS are serious metabolic emergencies with the potential for adverse outcomes. Complacency exists related to the prevalence and management of these disorders, particularly with the increased incidence of eu-DKA following introduction of SGLT2. Despite pub-lished guidelines for management of DKA and HHS, these are not consistently followed. There is growing awareness of the frequency of hypoglycemia, electrolyte abnormalities and rebound hypergly-cemia that occur during and following acute management. There is also increasing recognition that people with DKA are at high risk for recurrent hospital readmissions and early mortality. These observations suggest a need to educate the healthcare community on protocols guiding therapy as well as to promote initiatives that reduce their recurrence.


Integrating Diabetes Technology Into the Clinical ParadigmAnastasia Albanese-O’Neill, PhD, ARNP, CDCESNew and emerging technologies can help people with diabetes optimize glucose levels, reduce diabetes burden, achieve improved quality of life, and reduce the risk of acute and chronic complications. Diabetes care and education specialists and clinical practices are struggling to keep up with the pace of technological change. While essential, expertise in diabetes technology is not enough. There must also be processes in place to streamline paperwork and documentation, optimize clinical flow, educate staff and providers, and obtain reimbursement. This session will provide an overview of how diabetes technology can be effectively integrated into the clinical paradigm and discuss the role of the diabetes care and education specialist as the clinic’s technology expert and champion.


Three Minute Psychosocial InterventionsNancy J. D’Hondt, RPh, CDCES, FADCES; Mark Heyman, PhD, CDCESPeople living with chronic conditions are challenged by the influences of environmental, behavioral, social and emotional factors when inte-grating self-care into their daily routine. Diabetes care and education specialists are charged with identifying these psychosocial influ-ences and addressing the barriers that impact individual-identified successes. This session will explore simple and effective psychosocial assessment tools that the diabetes care and education specialist can fit into their current workflow in 3 minutes or less, providing insights to help better tailor and individualize conversations and interventions

to meet the needs of their populations.


How to Have Critical Conversations About Sexual HealthDonna M. Rice, MBA, BSN, RN, CDCES, FADCES; Janis Roszler, LMFT, RD, CDCES, LDN, FANDDiabetes care and education specialists have a proven record for addressing comorbidities but not necessarily sexual health. Join us as we discuss innovative ways to communicate vital diabetes-related sexual information to clients with less traditional sexual practices and perspectives. In this presentation you will learn how to use the PLISSIT model to introduce sexual health into the clinical conversation as well as a tool to better understand and address specific needs.

9:45AM – 10:15AM� INCLUSIVE PERSON-CENTERED CARE

Implementing Cultural Competency in PracticePatricia Davidson, DCN, RDN, CDCES, LDN, FAND; Katherine O’Neal, PharmD, MBA, BCACP, BC-ADM, CDCES, AE-C, CLS, FADCESThis session will explore the role of the diabetes care and education specialist in understanding cultural competence, sensitivity, humility and cross-cultural communication, along with how to create an inclusive and mutual relationship.

10:15AM – 10:45AM� INCLUSIVE PERSON-CENTERED CARE

Basic Medial Spanish for Essential Diabetes Related ConversationsTracey B. Long, PhD, MS, MSN, RN, CDCES, CNE, CCRNAs the number of Spanish-speaking individuals with diabetes grows, there is an increased demand for healthcare professionals who speak conversational Spanish. Presenters will cover essential components of The Spanish for Diabetes Care and Education Specialists class, including basic medial Spanish that focuses on key conversations.

11:00AM – 12:00PM� THE BUSINESS SIDE OF DIABETES

Population Health: Articulating Your ValueTeresa Pearson, MS, RN, CDCES, FADCESDiabetes care and education specialists can demonstrate their value in helping achieve organizational goals by utilizing population health. This can assist them to plan, deliver and evaluate person/population-centered care and ensure the right care is delivered by the right person at the right time. This session will outline how to implement population health and articulate your value to your organization.


Leaning Academy: Insulin - The Fundamentals of Insulin Therapy Part 1Susan Cornell, BS, PharmD, CDCES, FAPhA, FADCESInsulin has been used for nearly 100 years, longer than any other diabetes medication therapy. It is estimated that approximately 30% of people with diabetes take insulin. Over the past century, the types of insulin and the recommendations for treatment have changed. This session is part 1 of a two-part series. It will focus on the basics of insulin therapy, including a review of normal insulin physiology, available insulin products and considerations when selecting insulin as monotherapy or combination therapy for optimal person-centered diabetes care.

SATURDAY, AUGUST 15 SUNDAY, AUGUST 16


SUNDAY, AUGUST 16 ▪ BEHAVIORAL HEALTH DAY


The Effects of Diabetes on the EyeSyed Shah, MDThis will be a comprehensive overview of various eye diseases secondary to diabetes with special focus on diabetes-related eye disease. This presentation will start with an overview of eye anatomy and physiology followed by discussion on the pathological effect of elevated glucose on various structures and associated functions of the eye. Guidelines for screening people with diabetes will be elabo-rated along with clinical classification of diabetes-related eye disease and its impact on follow up schedule. Current standard of care for treatment will be discussed follow by a discussion on novel treat-ments in the pipeline and ongoing efforts for restoration of vision.

11:00AM – 11:30AM�INCLUSIVE PERSON-CENTERED CARE

Promoting Food as Medicine at a Native American Medical CenterElaine Little, MS, RDN, LD; Caroline B. Trapp, DNP, ANP-BC, CDCES, FAANP, ACLMThis presentation will describe the collaboration between a Navajo dietitian and a nonnative nurse practitioner, and their ongoing efforts to promote food as medicine within the largest hospital in the Navajo Nation. The experiences shared will provide inspiration to diabetes care and education specialists from other tribes in any hospital. Cultural considerations will be discussed and useful tools shared.

11:30AM – 12:00PM�INCLUSIVE PERSON-CENTERED CARE

Empowering African Americans With Diabetes Through Positive ThinkingJennifer I. Hall, MS, RDN, LDN, CDCESAfrican Americans face many challenges associated with diabetes self-management and it is common for them to fall into negative thinking patterns. Researchers suggest that positive thinking can lead to improved diabetes management and empowerment to foster independence, self-management and the ability to question and make informed choices. This presentation offers 6 positive thinking strategies that can be utilized to assist in empowering the African American participant.

11:00AM – 11:20AM�PSYCHOSOCIAL / BEHAVIORAL HEALTH

Facilitating Education and Support for Parents of Children Newly Diagnosed With DiabetesTammi Grumski, CRNP, BC, CDCES; Karla Persia, RN, BSNParents of children with newly diagnosed type 1 diabetes may feel stressed and helpless and constantly worried about what may happen to their child when not in their care. This session will share our learnings using a case management approach to providing education, community resources and parental support and education.

11:20AM – 11:40AM�PSYCHOSOCIAL / BEHAVIORAL HEALTH

Facilitating Peer-to-Peer Support Groups for Adults with Type 1 DiabetesJana L. Wardian, PhDAdults with type 1 diabetes can benefit from connecting with others who share their lived experience. This presentation will demonstrate how using semi-structured workshops to increase support can be a fun, dynamic experience with minimal resources. This presentation will provide applicable tools to initiate peer-to-peer support groups in your practice.

11:40AM – 12:00PM�PSYCHOSOCIAL / BEHAVIORAL HEALTH

The Final “S” in DSMES: Building and Sustaining a Successful Support GroupLeslie Andrews, RN, BSN, MPA, CDCES; Mariellen DeSmit, RN, BSN, CDCESApproximately 18-45% of people with diabetes report feeling over-whelmed by the daily rigors of self-management. This session ex-plores ways to develop a support group in your practice to provide the “diabetes family” that can overcome the isolation and distress people can feel. We will share examples and experience from more than 7 years of building and sustaining a vibrant support group. Impactful testimonials will be shared.

2:00PM – 3:00PM�DIABETES AND THE CARDIOMETABOLIC CONTINUUM

Don’t Miss a Beat: A Review of Glucose Lowering Agents and Their Impact on Cardiovascular HealthIn collaboration with ACCP (American College of Clinical Pharmacy)

Jennifer D’Souza, PharmD, BC-ADM, CDCES; Christie Schumacher, PharmD, BCPS, BCACP, BC-ADM, CDCES, FCCPNew evidence is available to help diabetes care and education specialists make the best recommendations for people with diabetes. Given that diabetes has a significant impact on cardiovascular health, it is important for specialists to have an understanding of which medications have a positive cardiovascular effect. This session will provide an overview of medications used to treat diabetes that have a positive impact on cardiovascular health. Using the information provided and case studies, participants will be able to gain the knowledge to select appropriate medications based on individual needs.


An Update on NIDDK-Supported Type 1 Diabetes ResearchGriffin Rodgers, MD, MACPThe National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) supports basic, clinical and translational research to combat diabetes and its associated complications. This presentation will give an update on NIDDK-funded research on type 1 diabetes, including research funded through the Special Statutory Funding Program for Type 1 Diabetes Research. This session will discuss research studies, clinical trials and the latest findings on treatment and prevention of type 1 diabetes and its complications. NIDDK’s publicly available resources and educational materials will also be discussed.


Learning Academy: Insulin - Beyond the Basics of Insulin Therapy Part 2Susan Cornell, BS, PharmD, CDCES, FAPhA, FADCESThis session is part 2 of a two-part insulin academy series. It will focus on the barriers in starting insulin therapy, insulin initiation, titration and conversion, and medication persistence for optimal person-centered diabetes care.


Boost Your Advocacy Skills to Increase Your Influence and Create Policy ChangeAnn Constance, MA, RDN, CDCES, FADCES; Lisa G. Laird, RN, BSN, CDCES, FADCES; Suzanne Lohnes, RN, BSN, MA, CDCES, CPT; Courtney A. Slater, RD, LD, CDCES, CPTAdvocacy is central to the role of the diabetes care and education specialist, especially as we strive to improve access to diabetes care and increase support for diabetes-related issues among legislators and policymakers. This session will help you boost your advocacy skills by learning about diabetes legislation, how to create an effective advocacy message, how to plan a day at your state capitol, how to build support for your issue among colleagues and members of the community, and other real world advocacy takeaways.

�INCLUSIVE PERSON-CENTERED CARE

Hip-Hop Fit: A Tool to Incorporate Physical Activity for Improved Diabetes CareSheri R. Colberg, PhD, FACSM; Gene Hicks, RDN; Anna Norton, MSIn this session, attendees will learn the value of exercise for those living with diabetes and the recommendations for exercise goal attainment. They will hear a successful case study and then partici-pate in a short Hip-Hop Fit exercise class; a fun, interactive combi-nation of education, support and physical activity.

2:00PM – 2:30PM�PSYCHOSOCIAL / BEHAVIORAL HEALTH

Why and How Integration of Peer Support into Practice can Improve Diabetes Care You DeliverLisa Hodgson, RD, CDN, CDCES; Hope S. Warshaw, MMSc, RD, BC-ADM, CDCES, FADCESThere’s value for diabetes care and education specialists to gain insights into daily challenges of life with diabetes from people with diabetes and caregivers. This session hosts panel discussions with peo-ple with diabetes and caregivers to offer insights into the value of peer support in daily life with diabetes and with diabetes care and education specialists who’ve successfully integrated peer support into practice. Attendees will learn about available publications and resources that are the work output from collaborative efforts between ADCES and peer support community members, with the goal to encourage cross promotion of DSMES and peer support. Attendees will be encouraged to develop a plan to integrate peer support into their practice.

2:30PM – 3:00PM�PSYCHOSOCIAL / BEHAVIORAL HEALTH

Benefits of Peer Mentorship to Mentor and Mentee in Type 1 DiabetesJulie A. Dewsnup, RPh, CDCES; Tian Walker, BAEngaging college students trained as paraprofessionals in a peer mentorship program helps both the mentors and mentees develop diabetes self-management skills. This presentation will discuss the benefits and challenges of providing a peer mentorship program for people living with type 1 diabetes.

3:15PM – 4:15PM�DIABETES AND THE CARDIOMETABOLIC CONTINUUM

Glucose Lowering Medications and Heart FailureJennifer Clements, PharmD, FCCP, BCPS, CDCES, BCACP; Evan Sisson, PharmD, MSHA, BCACP, CDCES, FADCESThis session will focus on the role and clinical evidence of dipeptidyl peptidase-IV inhibitors, glucagon-like peptide-1 receptor agonists and sodium glucose co-transporter inhibitors among people with type 2 diabetes and cardiovascular disease, specifically hospitalization for heart failure. This education session will present inpatient and outpatient case studies to evaluate individual and drug-related factors to design therapeutic plans.


Liver Disease: An Overlooked Complication of DiabetesKim A. Sinclair, RN, MSN, CDCESPeople with cirrhosis have a greater risk of developing diabetes and people with diabetes have an increased risk of developing nonalcoholic fatty liver disease or hepatocellular carcinoma. It is imperative that diabetes care and education specialists understand the pathophysiology and diagnostic tools for identifying these conditions and their evolving role in person-centered care and treatment.


Supporting Commercial and DIY Closed-Loop UsersRayhan Lal, MDIt is predicted that several FDA approved closed-loop (pump/CGM) systems will be available from major U.S. manufacturers in 2020. DIY (Do It Yourself) is more frequently becoming DIT (doing it together), as the community of users and healthcare providers help support those using this closed-loop technology. In this session, we will discuss risks/benefits and differences from commercial systems, provide a high-level overview of commonly used open-source diabetes software with simulation, and discuss how diabetes care and education specialists can help support people who chose to use these systems.


It’s Worth the Effort: A Success Story as a Medicare DPP SupplierJulie Gormley, MS, RD, CDCES; Linda M. Schoon, RD, CDCESIn 2018, CMS approved coverage for the MDPP. Becoming an ap-proved MDPP supplier was a multistep process for our team. In this session, we will take a look back at the challenges and successes of becoming an MDPP supplier and how this can be an important step in laying the foundation for a sustainable diabetes prevention pro-gram. Learn the benefits of working with the Medicare population to help reduce their risk of type 2 diabetes and see the successful outcomes for participants and the program.


Social Determinants of Health as a Primary Approach to Achieving Health Equity in DSMESMagon M. Saunders, DHSc, MS, RDN, LD; Donald D. Simpson, PhD, MPHSocial determinants of health (SDOH) include health care, individual behavior, physical environments and genetic determinants. In this session, participants will learn the basis of SDOH and understand the impact on diabetes outcomes. Minority groups are affected by diabetes and experience barriers to diabetes self-management at greater rates. This presentation will annotate the challenges associated with providing diabetes education and demonstrate how SDOH contribute to the social patterning of health, disease and illness. Addressing SDOH is a primary approach to achieving health equity in diabetes management. Session participants will learn how to assess health equity and address the underlying factors related to SDOH for effective and successful diabetes management.


Use of Glucose Lowering Medication in People With Diabetes and CKDLourdes Cross, PharmD, BCACP, CDCESChronic kidney disease (CKD) occurs in 20–40% of people with diabetes and is the leading cause of end-stage renal disease in the U.S. The presence of CKD significantly increases the risk of cardiovascular events and health care expenditures. Several glucose lowering medications have positive effects on renal function independent of glucose-lowering activity. This session reviews medication recommendations and monitoring strategies for glucose lowering medications for individuals with diabetes and CKD.


Supporting People Who Choose Do-It-Yourself Closed-Loop SystemsLaura M. Nally, MDTo support people who chose to utilize a DIY system, it is important to understand what each system has to offer, and the basic steps involved in creating a DIY system. We will review how to support people interested in DIY diabetes management. This session will emphasize the need for open-mindedness and team-based support.


MONDAY, AUGUST 17


State Engagement Model Supports Expansion of the National Diabetes Prevention ProgramAnn Forburger, MS; Patricia E. Herrmann, MS, RD; Valerie Lawson, MS, RDN, LDNThe National Association of Chronic Disease Directors (NACDD) and the CDC developed a model that engages key stakeholders to collaborate with state health departments on preventing type 2 diabetes. The state engagement model applies elements of collective impact to expand the National DPP across states and the nation. Diabetes care and education specialists are critical partners.


Impact of Adverse Childhood Experiences on Diabetes: Assessing and Supporting Resilience to Improve Self-CareBeverly Thomassian, RN, MPH, BC-ADM, CDCESAdverse childhood experiences (ACE) such as neglect, abuse, addiction and household dysfunction have a profound impact on health and disease throughout a lifetime. Studies show that children who have higher ACE screening scores experience a greater incidence of metabolic syndrome, type 2 diabetes, cardiovascular disease, lung cancer, mental health issues and earlier mortality as adults. Diabetes care and education specialists can play an important role in identifying individuals with high ACE scores who are struggling with the daily demands of diabetes self-care and can provide individuals with resilience strategies to support improved outcomes.


Use of Community Health Workers to deliver DSMES: Tech-nology, Training, Supervision and Professional DevelopmentJamillah Hoy-Rosas, MPH, RD, CDCES; Christina McGeough, MPH, RDN, CDCES, CLC, LCCECommunity health workers are critical members of an interdisciplinary team offering DSMES. In this presentation, we will present the care model of City Health Works, an organization that employs community health workers to act as health coaches offering chronic disease self-management education and care coordination services to low-income communities. Participants will learn how City Health Works’ community-based health workforce enables individuals and clinicians to be more proactive in achieving better health and averting costly healthcare crises through a proven neighborhood-based care model and custom technology.


BC-ADM and CDCES Certification: Leverage Your Expertise in Diabetes Care

In collaboration with CBDCE (Certification Board for Diabetes Care and Education)

Sheryl Traficano, MBA, CAE; Melissa D. Young, PharmD, BC-ADM, CDCESThe ADCES vision for the specialty is driving diabetes care and education specialists to work at the highest level within their scope of practice. Attaining the BC-ADM and/or becoming a CDCES are important avenues to develop professionally and advance your career. Leaders from ADCES (BC-ADM) and CBDCE (CDCES) will offer an overview on the eligibility requirements, application process and examination for each certification.


Measuring Patient-Reported Outcomes (PRO) to Improve Quality and Sustainability of DSMES and DPP ServicesJan Kavookjian, MBA, PhD, FAPhAThis session starts with an overview of client satisfaction as a patient-reported outcome (PRO) and as a quality metric. Additionally, how to consider the perspective of the person with diabetes in developing, implementing and conducting continuous quality improvement for DSMES services will be reviewed. The conclusion will discuss implications for how to use a specific PRO measure for satisfaction in addressing current practice challenges for recruitment and retention in DSMES and DPP services.


The Role of the DCES in Addressing Behavioral Health NeedsNicole Bereolos, PhD, MPH, CDCESThe ADCES strategic plan includes behavioral health as a pillar for the specialty. Many providers report a lack of training, resources and time as limiting factors to assessing behavioral health needs of people with diabetes. Tools and resources for screening, assessing and referral will be provided. Real-world examples will be used to augment learning and to increase the self-efficacy of healthcare providers in meeting the behavioral health needs of people with diabetes.


The Cost of Diabetes: Impact Across the LifespanJulia E. Blanchette, BSN, RN, CDCES; Phyllisa S. Deroze, PhD; Michelle L. Litchman, PhD, FNP-BC; Chelcie RicePeople with diabetes face financial barriers to self-management as they endure the rising costs of health care, diabetes supplies and medica-tions. It is vital for diabetes care and education specialists to be aware of these barriers as they impact people with diabetes across age groups, socioeconomic status and types of insurance coverage. This presenta-tion will discuss financial barriers across the life span, financial support tips and resources to integrate into practice, tailoring self-management goals to meet reality, and solutions to these barriers. Additionally, pa-tient advocates will share how the cost of diabetes has impacted them.


Addressing Diabetes Stigma to Improve Diabetes Self-CareLauren B. Beach, JD, PhDA growing body of research has shown that higher levels of diabetes stigma are associated with decreased persistence with medication taking and higher A1C levels. In this educational session, participants will learn how diabetes stigma “gets under the skin” of people with diabetes to impact diabetes self-care. They will also learn how diabetes stigma intersects and can compound other forms of social marginalization (e.g., racism, biphobia, transphobia) to contribute to population level health disparities. This interactive session will end with a skill-building exercise to counteract diabetes stigma across the diabetes care team to improve diabetes outcomes.



Transforming Diabetes Care Across the Continuum With Digital Health and Systems EngineeringAnthony Pick, MD, CDCESEndocrinology is as complex as the healthcare system. In order to implement improvements, it requires a comprehensive diagnosis, root cause analysis and implementation of a population health approach. This presentation will explore the process for a diabetes care quality improvement project and program development at an academic medical center.


A Behind the Scenes Look at JDRF’s Integration of Behavioral Health and Psychology Into Research Strategy and Community Engagement

In collaboration with JDRF

Nicole Johnson, DrPH, MPH, MAThis presentation will cover the current state of JDRF research and community engagement related to behavioral health and psychology. The JDRF strategic plan and road map, and why JDRF is newly engaged in this area will be reviewed. Opportunities for health professionals and researchers to apply for and track JDRF funding and progress will be discussed as well as how to gain further education on type 1 diabetes topics, provided by JDRF. These resources will include events, text, video, advocacy and other forms of community engagement.

8:00AM – 9:00AM�LEVERAGING TECHNOLOGY: DEVICES, DATA AND PATIENT-


Learning Academy: Continuous Glucose Monitoring - Connecting the Dots Part 1Carla Cox, PhD, RD, CDCES; Sherri L. Horvat, MSN, APRN, FNP-BC, CDCES; Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCESParticipants will be able to identify the various components in CGM reports, develop a systematic approach to sifting through all the data and generate key discussion points from the data when working with people who have diabetes. This presentation will highlight the use of an interprofessional team approach and provide practical pearls regarding which reports may work best for given practice settings or populations.


Pharmacology Approaches to Obesity Robert E. Ratner, MD, FACP, FACEThe human body aggressively defends against weight loss which results in frequent weight regain after diet-induced weight loss. Given the multiple mechanisms by which this occurs, medications can be utilized to treat individuals who are obese or overweight. This presentation will review these pathways and the clinical research supporting these therapies.


The Truth about Low-Calorie Sweeteners

In collaboration with American Heart Association

Eduardo Sanchez, MD, MPH, FAAFPQuestioning the truth about sweeteners? Get the history of low-calorie sweeteners, the science as it relates to digestion and effects on blood glucose, and how to formulate key messages for your clients.


Intermittent Fasting in The Management of DiabetesLorena Drago, MS, RD, CDN, CDCES; Barbara Eichorst, MS, RD, CDCES; Cheryl Marco, RDN, LDN, CDCES; Anna Norton, MS; Joy Pape, MSN, RN, FNP-C, CDCES, WOCN, CFCN, FADCESIntermittent fasting has been popularized as an eating plan to assist with weight loss and diabetes management. This session will provide answers to these questions: What is intermittent fasting? Why do people with diabetes choose intermittent fasting? What are the various plans? How do they implement it? What are the evidence-based outcomes?


The Sweet Truth about Low-Calorie SweetenersToby Smithson, MS, RDN, LD, CDCESDebates about low-calorie sweeteners frequently invade social media and leave individuals questioning the truth about sweeteners.This session will cover the history of low-calorie sweeteners, the science as it relates to digestion and effects on blood glucose, and how to formulate key messages about low-calorie sweeteners.


Low and Very Low Carbohydrate Eating Patterns: Yay or Nay?Sacha Uelmen, RND, CDCES; Patti Urbanski, MEd, RD, LD, CDCES This session will review the evidence for low carbohydrate and very low carbohydrate eating plans for the management of diabetes. Strategies and resources for implementing these eating plans will be discussed.


Protein and Diabetes: How Low Should You Go and When?Constance Brown-Riggs, MSEd, RD, CDCES, CDNAccording to the 2019 Nutrition Therapy for Adults With Diabetes or Prediabetes Consensus Report, there is no ideal percentage of calories from protein for all people with diabetes: therefore protein percentage should be based on metabolic goals. However, many practitioners routinely encourage people with diabetes to “be mindful,” of their protein intake. These practitioners believe protein restriction will help protect the kidneys. This presentation will review the evidence on protein recommendations for people with and without diabetic kidney disease.

9:15AM – 10:15AM�LEVERAGING TECHNOLOGY: DEVICES, DATA AND PATIENT-


Learning Academy: Continuous Glucose Monitoring - Real-World Case Studies in Pattern Management Part 2Carla Cox, PhD, RD, CDCES; Sherri L. Horvat, MSN, APRN, FNP-BC, CDCES; Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCESParticipants will be able to discuss with individuals with diabetes the importance of downloading CGM data and sharing it with the healthcare team to be able to aid in the decision-making to maximize glucose time in range. A review of the international guidelines for interpretation of the CGM data and applying it to case examples will enhance the learner’s ability to recognize patterns and help in the decision-making process.


Balancing Act: Mental Health, Cardiovascular and Diabetes Medication NeedsShari Allen-Perry, PharmD, BCPP; Sara W. Reece, PharmD, BC-ADM, CDCES, BCACP, FADCESMedications for mental health conditions often increase the risk for cardiovascular disease and diabetes. Additionally, medications for treatment of mental health conditions challenge the management of cardiovascular disease and diabetes. In this session, we will use case scenarios to develop effective medication regimens for people with common chronic mental health conditions, cardiovascular disease and diabetes. Participants will leave the session with improved confidence in managing these challenging comorbidities.

9:15AM – 9:45AM�THE BUSINESS SIDE OF DIABETES

Social Media: The Key to Leveraging Your Diabetes Program in Today’s Digitally-Dominated WorldDonna L. Jornsay, MS, CPNP, BC-ADM, CDCES; Julia B. Jornsay-Silverberg, MBAWe are all challenged by people with diabetes not seeking out self-management education. The vast majority of today’s diabetes care and education specialists did not grow up using social media, yet half the world’s population (3.2 billion people) use it. As specialists, it’s important to understand this and use it as a vehicle to get our message out. It’s time to embrace the younger generation’s ability to teach and use social media to convey a message. Come meet this dynamic mother-daughter speaking duo who will teach you how to best market


MONDAY, AUGUST 17

yourself and your program in today’s digitally-dominated world.


Roles of the Diabetes Care and Education Specialist in Identification and Treatment of Depression and Mental IllnessDawn S. Taylor, MSN, RN, BC-ADM, CDCESIn spite of the many new medications and technologies available, many people with diabetes do not meet the standards of care established by the American Diabetes Association. The incidence of depression and other mental illnesses is higher in people with diabetes and may adversely affect their ability to manage their diabetes. Understanding the additional burden these illnesses place on the person with diabetes, caregiver and treatment team is paramount. The diabetes care and education specialist must be able to recognize these illnesses and assure adequate treatment as an important responsibility of our evolving role. We will discuss the ADCES vision for the specialty as a guide to assuring people with diabetes are receiving the care and treatment needed to manage these conditions.


Leverage Your Professional Expertise: Build Relationships With MediaRahaf Al Bochi, RDN, LDMedia can be a great avenue to promote your professional expertise. This presentation will focus on key skills to get started with the media, including tips for crafting a pitch and navigating a successful interview. By the end of the presentation, participants will be empowered to leverage their expertise and establish relationships with the media.


Diabetes Psychology and Diabetes Services: Similarities and DifferencesAmanda S. Phillips, PhDThis presentation will explain how diabetes psychology is used to help people implement new behaviors, navigate social stressors and manage the feelings of anxiety, depression and stress that often accompany diabetes. A discussion of similarities and differences between diabetes psychology and diabetes services will be provided. A model for integrating diabetes psychology with diabetes services will be described with examples of implementation at the San Diego VA hospital.

10:30AM – 11:30AM�DIABETES AND THE CARDIOMETABOLIC CONTINUUM

Nonalcoholic Steatohepatitis (NASH): The Overlooked Complication of Obesity and Type 2 DiabetesKenneth Cusi, MD; Zobair Younossi, MD, PhDThe epidemic of nonalcoholic fatty liver disease (NAFLD) has recently become a major concern for a broad spectrum of healthcare providers. Within a multidisciplinary team, diabetes care and education specialists should lead in identifying and educating individuals on the role of NAFLD. Obesity and diabetes promote the development of nonalcoholic steatohepatitis (NASH), the more severe form of the disease, increasing the risk of cirrhosis and hepatocellular carcinoma. People are also at a twofold risk of developing diabetes and cardiovascular disease. Diagnosis and treatment of NAFLD/NASH is complex, but recent advances in diagnosis and treatment call for diabetes care and education specialists to be more proactive and play a central role in the management of NASH.


Growing Our Ranks of Diabetes Care and Education SpecialistsSusan M. De Abate, RN, CDCES, MSNED; Lindsay-Rae Sacksteder, RDThe role of the diabetes care and education specialist requires training beyond professional designation such as registered dietitian nutritionist, registered nurse, etc. This program will provide the structure and process for on-the-job training for the position. This will include discussion of the mentoring process, experiential framework to adjust to the new role and resources. Further discussion will include barriers and limitations of the orientation process. The program will explore a wide variety of educational opportunities both in and outside the healthcare system.


FDA’s Role in Diabetes Treatment: Device Regulation and Challenges

In collaboration with FDA (U.S. Food & Drug Administration)

Joey Kotarek, PhDThis presentation will describe, through practical examples, “what FDA does”. Following different types of medical devices for diabetes management, this presentation will outline FDA’s role in different stages of a medical device’s life cycle (development and clinical trials, preparation for commercial sale, and following commercialization of the device). Emphasis will be placed on the new regulatory challenges presented by digital devices, and the current avenues by which those challenges are being addressed.


Diabetes Care and Education Specialists: Practicing at the Top of Your LicenseJodi Krall, PhD; Tammie Payne, MSN, CRNP, RN, CDCES, NP-C; Linda M. Siminerio, PhD, RN, CDCESThe title diabetes care and education specialist is meant to capture the essence of ADCES; a new direction for the specialty defined as a trusted care team expert who provides collaborative, comprehensive, and person-centered care and education to persons with diabetes. This change highlights evidence-based elements associated with delivery of DSMES, based on the pillars of ADCES’ vision for the future. This session offers suggestions for programmatic change.


Successful Implementation and Sustainability of Diabetes Technology and the Role of the Diabetes Care and Education SpecialistJennifer Shrodes, RD, LD, CDCES; Elizabeth Snyder, RD, LD, CDCES; Janet G. Zappe, RN, MS, CDCESDiabetes education including assessment, technology readiness, onboarding, implementation, data interpretation and sustainability results in an increased likelihood of continued use of diabetes technologies and advanced management tools. This presentation will outline an advantageous interdisciplinary approach using diabetes services with proven success.

11:45AM – 12:45PM�THE BUSINESS SIDE OF DIABETES

The Financial Value of Diabetes Counseling and PreventionFang Chen, PhD; Tim M. Dall, MS; Ardis A. Reed, MPH, RD, LD, CDCESAchieving positive outcomes in the Diabetes Prevention Program among eligible participants could reduce economic burden of diabetes. The presenters will review the results of national, state and sub-state level examples to illustrate how financial information can inform policy, planning and advocacy. Presented findings underscore the compelling case for diabetes counseling and prevention.

11:45AM – 12:15PM�DIABETES AND THE CARDIOMETABOLIC CONTINUUM

Strategies to Increase Enrollment of Hispanic/Latino Participants in the National DPPMiriam Bell, MPH; Kunthea Nhim, DrPH, MPH; Michelle Papali’i, PhD, MSHispanic adults have a high prevalence of prediabetes; however, only 10% of participants in the National DPP have been Hispanic, as compared to 18% of Hispanic adults in the U.S. There are gaps in the literature on factors influencing Hispanic/Latino adults in enrolling in the National DPP. This presentation will present findings from Estilos, a web-based survey to assess predictors of participation in the National DPP among Hispanic adults in the U.S., and discuss key findings from a qualitative case study among two national organization recipients of the CDC’s cooperative agreement to identify promising strategies to recruit and enroll Hispanic/Latino participants.


Professional CGM: A Revenue and Outcomes Win-Win for Your PracticeJodi Lavin-Tompkins, MSN, RN, BC-ADM, CDCES; Patty Scalzo, CRNP, MSN, RN, CDCESThis session will provide insights into establishing a successful professional CGM program that can be implemented in any practice setting. The presentation will use a step-by-step format along with case studies to guide learners through the process.

12:15PM – 12:45PMDIABETES AND THE CARDIOMETABOLIC CONTINUUM

Strong Coaches, Successful Participants: The Development of the National DPP Group Coaching CertificateTimothy R. Cline, PhD, MCC, NBC-HWC; Michelle Papali’i, PhD, MS; Cindy Schultz, MA, LP, NBC-HWC; Alexis Williams, MPH MS, MCHES, NBM-HWCThe National DPP Lifestyle Coaches ensure participants have the tools necessary to prevent or delay onset of type 2 diabetes; however, program evaluations demonstrate the importance of advanced training to strengthen lifestyle coach skills. This session will explain the National DPP Group Coaching Certificate Program and how it aims to meet this need.


Alarm Fatigue: Minimizing the Noise to Maximize EffectivenessSara W. Reece, PharmD, BC-ADM, CDES, BCACP, FADCES; George P. Trotter, BSN, RN, CDCESInsulin pumps and continuous glucose sensors provide advancements to daily living with diabetes but not without noise. While the sensors and pumps provide an amazing amount of data and safety features to prevent glucose excursions, the distraction, anxiety and fatigue caused by the alarms can be daunting. In this session, we will discuss the common alarms of the pumps and sensors, and practical steps to minimize the noise and fatigue using case scenarios.


Expanding the Role of Diabetes Care and Education Specialist via Medicare’s Remote Patient Monitoring BenefitMary Ann Hodorowicz, RDN, CDCES, MBAResearch repeatedly shows that people with diabetes benefit from ongoing follow-up medical care, education and support. Thus, in 2019 Medicare approved three new CPT codes for its expanded remote patient monitoring (RPM) benefit and approved a code for 2020 that pays for even more RPM minutes. This presentation reviews all the detailed Medicare reimbursement rules for all four CPT codes and the recommended workflow via practical examples to deliver the highest quality RPM services.


Debating Weight: Ethical Considerations in the National DPPElizabeth A. Michaels, MS, RDN, LDN, CDCESThe National DPP targets weight loss as the primary outcome for participants to strive for as a means of preventing or delaying diabetes onset, despite a lack of evidence demonstrating efficacy and sustainability. Learn how a rural FQHC explored the evidence and resolved the ethical challenges associated with weight-based outcomes.


Essential Empathy: Development in Future Pharmacists Through Diabetes SimulationSylvia Rogers, PhD; Heather P. Whitley, PharmD, BCPS, CDCESStrong evidence supports improved individualized self-care management behaviors through empathy from healthcare providers. An online six-week elective course for second-year pharmacy students was designed to include empathy development and active learning experiences. This session will showcase the novel hands-on learning activities, which followed a deconstructed individual with diabetes simulation with augmented weekly group activities, including diabetes knowledge and attitudes, and student feedback and weekly reflections. This is applicable to any diabetes care and education specialist.


Health for All People: Redefining Healthy Eating and WeightJennifer Reed, RD, CDESMany factors affect weight and obesity: food insecurity, stress, sleep habits, jobs and genetics. Understanding cultural and geographical factors that play into food preferences are all part of the big picture in nutrition education and counseling in diabetes. Looking to long-term nutrition and lifestyle changes that meet the needs of the individual and their circumstances can have far reaching long-term effects on the chronic complications that come with type 2 diabetes, regardless of weight. Providing an open, no food judgement atmosphere creates positive attitudes and builds trust as we strive to help people be healthy at any size.

2020ADCES

DIABETES CARE

TECHNOLOGY

EDUCATION

IMPORTANT REGISTRATION AND HOUSING DATES

FRIDAY, APRIL 24Last day to register at the Early Bird Rate

FRIDAY, JUNE 26Last day to register at the Advance Rate and receive a partial refund (less $100 administrative fee)

THURSDAY, JULY 23Last day to make a hotel reservation with special ADCES20 rate

BOOK YOUR HOTEL TODAYOnly through MCI, the official housing partner of ADCES20, can you shop hand-picked hotels and get exclusive reservation perks.

Special Benefits for ADCES20• Guaranteed lowest rate and reservation protection

• No upfront costs at time of booking

• Peace of mind – safeguard yourself from potential fraud through unauthorized booking companies and access to onsite support

Annual Conference Room Share Request on My AADE NetworkLooking for a way to reduce your ADCES20 hotel expenses while meeting a new colleague? Do both by taking advantage of the “Annual Conference Room Share Request” page on MY AADE NETWORK. Just post your request and await a reply from another attendee interested in sharing a room!

GETTING TO ATLANTAThere is one major airport that serves Atlanta: Hartsfield-Jackson Atlanta International Airport (ATL). It is approximately 10 miles from the Georgia World Congress Center and offers several arrival and departures from all over the country.

SPECIAL TRAVEL DISCOUNTSADCES is proud to announce its partnerships with the following airline companies:

United Airlines is pleased to offer attendees 2% to 10% discounts off published fares to Atlanta between Monday, August 10, 2020 – Tuesday, August 18, 2020. To take advantage of this discount, you must complete the following steps:

• Visit www.united.com/meetingtravel

• Enter ZJ7C646920 in the Offer Code box to receive your discount

• You may also call United Meeting Reservation Desk at (800) 426-1122

Delta Airlines is pleased to offer attendees 2% to 10% discounts off published fares to Atlanta between Wednesday, August 5, 2020 – Sunday, August 23, 2020. To take advantage of this discount, you must complete the following steps:

• Visit www.delta.com/meeting

• From the four boxes, select “Book Your Flight” (bottom right).

• Enter Meeting Event Code: NMU5A

Southwest Airlines Check ADCES20.org for details.

GETTING AROUND ATLANTAOnce you get to Atlanta, there is plenty to explore. You can navigate the city on the MARTA rapid-rail transit system or by walking through many of the neighborhoods and visitor-friendly areas. Need to grab a cab or hop on public transportation? No problem!

MARTAThe Metropolitan Atlanta Rapid Transit Authority (MARTA) is Atlanta’s public transportation system comprised of a bus and rail system that connects all parts of Atlanta. A single $2.50 fair covers one-way bus or train trips, including transfers. The GWCC is MARTA accessible at two stations.

Events in GWCC Buildings A and B can use the Dome/GWCC/Philips Arena/CNN Center Station (W-1)

If you are coming from Hartsfield-Jackson Atlanta Airport, MARTA has a rail station located at the north end of the airport, near baggage claim. This service offers the quickest and least expensive way to get to and from the airport to downtown Atlanta. For more information on MARTA, visit www.itsmarta.com


QUESTIONS?Contact the ADCES Registration and Hotel Reservations Service Center Monday through Friday, 8:00am – 6:30pm (Central Standard Time) toll free (800) 486-9644 (U.S. and Canada) or (972) 349-5460. You can also email [email protected].


The risk information provided here is not comprehensive. To learn more, talk with your healthcare provider or pharmacist. The FDA approved product labeling can be found at www.GvokeGlucagon.com or 1-800-555-DRUG.

©2019 Xeris Pharmaceuticals, Inc. All rights reserved. US-GVK-19-00032 09/19

BRIEF SUMMARY OF PRESCRIBING INFORMATION GVOKE is indicated for the treatment of severe hypoglycemia in adult and pediatric patients with diabetes ages 2 years and above. GVOKE is administered by subcutaneous injection. CONTRAINDICATIONS GVOKE PFS is contraindicated in patients with: Pheochromocytoma or insulinomaKnown hypersensitivity to glucagon or any other constituents in GVOKE WARNINGS AND PRECAUTIONSCatecholamine Release in Patients with PheochromocytomaGVOKE is contraindicated in patients with pheochromocytoma because glucagon may stimulate the release of catecholamines from the tumor. If the patient develops a dramatic increase in blood pressure and a previously undiagnosed pheochromocytoma is suspected, 5 to 10 mg of phentolamine mesylate, administered intravenously, has been shown to be effective in lowering blood pressure. Hypoglycemia in Patients with Insulinoma In patients with insulinoma, administration of glucagon may produce an initial increase in blood glucose; however, glucagon administration may directly or indirectly (through an initial rise in blood glucose) stimulate exaggerated insulin release from an insulinoma and cause hypoglycemia. GVOKE is contraindicated in patients with insulinoma. If a patient develops symptoms of hypoglycemia after a dose of GVOKE, give glucose orally or intravenously.Hypersensitivity and Allergic ReactionsAllergic reactions have been reported with glucagon, these include generalized rash, and in some cases anaphylactic shock with breathing difficulties and hypotension. GVOKE is contraindicated in patients with a prior hypersensitivity reaction.Lack of Efficacy in Patients with Decreased Hepatic Glycogen GVOKE is effective in treating hypoglycemia only if sufficient hepatic glycogen is present. Patients in states of starvation, with adrenal insufficiency or chronic hypoglycemia may not have adequate levels of hepatic glycogen for GVOKE administration to be effective. Patients with these conditions should be treated with glucose.Necrolytic Migratory ErythemaNecrolytic migratory erythema (NME), a skin rash commonly associated with glucagonomas (glucagon-producing tumors) and characterized by scaly, pruritic erythematous plaques, bullae, and erosions, has been reported postmarketing following continuous glucagon infusion. NME lesions may affect the face, groin, perineum and legs or be more widespread. In the reported cases NME resolved with discontinuation of the glucagon, and treatment with corticosteroids was not effective. Should NME occur, consider whether the benefits of continuous glucagon infusion outweigh the risks.Hypoglycemia in Patients with GlucagonomaGlucagon administered to patients with glucagonoma may cause secondary hypoglycemia. Test patients suspected of having glucagonoma for blood levels of glucagon prior to treatment and monitor for changes in blood glucose levels during treatment. If a patient develops symptoms of hypoglycemia after a dose of glucagon for injection, give glucose orally or intravenously. ADVERSE REACTIONSClinical Trials ExperienceBecause clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of

GVOKE cannot be directly compared to rates in the clinical trials of other drugs and may not reflect the rates observed in practice.Adverse Reactions in Adult PatientsThe safety of GVOKE was evaluated in two randomized, blinded, 2-way crossover studies conducted in adults with type 1 diabetes mellitus. In total, 154 patients received an injection of GVOKE. The most common adverse reactions occurring in 2% or more of adult subjects treated with GVOKE during clinical trials within 12 hours of treatment are: nausea (30%), vomiting (16%), injection site edema raised 1 mm or greater (7%), and headache (5%). Injection site pain was reported by 1% of patients with GVOKE. Hypertension and tachycardia have occurred with glucagon treatment.Adverse Reactions in Pediatric Patients Aged 2 Years and OlderThe safety of GVOKE was evaluated in one single-arm, open-label, study in 31 pediatric patients with type 1 diabetes mellitus. The data in Table 1 reflect the exposure of 31 pediatric patients to 0.5 mg or 1 mg of GVOKE. The most common adverse reactions occurring in 2% or greater of pediatric patients treated with GVOKE are listed in Table 1.

Table 1: Adverse Reactions Occurring ≥ 2% in Pediatric Patients with Type 1 Diabetes Treated with GVOKEa

aAdverse Reactions occurring within 12 hours.

Postmarketing Experience NME cases have been reported postmarketing in patients receiving continuous infusion of glucagon.DRUG INTERACTIONSBeta-BlockersPatients taking beta-blockers may have a transient increase in pulse and blood pressure when given GVOKE. IndomethacinIn patients taking indomethacin, GVOKE may lose its ability to raise blood glucose or may even produce hypoglycemia. WarfarinGVOKE may increase the anticoagulant effect of warfarin.

GVOKE PFS and GVOKE HypoPen (glucagon injection) for subcutaneous use Initial U.S. Approval: 2019

Ages 2 to < 6 years(0.5 mg dose)N =7

Ages 6 to < 12 years

(0.5 mg dose)

N = 13

Ages 12 to < 18 years(1 mg dose)

N = 11

Total

N = 31

Nausea 43% 54% 36% 45%

Hypoglycemia 29% 54% 27% 39%

Vomiting 14% 23% 18% 19%

Headache 0% 15% 0% 7%

Abdominal pain 0% 8% 0% 3%

Hyperglycemia 14% 8% 0% 7%

Injection site discomfort 0% 8% 0% 3%

Injection site reaction 0% 0% 9% 3%

Urticaria 0% 8% 0% 3%

HOTELS WALKING DISTANCE TO THE CONVENTION CENTER WALKING TIME RATE

1 Omni Atlanta Hotel at CNN Center Connected via climate control bridge 2 minutes

Early Bird Rate*: $169

Standard Rate: $189

2 Westin Peachtree Plaza (Co-Headquarter Hotel) 7 blocks 10 minutes $159

3 AC Hotel 6 blocks 7 minutes $165

4 Atlanta Marriott Marquis 10 blocks 15 minutes $155

5 Courtyard by Marriott Atlanta 8 blocks 12 minutes $149

6 Embassy Suites by Hilton Atlanta at Centennial Olympic Park

3 blocks 4 minutes $169

7 Glenn Hotel, Marriott Autograph Collection 4 blocks 6 minutes $169

8 Hampton Inn and Suites Atlanta Downtown 7 blocks 9 minutes $155

9 Hilton Atlanta 12 blocks 18 minutes $155

10 Hilton Garden Inn Atlanta Downtown 5 blocks 6 minutes $159

11 Holiday Inn Express & Suites Atlanta Downtown 8 blocks 9 minutes $155

12 Home2Suites by Hilton Atlanta Downtown 6 blocks 7 minutes $155

13 Hotel Indigo 8 blocks 12 minutes $155

14 Hyatt House 7 blocks 10 minutes $155

15 The American a Doubletree by Hilton 7 blocks 9 minutes $155

16 W Atlanta Downtown 11 blocks 16 minutes $149

*Early bird rate rooms are limited in quanity and available for a limited time. Occupancy tax: 17%

CentennialOlympic Park

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Andrew Young

Stonewall St SW

International Blvd NW

Renaissance Pky NE

Thurmond St NW

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Chapel St SW

Mitchell St SW

Garnett St SW

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Baker St NE

Armstrong St SE

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Auditorium Pl SEGilmer St SE

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Baker St NW

Auburn Ave NE

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WN t S s mailliW

Carnegie Way

Ralph McGill Blvd NE

Memorial Dr SE

Fair St SW

Ivan Allen Jr Blvd NW

Memorial Dr SW

Martin Luther King Jr Dr SW

Centra

l Ave

SW

Pryor

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Washing

ton St

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Mitchell St SW

Pine St NE

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Park Avenue West NW

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Martin Luther King Jr Dr SE

Capitol Sq SW

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Park Ave West

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Trinity Ave SW

Andrew Young International Blvd NW

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Linden Ave NW

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Georgia StateUniversity

GeorgiaWorld

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CityHall State Capitol

Building B Building A

BuildingC

Mercedes-Benz Stadium

AmericasMartAmericasMart

Bldg. 3

Bldg. 2Bldg. 1

PEACHTREE CENTER

Atlanta University Center

ShakespeareTavern Playhouse

SkyViewAtlanta

AtlantaUnderground

Krog StreetMarket

Georgia Aquarium

CNN StudioTours

World of Coca-Cola

The Children's Museum of Atlanta

Center for Civiland Human Rights

Chick-�l-A College Football Hall of Fame

Tabernacle

Atlanta Downtown Hotels

No. Name123456

78910111213141516

FRIDAY, AUGUST 14 - MONDAY, AUGUST 17, 2020

Omni Hotel at CNN Center (HQ)Westin Peachtree Plaza (CO-HQ) AC HotelAtlanta Marriott MarquisCourtyard by Marriott Atlanta Embassy Suites by Hilton Atlanta at Centennial Olympic ParkGlenn Hotel, Marriott Autograph CollectionHampton Inn & Suites Atlanta DowntownHilton AtlantaHilton Garden Inn Atlanta DowntownHoliday Inn Express & Suites DowntownHome2Suites AtlantaHotel IndigoHyatt HouseThe American a Doubletree by HiltonW Downtown

Atlanta Welcomes

L E G E N D

ATTRACTION

LANDMARK

MARTA STOP

59A59A HIGHWAY EXIT

HOSPITAL

VISITOR INFO CTR

STREETCAR STOP

BUS TERMINAL

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2020ADCES HOTEL MAP

CentennialOlympic Park

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V

V

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GEORGIASTATE

FIVEPOINTS

GARNETT

DOME / GWCCPHILIPS / CNN

CIVICCENTER

HardyIvy Park

WoodruffPark

Hurt Park

Renaissance Park

Andrew Young

Stonewall St SW

International Blvd NW

Renaissance Pky NE

Thurmond St NW

Carter St NW

Chapel St SW

Mitchell St SW

Garnett St SW

Forsyth St

John Portman Blvd. (Harris St.)

Baker St NE

Armstrong St SE

Hunnicutt St NW

Mills St NW

Auditorium Pl SEGilmer St SE

Broad S

t SW

Forsy

th St

SW

Garnett St SW

WN tS eef ac M

Larki

n Pl S

W

WN rD kraP cipmylO lainnetneC

Peac

htree

Cen

ter A

ve N

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Walton St

Pine St NW

Williams St

Castleberry St SW

Baker St NW

Alexander St NE

Wall St SE

Georgia Dome Dr SW Fairlie St

Broad St

Luckie St

Alabama St SW

Collins S

t SE

Cone St

WS tS ttoillE

Elec

tric A

ve N

W

Spencer St NW

Haynes St SW

Poplar St

Edwa

rds S

t NW

Nelson St SW

Jesse

Hill Jr D

r SE

Baker St NW

Auburn Ave NE

Mang

um S

t NW

WN t S s mailliW

Carnegie Way

Ralph McGill Blvd NE

Memorial Dr SE

Fair St SW


Memorial Dr SW

Martin Luther King Jr Dr SW

Centra

l Ave

SW

Pryor

St SW

Washing

ton St

SW

Mitchell St SW

Pine St NE

Marietta St

Park Avenue West NW

Edgewood Ave SE

EN evA tnomdeiP

Mitchell St SW

Piedmont

Ave SE


Decatur St SE

Ted T

urne

r DR

SW

Decatur St SE

John Wesley Dobbs Ave NE

Marietta St NW

Mitchell St SW

EN tS dnaltruoC

WN tS eerthcaeP W

Peach

tree S

t NW

Pine St NE

Martin Luther King Jr Dr SE

Capitol Sq SW

EN tS eerthcaeP

ENtSdnaltruoC

Luck

ie St

NW

Park Ave West

NW

Spring T

echwood

Trinity Ave SW

Andrew Young International Blvd NW

Cente

nnial

Olym

pic P

ark D

r NW

N

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tnomdeiP

North

side D

r NW

Linden Ave NW

Pine St NW

Peters S

t SW

Sprin

g St N

W

Centennial Olympic P

ark Dr NW

Trinity Ave SW

Ted T

urner

Dr SW

Ted Turner Dr NW

WN rD renruT deT

Ellis St NW

Walker

St SW

Con

41

41

249C

249B

247

248C

248A

248D

249A

249D


GeorgiaWorld

CongressCenter

Grady MemorialHospital


CityHall State Capitol

Building B Building A

BuildingC

Mercedes-Benz Stadium

AmericasMartAmericasMart

Bldg. 3

Bldg. 2Bldg. 1

PEACHTREE CENTER

Atlanta University Center

ShakespeareTavern Playhouse

SkyViewAtlanta

AtlantaUnderground

Krog StreetMarket

Georgia Aquarium

CNN StudioTours

World of Coca-Cola

The Children's Museum of Atlanta

Center for Civiland Human Rights

Chick-�l-A College Football Hall of Fame

Tabernacle

Atlanta Downtown Hotels

No. Name123456

78910111213141516

FRIDAY, AUGUST 14 - MONDAY, AUGUST 17, 2020

Omni Hotel at CNN Center (HQ)Westin Peachtree Plaza (CO-HQ) AC HotelAtlanta Marriott MarquisCourtyard by Marriott Atlanta Embassy Suites by Hilton Atlanta at Centennial Olympic ParkGlenn Hotel, Marriott Autograph CollectionHampton Inn & Suites Atlanta DowntownHilton AtlantaHilton Garden Inn Atlanta DowntownHoliday Inn Express & Suites DowntownHome2Suites AtlantaHotel IndigoHyatt HouseThe American a Doubletree by HiltonW Downtown

Atlanta Welcomes

L E G E N D

ATTRACTION

LANDMARK

MARTA STOP

59A59A HIGHWAY EXIT

HOSPITAL

VISITOR INFO CTR

STREETCAR STOP

BUS TERMINAL

4

5

9

613

10

3

7

1

1

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Register by Phone: (800) 486-9644 Online: adces20.org Email: [email protected] Fax: (972) 349-7715

ADCES ID#____________________________ Military/Government ID#_____________________________

________________________________________________________________________________________ First Name MI Last Name

________________________________________________________________________________________ Title Employer

________________________________________________________________________________________ Address City State Zip

________________________________________________________________________________________ Credentials (to be seen on badge) ________________________________________________________________________________________ Email Address Phone Number ❑❑ Mobile ❑❑ Home ❑❑ Business

What is your primary profession? (REQUIRED) ❑❑ Nurse ❑❑ Nurse Practitioner ❑❑ Dietitian ❑❑ Pharmacist ❑❑ PA ❑❑ Physician ❑❑ Other

Full Conference Registration (Circle your selection) - includes all education sessions, general sessions, corporate symposia and product theaters, exhibit hall, posters and networking events. Does NOT include Preconference sessions. Full Conference Registrants will receive complimentary access to recorded educational sessions.* *No CE available for accessing these recorded sessions.

Membership Status 2/25 – 6/26 6/27 – 8/6 Starting 8/7

Member $365 $415 $465 Nonmember $565 $615 $665 Military/Government* $265 $315 $365 Military/Government Nonmember $365 $415 $465 Retired** $265 $315 $365 Student (No CE credits) $45 $45 $45 *Must present Government ID onsite to guarantee rate. Without a current Government issued ID, your rate WILL CHANGE on site to the next applicable rate. **Must be AADE Retired Member to receive rate.

Daily Registration (Circle your selection) - includes access to all educational program sessions, exhibit hall and networking events on the specific day(s) registered.

Membership Status 2/26 - 6/26 Starting 6/27

Member $170 $270 Nonmember $220 $320 Circle the Day(s) you wish to attend Friday, 8/14 | Saturday, 8/15 | Sunday, 8/16 | Monday, 8/17

Total Daily Fee: _____________

❑❑ $45 - Guest Registration - includes access to the exhibit hall and general sessions only. CE credits are NOT available for this registration.

Guest Name(s):______________________________________________________________

Preconference Member Nonmember ❑❑ Reimbursement Boot Camp (8/13) $249 $299 ❑❑ Pharmacology Boot Camp (8/13) $249 $299 ❑❑ CORE Concepts® Course (8/14-16) $595 Advance

$695 Onsite $795 Advance $895 Onsite

❑❑ ADCES Celebration Event Tickets – Sunday, 8/16 from 7:30pm - 10:00pm $20.00 each x ________ (# of tickets)

TOTAL REGISTRATION FEE: _______________

Hotel Reservation-Deadline July 23, 2020 Official Hotels Single/Double Rates Omni Atlanta Hotel at CNN Center(Co-Headquarter Hotel)…………………………………………………………..$169* Westin Peachtree Plaza (Co-Headquarter Hotel) …………………………………………………………………….$159 AC Hotel by Marriott…………………………………….$165 Atlanta Marriott Marquis……………………………..$155 Courtyard by Marriott Atlanta………………………$149 Embassy Suites at Centennial Olympic Park….$169 Glenn Hotel, Marriott Autograph Collection...$169 Hampton Inn & Suites Atlanta Downtown…….$155 Hilton Atlanta……………………………………………….$155 Hilton Garden Inn Atlanta Downtown…………..$159 Holiday Inn Express & Suites Atlanta…………….$155 Home2Suites by Hilton Atlanta Downtown…..$155 Hotel Indigo………………………………………………….$155 Hyatt House………………………………………………….$155 The American a Doubletree by Hilton…………..$155 W Atlanta – Downtown…………………………………$149 Occupancy Tax: 17% (subject to change) *Early Bird Rates offered for a limited time and number of rooms. Early Bird Rates are not guaranteed. Standard rate is $189.

Reservations require a credit card and will be charged one night’s room and tax. Room rates quoted are subject to city and state taxes. Group rates will be honored until Thursday, July 23, 2020 or until the room block is sold out. After Thursday, July 23, 2020 group rates will be offered on a space -available basis only. NOTE: If you would like to reserve an upgraded room or a suite, please contact [email protected] for rates, availability and deposit amount. Hotel Choices Reservations are by request and processed on a first come, first served basis. Enter your hotel choices in order of preference. 1) _____________________Rewards #__________ 2) _____________________Rewards #__________

In cases where hotel choices cannot be accommodated, please assign based on: ❑❑ Room Rate ❑❑ Hotel Location

Reservation Details Name____________________________________ Arrival______________Departure______________ Share with (if applicable)_____________________ ❑❑ ADA Compliant

Room Type: ❑❑ Single ❑❑ Double (1Bed) ❑❑ Double (2Beds) ❑❑ Triple* (2Beds) ❑❑ Quad* (2Beds) * Additional fees may apply

Housing Information

INDICATION AND IMPORTANT SAFETY INFORMATION

GVOKE is indicated for the treatment of severe hypoglycemia in adult and pediatric patients with diabetes ages 2 years and above.

IMPORTANT SAFETY INFORMATION

Contraindications

GVOKE is contraindicated in patients with pheochromocytoma, insulinoma, and known hypersensitivity to glucagon or to any of the excipients in GVOKE. Allergic reactions have been reported with glucagon and include anaphylactic shock with breathing diffi culties and hypotension.

Warnings and Precautions

GVOKE is contraindicated in patients with pheochromocytoma because glucagon may stimulate the release of catecholamines from the tumor. If the patient develops a dramatic increase in blood pressure and a previously undiagnosed pheochromocytoma is suspected, 5 to 10 mg of phentolamine mesylate, administered intravenously, has been shown to be effective in lowering blood pressure.

In patients with insulinoma, administration of glucagon may produce an initial increase in blood glucose; however, GVOKE administration may directly or indirectly (through an initial rise in blood glucose) stimulate exaggerated insulin release from an insulinoma and cause hypoglycemia. GVOKE is contraindicated in patients with insulinoma. If a patient develops symptoms of hypoglycemia after a dose of GVOKE, give glucose orally or intravenously.

Allergic reactions have been reported with glucagon. These include generalized rash, and in some cases, anaphylactic shock with breathing diffi culties and hypotension. GVOKE is contraindicated in patients with a prior hypersensitivity reaction.

GVOKE is effective in treating hypoglycemia only if suffi cient hepatic glycogen is present. Patients in states of starvation, with adrenal insuffi ciency or chronic hypoglycemia, may not have adequate levels of hepatic glycogen for GVOKE administration to be effective. Patients with these conditions should be treated with glucose.

Necrolytic migratory erythema (NME), a skin rash commonly associated with glucagonomas has been reported postmarketing following continuous glucagon infusion and resolved with discontinuation of the glucagon. Should NME occur, consider whether the benefi ts of continuous glucagon infusion outweigh the risks. Glucagon administered to patients with glucagonoma may cause secondary hypoglycemia.

Adverse Reactions

Most common (≥5%) adverse reactions associated with GVOKE are nausea, vomiting, injection site edema (raised 1 mm or greater), and hypoglycemia.

Drug Interactions

Patients taking beta-blockers may have a transient increase in pulse and blood pressure when given GVOKE. In patients taking indomethacin, GVOKE may lose its ability to raise blood glucose or may even produce hypoglycemia. GVOKE may increase the anticoagulant effect of warfarin.

Please see the previous page for the brief summary of the Prescribing Information.

The fi rst premixed, prefi lled, premeasured liquid glucagon for the treatment of severe hypoglycemia in adult and pediatric patients with diabetes ages 2 and above.1

The Gvoke™ Pre-Filled Syringe makes it easy for your patients who take insulin to be prepared for severe low blood sugar.1

References: 1. Gvoke [prescribing information]. Chicago, IL: Xeris Pharmaceuticals, Inc; 2019. 2. Newswanger B, Prestrelski S, Andre AD. Human factors studies of a prefilled syringe with stable liquid glucagon in a simulated severe hypoglycemia rescue situation. Expert Opin Drug Deliv. 2019;16(9):1015-1025.

Gvoke, Xeris Pharmaceuticals, and their associated logos are trademarks of Xeris Pharmaceuticals, Inc. All other trademarks referenced herein are the property of their respective owners. ©2020 Xeris Pharmaceuticals, Inc. All rights reserved. US-GVKPFS-20-00024 01/20

Visit GvokeGlucagonPro.com to learn more, including how your commercial patients may be eligible for a $25 copay.

When blood sugar levels go severely low, your patients need a solution that’s fast, easy, and reliable.1,2

Register by Phone: (800) 486-9644 Online: adces20.org Email: [email protected] Fax: (972) 349-7715

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What is your primary profession? ❑❑ Nurse ❑❑ Nurse Practitioner ❑❑ Dietitian ❑❑ Pharmacist ❑❑ PA ❑❑ Physician ❑❑ Other How many ADCES (formally AADE) Annual Conferences have you ever attended? ❑❑ 1-3 ❑❑ 4-6 ❑❑ 7-10 ❑❑ 11+ ❑❑ This is my first ❑❑ Staff/Clinical Care ❑❑ Clinical Specialist ❑❑ Consultant ❑❑ Pharmacist ❑❑ Patient Educator ❑❑ Administrator/Program Manager ❑❑ Coordinator ❑❑ Other

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In case of emergency while attending ADCES20, whom should we contact? Name_________________________________________________________________ Phone Number ____________________ ❑❑ Staff/Clinical Care ❑❑ Clinical Specialist ❑❑ Consultant ❑❑ Pharmacist ❑❑ Patient Educator ❑❑ Administrator/Program Manager ❑❑ Coordinator ❑❑ Other

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2020ADCES

HOW WE SEE IT.

AADE is now ADCES, the Association of Diabetes Care & Education Specialists.

Our new name reflects our commitment to accelerating excellence, optimizing outcomes, and making the greatest impact for those living with diabetes and the specialists who care for them.

Join us.

American Association of Diabetes Educators125 S. Wacker Drive, Suite 600Chicago, IL 60606

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