Daily Piece

Where does time go! It is already September which means it is time to get your annual flu (influenza) vaccination.  It is one of five recommended vaccines for persons with diabetes. The additional recommended vaccines are Tdap, zoster, pneumococcal and hepatitis B.   Check out the link below to the CDC vaccines page for more details.

https://www.cdc.gov/vaccines/schedules/hcp/imz/adult-conditions.html

Please share your thoughts and subscribe to receive my blogs.

#diabetes #vaccines #September

Follow me on Twitter and Facebook @ReecesPiecesDi and Instagram ReecesPiecesDI.

Preparing for Hurricane Gordon

Below are some important preparation tips for people with diabetes who may be impacted by Hurricane Gordon.

  • PEOPLE WITH DIABETES AND LOVED ONES:

1-800-DIABETES will be open all day tomorrow and this week to support people with diabetes and their loved ones.

Set up communications with family or loved ones outside the emergency area BEFORE the storm arrives. Keep in mind that text messaging may be an alternative to share status reports.

  • https://www.healthcareready.org/rxopen is the free service that offers locations of open pharmacies in the areas affected by a disaster.  This site will also track any “pop-up” or mobile pharmacies (e.g., Walmart, CVS) that may be available on the ground after a disaster.
  • If a state of Emergency is declared in your state, patients should check with their current pharmacies to see if they can obtain an emergency override, allowing them to get more medication than is typically prescribed during a time period.

Daily Piece

While medications are a wonderful resource for people, caution must be exercised regarding serious potential adverse effects.  Fluoroquinolones, class of antibiotics, have risk of causing serious low blood sugar. Please click on the link below for more details.

Please share your thoughts and subscribe to receive my blogs.

#diabetes #medication #safety #risk #hypoglycemia

Follow me on Twitter and Facebook @ReecesPiecesDi and Instagram ReecesPiecesDI.

 

Daily Piece

Happy Labor Day!  I hope that each of you has an enjoyable Labor Day.  Thank you to each of you who are working hard today on this holiday.  A little reading for the day…actually this reading has an exciting update on the work of Beta Bionics and Bigfoot.  Thank you diaTribe for always providing excellent updates and latest news in diabetes. If you do not subscribe to diaTribe, please do as they do an amazing job keeping followers up to date  with all things diabetes as well as providing excellent peer support. Please click on the link below.

https://diatribe.org/whats-coming-beta-bionics-and-bigfoot-exciting-next-gen-automated-insulin-delivery?utm_source=diaTribe&utm_campaign=730399a63c-EMAIL_CAMPAIGN_2018_m176_T2D&utm_medium=email&utm_term=0_22467a8528-730399a63c-152660205

Please share your thoughts and subscribe to receive my blogs.

#diabetes #technology #update

Follow me on Twitter and Facebook @ReecesPiecesDi and Instagram ReecesPiecesDI.

 

Daily Piece

While diabetes medications are safe overall, it is important to note when new warnings are released about specific classes of diabetes medications.  The FDA has released a warning of rare occurrences of serious infection genital area for the SGLT2 inhibitor drug class. Please click below for more details.

https://www.fda.gov/Drugs/DrugSafety/ucm617360.htm

Please share your thoughts and subscribe to receive my blogs.

#diabetes #medication #warning #FDA

Follow me on Twitter and Facebook @ReecesPiecesDi and Instagram ReecesPiecesDI.

 

Daily Piece

Yesterday, I was reminded that there are times when dealing with a stressful family situation becomes top priority over managing one’s diabetes.  The person with type 2 diabetes that I work with as their diabetes educator had a sudden family crisis which shifted their full focus to working through this crisis.  This made doing their doing diabetes self management activities impossible for a short period of time. Good news is that the person recognized this and is now back doing their daily diabetes self management activities.

Please share your thoughts and subscribe to receive my blogs.

#diabetes #life #crisis #management

Follow me on Twitter and Facebook @ReecesPiecesDi and Instagram ReecesPiecesDI.

 

Daily Piece

Yesterday, I had an interesting “ah-uh” moment in clinic.  A gentlemen with type 2 diabetes who I have been working with over the last few months in managing his blood sugar stated that he did not follow the directions on his insulin prescription label.  Rather, he was taking his bolus insulin the way he was counseled to take his bolus insulin prior to his working with me. Turns out the reason for his noctural hypoglycemia was the additional dose of bolus insulin that he was taking at bedtime in addition to his basal insulin dose. Lesson learned…always ask how a person is actually taking their medication.

Please share your thoughts and subscribe to receive my blogs.

#diabetes #insulin #dosing #lesson #learned

Follow me on Twitter and Facebook @ReecesPiecesDi and Instagram ReecesPiecesDI.

Unexpected Inspiration

The Encounter

While attending the AADE 2018 Annual Meeting in Baltimore, my husband and I were meeting colleagues for an early evening dinner before heading to a couple of evening events. It had been a long packed day with lots of networking and learning. I was ready for a little downtime to simply relax before the evening events began. I was a bit unsure of what to expect when eating at the hotel’s restaurant. As soon as I walked into the restaurant, I was relieved that my husband, friends and I were the only ones in the place.   No stress! Riley, the waiter, took our drink orders quickly. Over the process of Riley taking our order and bringing out food, the typical small talk conversations regarding professions and where we all were from naturally came up. Riley’s face lit up like it was Christmas morning when we all shared that we were diabetes educators. He sure had a story to tell!

Riley’s Story

Riley’s story began with his world being turned upside down a few years prior when he received his diagnosis of type 2 diabetes. He knew that he had family members with diabetes but this could not happen to him. He had always been very physically active in work. Prior to this diagnosis, he enjoyed cooking and eating all sorts of food with his favorite food being ribs. His family and friends always enjoyed his rich flavorful food creations. Diabetes was a game changer. He felt something had to change.

Riley’s Life Transformation

So Riley said he was determined he would figure out how to live life to its fullest even with diabetes. He identified that his first step was to figure how to change what types of food he was eating and how he was preparing his food. Unfortunately, he did not have a diabetes educator/specialist to collaborate with him in this change process. He did his own homework, and began to read food labels when grocery shopping. Riley began eating more vegetables (especially the non-starchy ones). His kitchen became an art studio where he transformed his recipes from unhealthy to healthy using lots of various spices, olive oil and new ingredients he had never used before. Before he realized it, he was living a radically healthier life all by making significant changes to his food ingredients, eating at home more often than eating out and, paying more attention to what food labels actually reveal. The added bonus! He lost about 30 pounds during this time.

Inspiration

Riley now wants to share his new approach to cooking and eating with friends, family and others in a cookbook. I strongly suspect that it will hit the shelves soon. Life is full of unexpected encounters with people who have powerful testimonies and stories that leave one inspired. Riley who happens to have type 2 diabetes inspired me through his transformation story. My only hope is that Riley will soon have the support of a diabetes educator/specialist to along his journey.   Keep your eyes open for the “Riley” you may unexpectantly meet .

Please share your thoughts and subscribe to receive my blogs.

#diabetes #inspiration #educator

Follow me on Twitter and Facebook @ReecesPiecesDi and Instagram ReecesPiecesDI.

Advocacy Update: Expanding Access to DSMT Act (H.R. 5768 and S. 3366)

Access to diabetes self management education and support is a real challenge for many Americans. Please read update from the American Association of Diabetes Educators below regarding very important legislation that increases access to this vital service for those living with diabetes. Don’t forget to contact your Senator and Representative. Your voice must be heard.

On August 22, Senators Jeanne Shaheen (D-NH) and Susan Collins (R-ME) introduced the Expanding Access to Diabetes Self-Management Training (DSMT) Act (S. 3366) in the U.S. Senate. This is the Senate companion to legislation introduced in the U.S. House of Representatives on May 10 by Representatives Tom Reed (R-NY) and Diana DeGette (D-CO). AADE worked in collaboration with the Diabetes Advocacy Alliance and our Senate champions to introduce this important piece of legislation.

The Expanding Access to DSMT Act (H.R. 5768 and S. 3366) will reduce barriers and improve Medicare beneficiary access to DSMT services in the following ways:
-Allows the initial 10 hours of DSMT during the first year to remain available until fully utilized. If there’s a determination of medical necessity, then an additional 6 hours of training/ education may be added.
-Allows 6 hours of DSMT in subsequent years, up from 2 hours.
Removes the restriction related to coverage of DSMT and Medical Nutrition Therapy (MNT) services furnished on the same day.
Excludes DSMT services from Part B cost-sharing and deductible requirements.
-Permits physicians and qualified non-physician practitioners who are not directly involved in managing an individual’s diabetes to refer them for DSMT services. An example would be a specialist treating a comorbidity like gangrene or vision loss, or an emergency room doctor.
-Revises the Medicare Benefit Policy Manual to allow DSMT services to be furnished in a community-based location.
-Establishes a 2-year demonstration of virtual DSMT, potentially paving the way for future Medicare coverage of virtual DSMT services.

Click below to contact your Senator or Representative.
https://secure2.convio.net/aade/site/Advocacy?cmd=display&page=UserAction&id=279
https://www.callmycongress.com/

Please share your thoughts and subscribe to receive my blogs.

#diabetes #educator #blogging

Follow me on Twitter and Facebook @ReecesPiecesDi and Instagram ReecesPiecesDI.

Blogging as a Diabetes Educator

About a year ago, I began my journey as a blogger. My desire was to give to those living with diabetes beyond my day to day responsibilities in a clinical and academic setting. Hence, Reece’s Pieces in a Diabetes World was born.  I am extremely grateful to Susan Weiner and Connie Brown-Riggs for their mentorship.

Do you have a desire to become a blogger with a focus on persons with diabetes or some particular aspect of diabetes? If so, below is a list of practical tips on how to get started.

  • Tap into your why for blogging (what is your passion or expertise?)
  • Find a mentor or experienced blogger
  • Schedule time to start your blog
  • Check out websites such as https://www.blogginbasics101.com/how-do-i-start-a blog which provides additional specifics on blog platform, web host and domain

Step out in faith and begin your blogging journey.

Please share your thoughts and subscribe to receive my blogs.

#diabetes #educator #blogging

Follow me on Twitter and Facebook @ReecesPiecesDi and Instagram ReecesPiecesDI.