Restricted accessResearch articleFirst published online 2021-4
From the Association of Diabetes Care & Education Specialists: The Role of the Diabetes Care and Education Specialist as a Champion of Technology Integration
It is the position of the Association of Diabetes Care & Education Specialists that diabetes care and education specialists should play a central role in establishing and maintaining technology-enabled care in a variety of practice settings to optimize outcomes for people with diabetes and cardiometabolic conditions. The objectives of this position statement are to outline the role of diabetes care and education specialists as leaders in technology integration and to describe the resources and guidance the Association has developed to facilitate success in this role.
Get full access to this article
View all access options for this article.
References
1.
American Diabetes Association. 7. Diabetes technology: standards of medical care in diabetes—2021. Diabetes Care. 2021;44(suppl 1):S85-S99. doi:10.2337/dc21-S007
2.
SherrJLTauschmannMBattelinoT, et al. ISPAD clinical practice consensus guidelines 2018: diabetes technologies. Pediatr Diabetes. 2018;19(suppl 27):302-325. doi:10.1111/pedi.12731
3.
GrunbergerGHandelsmanYBloomgardenZT, et al. American Association of Clincial Enodcrinologists and Amerian College of Endocrinology 2018 position statement on integration of insulin pumps and continuous glucose monitoring in patients with diabetes mellitus. Endocr Pract. 2018;24(3):302-308. doi:10.4158/PS-2017-0155
4.
RyanDBurkeSDLitchmanML, et al. Competencies for diabetes care and education specialists. Diabetes Educ. 2020;46(4):384-397. doi:10.1177/0145721720931092
5.
LitchmanMLRyanDYehlKRinkerJBurkeSD. Developing the 2020 diabetes care & education specialist competencies: a modified delphi study. Diabetes Educ. 2020;46(4):378-383. doi:10.1177/0145721720936607
6.
American Association of Diabetes Educators. AADE position statement: AADE7™ self-care behaviors. Diabetes Educ. 2008; 34(3):445-449. doi:10.1177/0145721708316625
7.
BeckJGreenwoodDABlantonL, et al. 2017 national standards for diabetes self-management education and support. Diabetes Educ. 2018;44(1):35-50. doi:10.1177/0145721718754797
8.
Association of Diabetes Care & Education Specialists. An effective model of diabetes care and education: the ADCES7 self-care behaviors™. Sci Diabetes Self Manag Care. 2021;47(1):30-53. doi:10.1177/0145721720978154
9.
GreenwoodDAHowellFScherL, et al. A framework for optimizing technology-enabled diabetes and cardiometabolic care and education: the role of the diabetes care and education specialist. Diabetes Educ. 2020;46(4):315-322. doi:10.1177/0145721720935125
10.
IsaacsDCoxCSchwabK, et al. Technology integration: the role of the diabetes care and education specialist in practice. Diabetes Educ. 2020;46(4):323-334. doi:10.1177/0145721720935123
11.
FosterNCBeckRWMillerKM, et al. State of type 1 diabetes management and outcomes from the T1D exchange in 2016-2018. Diabetes Technol Ther. 2019;21(2):66-72. doi:10.1089/dia.2018.0384
12.
BeckRWRiddlesworthTRuedyK, et al. Effect of continuous glucose monitoring on glycemic control in adults with type 1 diabetes using insulin injections: the DIAMOND randomized clinical trial. JAMA. 2017;317(4):371-378. doi:10.1001/jama.2016.19975
13.
BeckRWRiddlesworthTDRuedyK, et al. Continuous glucose monitoring versus usual care in patients with type 2 diabetes receiving multiple daily insulin injections: a randomized trial. Ann Intern Med. 2017;167(6):365-374. doi:10.7326/M16-2855
14.
Juvenile Diabetes Research Foundation Continuous Glucose Monitoring Study Group. Continuous glucose monitoring and intensive treatment of type 1 diabetes. Engl J Med. 2008;359(14): 1464-1476. doi:10.1056/NEJMoa0805017
15.
JensenMHVestergaardPHirschIBHejlesenO. Use of personal continuous glucose monitoring device is associated with reduced risk of hypoglycemia in a 16-week clinical trial of people with type 1 diabetes using continuous subcutaneous insulin infusion. J Diabetes Sci Technol. Published online September18, 2020. doi:10.1177/1932296820957662
16.
PowersMABardsleyJKCypressM, et al. Diabetes self-management education and support in adults with type 2 diabetes: a consensus report of the American Diabetes Association, the Association of Diabetes Care & Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association. Diabetes Educ. 2020;46(4):350-369. doi:10.1177%2F0145721720930959
17.
RinkerJDickinsonJLitchmanM, et al. The 2017 diabetes educator and the diabetes self-management education national practice survey. Diabetes Educ. 2018;44(3):260-268. doi:10.1177/0145721718765446
EdelmanSVWoodRRobertsMShubrookJH. Patients with type 2 diabetes are willing to do more to overcome therapeutic inertia: results from a double-blind survey. Clin Diabetes. 2020;38(3):222-229. doi:10.2337/cd19-0067
20.
AndreozziFCandidoRCorraoS, et al. Clinical inertia is the enemy of therapeutic success in the management of diabetes and its complications: a narrative literature review. Diabetol Metab Syndr. 2020;12:52. doi:10.1186/s13098-020-00559-7
21.
GalRLCohenNJKrugerD, et al. Diabetes telehealth solutions: improving self-management through remote initiation of continuous glucose monitoring. J Endocr Soc. 2020;4(9):bvaa076. doi:10.1210/jendso/bvaa076
22.
MathurRFarmerREEastwoodSVChaturvediNDouglasISmeethL. Ethnic disparities in initiation and intensification of diabetes treatment in adults with type 2 diabetes in the UK, 1990-2017: a cohort study. PLoS Med. 2020;17(5):e1003106. doi:10.1371/journal.pmed.1003106
23.
AddalaAAuzanneauMMillerK, et al. A decade of disparities in diabetes technology use and HbA1c in pediatric type 1 diabetes: a transatlantic comparison. Diabetes Care. Published online September16, 2020. doi:10.2337/dc20-0257
24.
CrawfordASerhalE. Digital health equity and COVID-19: the innovation curve cannot reinforce the social gradient of health.J Med Internet Res. 2020;22(6):e19361. doi:10.2196/19361
25.
CraigKJRheeKB. “TechQuity” in diabetes: does digital health technology imrpove equity?Diabetes. 2020;69(suppl 1). doi: 10.2337/db20-1993-P
26.
RodriguezJAClarkCRBatesDW. Digital health equity as a necessity in the 21st century cures act era. JAMA. 2020; 323(23): 2381-2382. doi:10.1001/jama.2020.7858
