9 Responses

  1. Michelle
    Michelle April 13, 2013 at 8:11 am | | Reply

    Partridges in pear trees, oh my gosh. Thank you for the insight, great perspectives, and the humor, too.

  2. Nancy
    Nancy April 13, 2013 at 11:25 am | | Reply

    My only perspective of a CDE is the only one that I’ve dealt with long term. She was part of my endocrinologist’s office in Chicago and she was not only a nurse but type 1, overweight and on a pump. I trusted her completely because I knew she “got it” and really was empathetic. To me, that made all the difference in the world, that she was “like me” and not judgmental at all.

    Many folks with D out there may need a bit of a wake-up call, some tough love. BUT, if they’re sitting in an endo’s office, or meeting with a CDE, chances are that they have already had that wake-up call and they’re scared and wanting to take steps to get a hold on the scary. From my perspective, at least, that is so much easier when you’re not being judged and you know that the person working with you KNOWS where you’re coming from. They KNOW and understand that D is a long road and there ARE bad days, weeks, months – even years. I’ve dealt with way too many “professionals” who do not get it, who get too clinical and only see numbers and tests and where the numbers are supposed to be and “why aren’t you doing what you’re supposed to do?” and forget the human person. Not saying a PWD CDE isn’t going to be in that position sometimes, but that perspective CAN make all the difference.

  3. Terry Keelan
    Terry Keelan April 13, 2013 at 5:53 pm | | Reply

    Of course medical training is necessary. Specialized training, not comprehensive training. Why enough to have a nursing credential or a dietician’s credential? Review many conversations on the DOC about PWD’s having to deal with clueless nurses and other medical professionals. PWD’s with no medical background quickly understand and grasp the medical concepts involved in caring for diabetes.

  4. Karl Fenn
    Karl Fenn April 13, 2013 at 6:34 pm | | Reply

    I sourced some accurate figures of the true number of cases of diabetes in the UK this week, and it stands at nearly 5 miilion with another 2, million expected or undiagnosed cases, I don’t know the exact reliability, but is was obtained via the FOI from various sources, so probabaly as reliable as one can establish at the moment. Of course in the UK we do not have the right staff being recruited by the health service, manly do to the many laws brought in by government concerning background checks relating to jobs, this has caused a wrong people in the wrong job culture, partly why the counrty has become such a mess in many areas, the response is to recruit from abroad but many can not speak or read and write in English this can cause a problem, I called one doctor to a relative andI had to read the prescription due to his difficulties in this department. I don’t know how diabetes health care will cope with continued diagnosis at such increased rates, The DVLA are unble to cope making errors with everybodies licence applications, and the hospitals in some areas are dealing with three hour waits for ambulances and cancelling minor operations. I think we are in for tough times, lets hope a cure is found soon, there are better drugs comming along but I feel personally more effort and development resources must be put into this arena.stabilisation of the condition reduces complications, and reduces costs on health services providers this is a fact.

  5. Morey
    Morey April 15, 2013 at 6:49 am | | Reply

    Thanks for the insight. What’s the difference what kind of education background the CDE has? As long as they have the diabetes knowledge and can relate to their patients.

  6. Kate
    Kate April 15, 2013 at 6:51 am | | Reply

    Thank you so much for mentioning the A1C Champions program! I actually considered going back to school to become a CDE, but I was completely put off by the prospect of another degree (I’m a teacher with a masters degree). I found out about the program through Diabetes MIne. and I became an A1C Champion since 2008. I can’t tell you how much I love it! Making a connection to other people with diabetes and continuing with my day job as a Kinder/1st grade teacher is awesome.

  7. Vicki Baker
    Vicki Baker April 15, 2013 at 2:20 pm | | Reply

    Big question. Why are registered dietitians allowed to charge for diabetes education but registered nurses with a CDE are not?

    1. Allison Nimlos
      Allison Nimlos April 16, 2013 at 10:02 am | | Reply

      It actually has nothing to do with diabetes education per se. RDs are allowed to receive reimbursement through insurance companies, whereas RNs are not. RNs essentially have to always work under an MD, while RDs can work independently. Therefore, if an RD also becomes a CDE, that is just one more thing they can do.

  8. Chris Curry
    Chris Curry April 20, 2013 at 3:14 pm | | Reply

    Excellent article. I have often wondered how I could put all this knowledge and experience to good use. Not that I am planning on being a CDE. I do often get phone calls from newly diagnosed friends to get information on diabetes. I consider myself as a resource and a teacher at times. Because I have walked to the walk and am constantly researching and reading about my illness.
    Thanks Wil.

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