Corinna Cornejo on Type 2 Diabetes: are we headed in the wrong direction?

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Diagnosed in 2009 with type 2, Corinna was surprised by how little she knew about diabetes. She went looking for reliable, science-based info on how to manage life with diabetes and found TuDiabetes.org, which she joined in 2010.

Corinna has been known to raise her voice in support of healthcare access for all people living with diabetes. And as a second generation US-born Mexican American Corinna is particularly concerned about the effect the diabetes epidemic is having on Latino communities and communities of color.

Corinna shares her musings on life with type 2 diabetes on her blog at spinningdinnerplates.com and on Twitter @spinningdplates.


Big Blue Test Grantee: CarbDM, reaching underserved populations Northern California

1pm PT, 4pm ET, 8pm GMT

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Carb DM will be using the fall 2015 Big Blue Test grant to serve two underserved populations in the Northern California area.  Asian Outreach Day is a program dedicated to the Asian community with type 1 diabetes. The program focuses on balancing type 1 diabetes and Asian cultures. The Asian Outreach Day features personal stories of people living with type 1 diabetes, a research update, understanding the benefits of exercise and type 1 diabetes and carb counting in Asian cuisine. The goal of the program is to help people from Asian cultures have a more open approach to their condition and be willing to self-advocate for themselves and their children. They also hope to help reduce the shame and mental burden of diabetes while increasing the connections among community members so they can build a network of support.

The second program that Carb DM will use the Big Blue Test grant award for will serve the Latino population in their community. Their goal with this program is to reach out to every newly diagnosed Latino family through connections at local hospitals and healthcare clinics.

These two programs are only a small fraction of Carb DM’s overall program offerings. Carb DM’s mission is to build a supportive community that improves the quality of life for people living with type 1 diabetes. They foster connections among people with diabetes, their loved ones, and medical professionals.

Now in their fifth year of operation, Carb DM offers over 80 programs a year to people of all ages and all levels of experience with type 1 diabetes. Carb DM currently serves over 1,000 families in the San Francisco Bay Area through a wide variety of programs that are geared toward people with type 1 diabetes and their caregivers.

Tamar Sofer-Geri, Carb DM Founder and Executive Director

Soon after her daughter’s diagnosis with type 1 diabetes in early 2009, Tamar Sofer-Geri realized that fellow parents of children with T1D are the true experts on managing the complexities of living with the condition. The more parents she met, talked with, and eventually mentored, the more apparent was the need for face-to-face interactions among parents, children, and families living with T1D in order to normalize their experience, share information, and get peer support. In 2011 Ms. Sofer-Geri founded Carb DM, Inc., a registered non-profit serving families and individuals living with T1D in the San Francisco Bay Area.

Prior to founding Carb DM, Ms. Sofer-Geri worked at Stanford University’s Office of Development and the Stanford Graduate School of Business for the better part of 15 years. Before moving to the US in 1996, Tamar graduated from Tel Aviv University with a degree in Political Science with a focus on Political Communication. She also wrote for The Jerusalem Post, at the time the only English-language daily newspaper in Israel.


T2 Series: Susan Guzman, “Rebranding Diabetes”

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In her last interview on TuDiabetes Susan discussed the shame and blame that people with type 2 diabetes often face, as a result of widespread misunderstanding about what causes this condition, and what it really is.  This week’s discussion will continue that conversation, but move into ideas about how to change the general public concept of type 2 diabetes from one molded by misunderstanding, misinformation and stereotyping into one of compassion, understanding and admiration for the millions of people working hard to thrive with type 2 diabetes.

Susan Guzman, PhD is a clinical psychologist specializing in diabetes. Her clinical and research focus areas include overcoming emotional challenges that interfere with management, family issues, and promoting attitudes that support living well with diabetes, from diagnosis throughout life. Dr. Guzman integrates empathy, acceptance and practical guidance to help people better utilize their strengths in living life with diabetes.

In 2003, Dr. Guzman co-founded the Behavioral Diabetes Institute (BDI), the first non-profit organization devoted to the emotional and behavioral aspects of living with diabetes. At BDI, she has served as the Director of Clinical/Educational Services developing and leading programs for people with diabetes and their families. She developed and led many of BDI’s clinical programs, including “Defeating the Depression/Diabetes Connection” (an intensive, multi-week series), the “Just for Parent’s Program” and “Living Well with Complications” workshop. She also held programs for women with type 1 diabetes, spouses/partners, men with diabetes, and other specialized psycho-educational programs for those with diabetes.

Dr. Guzman received her PhD in Clinical Psychology with an emphasis in health psychology from the California School of Professional Psychology, San Diego in 1998. She specialized in diabetes following the completion of her post-doctoral fellowship at Scripps Mercy Hospital in San Diego where she served as the psychological liaison to Scripps Health’s Diabetes Advisory Committee.


#YesSalud TweetChat: learn from the experts!

10am PT, 1pm ET, 6pm GMT

In this twitter chat, common questions about diabetes will be asked, discussed and answered by folks in the know!  Join representatives from TuDiabetes (@diabeteshf), EsTuDiabetes(@esDiabeteshf), FDA (@FDAenEsapnol), USAgov in Spanish (@GobiernoUSA), Salud Today (@SaludToday),  and USAgov in English (@USAgov), to learn, share, discuss and raise awareness about this incredibly important and increasingly common condition.  Use #YesSalud and #SaludTues to participate!

The #YesSalud bilingual campaign, a collaboration between the Diabetes Hands Foundation online communities and USAGov, aims to raise awareness about diabetes; different types, prevention and how to help loved-ones with diabetes. Every week in November we are presenting a different theme, with the goal to provide as much information and as many resources to our community as possible.  Learn more about diabetes and this campaign here, and stay up-to-date with the themes and discussion by following @diabeteshf and @SaludTues.

In addition to presenting weekly themes for folks to learn about, throughout the month of November we are collecting questions from the public, to will be discussed and answered in a live interview on TuDiabetes on December 4th!  Please submit your questions on HERE, or via twitter or facebook using #YesSalud.

 


Your questions, answered!! #YesSalud Live interview with Lorena Drago and Marina Chaparro

1pm PT, 4pm ET, 8pm GMT

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Join us HERE at the time and date of the event

The #YesSalud bilingual campaign, a collaboration between the Diabetes Hands Foundation online communities and USAGov, aims to raise awareness about diabetes; different types, prevention and how to help loved-ones with diabetes. Every week in November we will be presenting a different theme, with the goal to provide as much information and as many resources to our community as possible.

Throughout the month of November the #YesSalud campaign has encouraged people to ask their diabetes-related questions HERE, or on twitter or facebook using #YesSalud.  We have been collecting these questions, and this live-streamed event will focus on discussing and answering them!!  Join us on December 3rd to learn what others have asked and how our experts, Lorena and Marina answer your questions.

Lorena Drago, MS, RD, CDN, CDE, is a registered dietitian, consultant and certified diabetes educator.  Lorena Drago

Lorena specializes in the multicultural aspects of diabetes self-management education and is an expert in developing culturally and ethnically-oriented nutrition and diabetes education materials. She founded, Hispanic Foodways which received the New York City Small Business Award in 2006. She developed the Nutriportion™ Measuring Cups that has the calorie and carbohydrate amounts of common foods embossed on each cup and the Nutriportion™ Hispanic Food Cards that have pictures and nutrition composition of common Hispanic foods.

Lorena served on the American Association of Diabetes Educators board of directors from 2006-2010, Chair for Latinos and Hispanics in Dietetics and Nutrition. She was Past President of the Metropolitan New York Association of Diabetes Educators in 2004. Lorena won the Diabetic Living People’s Choice Award in 2012.

She is the author of the book Beyond Rice and Beans: The Caribbean Guide to Eating Well with Diabetes published by the American Diabetes Association. She is a contributing author and co-editor of the book Cultural Food Practices and Diabetes, published by the Academy of Nutrition and Dietetics and print communications chair for the Diabetes Care and Education Specialty Practice Group of the Academy of Nutrition and Dietetics. Lorena’s new publication, The 15-Minute Consultation Guide will be published in 2016 by the Academy of Nutrition and Dietetics. Lorena has appeared on several national TV shows speaking about diabetes management.

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Marina Chaparro, RDN, CDE, MPH, is a bilingual pediatric and diabetes nutrition expert. She is a certified diabetes educator at Joe DiMaggio Children’s Hospital, where she provides comprehensive diabetes education to children and families and instructs patients on the latest technology advances in diabetes care.

Chaparro is an insulin pump and continuous glucose monitor trainer and is often asked to speak on topics such as childhood obesity, infant nutrition, diabetes and Latino Health issues. She is National Spokesperson for the Academy of Nutrition and Dietetics and has extensive experience providing science-based commentary to major media outlets such as The Huffington Post, Univision Media, Miami Herald and Reuter’s Health. Marina often contributes articles and story ideas to print and online communication channels where she translates nutrition science into practical every-day information for consumers. Chaparro is also the founder of Nutrichicos Children’s Nutrition Center, a bilingual nutrition center specializing in pediatric nutrition that offers individualized nutrition assessments & services in both Spanish and English.

On her blog, www.nutrichicos.com, Chaparro shares reliable, practical and science-driven recommendations to help parents and families meet the nutrition needs of their children. Marina has experience working at top diabetes institutions including Joslin Diabetes Center, Mass General Hospital and Miami Children’s Hospital. She is passionate about diabetes care since her diagnosis with type 1 Diabetes at age 17. Chaparro’s background includes clinical nutrition, public speaking, public health, research and program planning with a focus on Latino health issues. She co-created a successful nutrition and physical activity program for Hispanic adolescents and their mothers, called Healthy Chicas while working in Miami Children’s Hospital. Chaparro earned a specialty certificate in pediatric weight management. Marina is a graduate of Boston University and earned a master’s degree in public health from Florida International University.


Master Chat Series: Diabetes Distress and the Emotional Side of Diabetes

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The chronic aspect of diabetes is not an easy pill to swallow.  The magnitude of its effects in an individual’s lifestyle can be both overwhelming and daunting, physically and emotionally.  Diabetes distress is the confluence of anxiety and depression that can result from the challenges of daily diabetes management.  This presentation aims to talk about the relationship between anxiety and diabetes management, as anxiety and stress go hand-in-hand and can potentially affect one’s quality of life.  In fact the combination of anxiety and diabetes can exacerbate symptoms, however signs of anxiety can often be overlooked by many people.  This presentation includes various helpful tips to manage anxiety along with diabetes, as well as ways to recognize anxiety in your own or a loved one’s life.

Based in Hong Kong, Vai Jun Lam (also known as VJ) is a registered dietitian who has worked with patients of multiple backgrounds and conditions.  Her areas of expertise include nutrition support and diabetes management.  After graduating from McGill University in Canada, she worked in a community center that focused on weight management for children.  For the past two years ago, she has been a founding part of a multidisciplinary diabetes care team in Hong Kong where she provides individual and group counseling in English, Mandarin and Cantonese.  Her great interest in diabetes led her to pursue a master’s degree at Teachers College Columbia University.

The Master Chat Series is an annual collaboration between TuDiabetes and Teacher’s College Columbia University’s Master of Science in Diabetes Education and Management program.  This 36-credit inter-professional master’s program is offered to clinicians who are currently in or interested in the diabetes field. As part of a course requirement, students present ‘Master Chats’ on a variety of topics they have chosen based on discussions taking place in the TuDiabetes community. Master Chats include a short presentation followed by a Q and A, and are an opportunity not only for TuDiabetes members to learn from students in this program, but also to give feedback to them in an effort to help them be the best care-givers they can be!


Master Chat Series: Gastric Bypass Surgery and Type 2 Diabetes

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Type 2 diabetes accounts for approximately 95% of all cases of diabetes, with obesity being the primary cause. Current approaches to managing type 2 diabetes include lifestyle intervention (weight loss, food choices, exercise) and medications. Heidi will highlight how bariatric surgery can be a powerful tool for weight loss for appropriate candidates. Gastric bypass surgery may improve type 2 diabetes, and may enable some people with type 2 diabetes to go off certain medications. Heidi will share her own journey with type 2 diabetes and life after bariatric surgery.

Heidi C. Hartmann-Rothe has been a Registered Nurse for more than 15 years, is a Mayo Clinic Certified Wellness Coach, and is currently pursuing her Masters of Science in Diabetes Education and Management at Teachers College Columbia University. She volunteers for Health and Hospitals Corporation in the Diabetes TeleHealth Program and is working toward becoming a Certified Diabetes Educator. Heidi also volunteers at Columbia-Harlem Homeless Medical Partnership, a free medical clinic run by medical students for the uninsured/underinsured/homeless in Harlem, where she is providing diabetes education and building a Diabetes Education Program. Heidi lives in midtown Manhattan, New York, with her husband and two very spoiled cats.

The Master Chat Series is an annual collaboration between TuDiabetes and Teacher’s College Columbia University’s Master of Science in Diabetes Education and Management program.  This 36-credit inter-professional master’s program is offered to clinicians who are currently in or interested in the diabetes field. As part of a course requirement, students present ‘Master Chats’ on a variety of topics they have chosen based on discussions taking place in the TuDiabetes community. Master Chats include a short presentation followed by a Q and A, and are an opportunity not only for TuDiabetes members to learn from students in this program, but also to give feedback to them in an effort to help them be the best care-givers they can be!


Master Chat Series: Diabetes Burnout and How Your Healthcare Team Can Help

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Download Esther’s slides here:  Diabetes Burnout

Diabetes is a chronic disease, and sometimes people with diabetes feel overwhelmed and discouraged by the many roles and responsibilities involved with managing diabetes. Sometimes they become disillusioned and discouraged, and engage in behaviors that put them at risk for developing complications. This combination of feelings and behaviors are termed “diabetes burnout”.

This talk by Esther Igu, RN, MS, examines factors that contribute to diabetes burnout, including what role the healthcare team may play in perpetuating diabetes burnout, and what strategies can be implemented to address burnout by the patient, and in what ways the healthcare team can facilitate managing burnout in patients with diabetes.

Esther lives in San Francisco, where she works as an inpatient nurse on a step-down unit. She has been a nurse for ten years and previously worked as a diabetes educator in a community hospital. Esther is interested in the factors that lead to diabetes burnout and strategies to prevent and address it.

The Master Chat Series is an annual collaboration between TuDiabetes and Teacher’s College Columbia University’s Master of Science in Diabetes Education and Management program. This 36-credit inter-professional master’s program is offered to clinicians who are currently in or interested in the diabetes field. As part of a course requirement, students present ‘Master Chats’ on a variety of topics they have chosen based on discussions taking place in the TuDiabetes community. Master Chats include a short presentation followed by a Q and A, and are an opportunity not only for TuDiabetes members to learn from students in this program, but also to give feedback to them in an effort to help them be the best care-givers they can be!


Live interview: study of post-operative glycemic control in PWD

1pm PT, 4pm ET, 8pm GMT

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Join us HERE at the time and date of the event
This recent Kaiser Permanente study of a pharmacy-led glycemic control program has linked it to improved outcomes for surgical patients with diabetes and those who develop stress-induced hyperglycemia as a result of surgery.
The study compared patients who had surgery after the glycemic control program started to patients who had surgery before the program started, and found that patients in the glycemic control program were more than twice as likely to have well-controlled blood sugar after surgery. They also had fewer post-surgical complications and associated costs, fewer hospital readmissions and fewer visits to the emergency department.
Join us to learn about this study from its authors, David Mosen, PhD, MPH and Karen Smith Mularski, MD, and pharmacist Betty Young.
David Mosen

 

David Mosen, PhD, MPH

Dr. David Mosen is a health services researcher who specializes in quality of care improvements within health delivery systems. Dr. Mosen has two roles at the Kaiser Permanente Center for Health Research (CHR)in the Northwest, a nonprofit research institution dedicated to advancing knowledge to improve health.  He is the director of CHR’s Research Response Team, a facilitative body that helps Northwest Permanente physicians conduct non-funded health services research, quality improvement studies, program evaluations, and small “data-only” studies. He is also a Senior Program Evaluation Consultant and Affiliate Investigator with CHR. In this role, he conducts quality improvement studies in the areas of:

  • Understanding the effectiveness of care management programs delivered in Kaiser Permanente
  • Examining the medical health benefits of medical/dental integration
  • Improving glycemic control for adults with diabetes.

In addition, he studies characteristics of providers and health systems associated with quality of care measures and health outcomes, such as improving early cancer detection and disease prevention screening efforts and patient activation. The core of Dr. Mosen’s work is harnessing the great analytic and evaluation assets CHR has to provide practice answers for care delivery in Kaiser Permanente and Kaiser Permanente Northwest.

 

Karen Smith Mularski, MDScreen Shot 2015-11-05 at 10.24.55 AM

Dr Mularski is board certified in Internal Medicine with a focused practice in Hospital Medicine. She received her B.S. in Physiology from the University of California, Davis and her M.D. from the University of California, San Diego. She completed training in Internal Medicine at Oregon Health and Science University and is a Hospitalist and Senior Physician withNorthwest Permanente; since 2009 she has been the Lead Physician for the Regional Inpatient Glycemic Control Program for the Northwest Region. Dr. Mularski was a national collaborator in the Society of Hospital Medicine’s (SHM) Glycemic Control Initiative, has presented her work at the SHM’s annual meeting, and was recognized by her peers in 2012 as one of Portland’s Top Doctors. She lives in Portland with her husband, a pulmonary/critical care physician also with Northwest Permanente and her two children and enjoys running, biking, yoga, outdoor adventures, raising backyard chickens, and exploring Portland’s amazing and quirky food and wine scene.

 

Betty Young, MS, RPhBetty Young

Betty Young earned both her BS and MS degrees in Pharmacy from  Oregon State University in Corvallis, Oregon.  She completed her pharmacy residency at Portland VA Medical Center in Portland, Oregon.  She has held both clinical pharmacist and management positions.  Her career began in Tucson, Arizona at Tucson Medical Center and Rehab Institute of Tucson.  In 1993, she returned to Oregon,  continuing her career at Kaiser Permanente’s Sunnyside Medical Center in Clackamas, Oregon.  She has been on the Glycemic Control Team since 2009 and currently is the lead glycemic pharmacist


Master Chat: traveling with diabetes

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Traveling with diabetes can be challenging! People with diabetes often feel restricted from traveling due to fear of inadequate supply of medications. With proper preparation, however, traveling with large amounts of medication can be accomplished safely. Community pharmacists understand that medications and supplies are expensive, difficult to replace and have travel restrictions. We will discuss what documentation to carry, how to store medications, what to do if you run out while traveling, and precautions when purchasing medications in another country.

Dana Schaeffer-Cherashore, RPH, is a community pharmacist who practices in the Philadelphia area. She earned her pharmacy degree from the Arnold and Marie Schwartz College of Pharmacy in Brooklyn, NY, and completed her pharmacy internship at the Mount Sinai Hospital in NYC. Dana promotes the community pharmacy as a setting that can add value to a person’s diabetes care.

The Master Chat Series is an annual collaboration between TuDiabetes and Teacher’s College Columbia University’s Master of Science in Diabetes Education and Management program. This 36-credit inter-professional master’s program is offered to clinicians who are currently in or interested in the diabetes field. As part of a course requirement, students present ‘Master Chats’ on a variety of topics they have chosen based on discussions taking place in the TuDiabetes community. Master Chats include a short presentation followed by a Q and A, and are an opportunity not only for TuDiabetes members to learn from students in this program, but also to give feedback to them in an effort to help them be the best care-givers they can be!


Type 2 Series: Exercise and Type 2 Diabetes with Joanne Duncan-Carnesciali

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Joanne Duncan-Carnesciali is an experienced health, wellness and fitness professional. She is a doctoral candidate studying health education in the Health & Behavior Studies Department of Teachers College, Columbia University. Her research focuses on the effectiveness of a diabetes self-management program delivered using avatar-based technology. In addition to being an independent diabetes educator, she is currently an adjunct associate professor at the Sophie Davis School of Biomedical Education teaching the Practice of Medicine 2 to third year medical students. She has earned a masters degree in Diabetes Education and Management from Teachers College, Columbia University, a masters degree in Exercise Science and Health Promotion from California University of Pennsylvania and is a certified diabetes educator, certified health education specialist, a certified health coach through Wellcoaches, and an American College of Sports Medicine Registered Clinical Exercise Physiologist.

This live-streamed interview focuses on Exercise and Type 2 Diabetes, specifically the following:

1. The importance of having a health screening before engaging in exercise
2. Importance of understanding one’s risk(s)
3. Avoiding a hypoglycemic event
4. Acute and chronic adaptations to exercise
5. Exercise recommendations
6. HbA1c – What exactly is it?