Wednesday, November 20, 2013

Hi everyone,
I am just about to embark on a 3 year journey as American Association of Diabetes Educators (AADE) President elect, President and Past President so I thought it would be a great time to revive this blog to remember all of my experiences and travel as well as the new people I meet! If you see that I am attending a diabetes meeting that you will also be attending, please email me and let me know.  My goal is to connect with as many individuals as I can. I am really hoping to meet many diabetes e-patients around the US and world wide. I am hoping this blog will help me keep a record of all of my experiences and to capture some key moments in my life.

Although not officially representing AADE, I will be attending and speaking at the International Diabetes Federation World Congress in Melbourne, Australia December 2-6, 2013. This will kick off my adventures!  Please let me know if you will be attending the conference so we can say hello! I will be presenting on Wednesday, December 4 regarding diabetes self-management support using Telehealth communications. I will also be presenting a poster related to my dissertation research, specifically data from a systematic review of Telehealth clinical trials and the incorporation of key elements of structured self-monitoring of blood glucose.

I have been busy this fall, I presented a Webinar on the e-Patient in diabetes education in October and was interviewed live streaming on Tu Diabetes.  In November I sat on a panel during an advocacy meeting in Palm Springs, CA where we focused on the ADA Safe at School program. While in Palm Springs I participated in the ADA 5K walk through the beautiful La Quinta golf course. I was so impressed that the resort closed their golf course on a beautiful Saturday morning in November!


Here we go!

Deb

Sunday, July 7, 2013

Exploration of the e-patient phenomenon in nursing informatics

Those of you who know me, know that I am very interested in the topic of the e-Patient.  When we published this paper last year, we realized that only academics with access to journals through a university library or those with journal subscriptions would be able to read this paper and learn along with us.  We asked if there could be open access to this paper so that patients would be able to read our paper and know that there were clinicians in practice that welcomed and encouraged engaged patients, but unfortunately it did not happen.  Today while searching for something unrelated, I came across our paper online in a PDF format so thought I would share.

http://www.nursingconsult.com/nursing/journals/0029-6554/full-text/PDF/s0029655411003587.pdf?issn=0029-6554&full_text=pdf&pdfName=s0029655411003587.pdf&spid=25426495&article_id=1090306

If you are going to the American Association of Diabetes Educators meeting in Philadelphia next month, Perry Gee and I will be presenting on this topic as it specifically relates to diabetes.  We are looking forward to taking the conversation to more clinicians and e-Patients in the future.

Back to school writing now.....

Strip Safely

I have not posted in quite a while, just a few things going on in my life that have gotten in the way! But this recent campaign encouraged me to send letters to my congressman and the FDA.
Please check out this link and if so inclined please write a letter yourself.  Strip Safely 

 StripSafely

The is the intro to my letter, a true story that happened just a couple of days ago. 



Jeffrey Shuren, MD JD
jeff.shuren@fda.hhs.gov
Director, Center for Devices and Radiological Health
Food and Drug Administration
10903 New Hampshire Avenue, WO66-5442,
Silver Spring, MD 20993



July 7, 2013



Dear Dr. Shuren.


I am a certified diabetes educator and also a friend of many people with diabetes, both type 1 and type 2. I am also a researcher conducting a study in individuals with type 2 diabetes focusing on blood glucose monitoring.  I cannot tell you how many messages I receive from patients confused and upset that their blood glucose values vary dramatically between tests and between meters. These people are working so hard to improve their glucose control and are diligently testing and confirming their values, just to learn that the range can be so incredibly different.  This past week a patient had a blood glucose value of 548, she called frantic trying to decide what she should do.  She then tested on a second meter she had at home and the value was 323. When I told her that I was not at all surprised by the drastically different value she was in shock.  A variance of 20% could indicate that the real value may be between 440-656, or 259-387.  How do you make an informed, educated decision knowing the real value is somewhere between 259 and 656?  No one should live with a chronic disease and have to face daily challenging decisions that may impact life or death based on their actions.  We can fix this problem and we need your help!  It is not asking too much to be able to reassure a worried person that at least their glucose value is accurate while they face the other multitude of issues required to live and be healthy with diabetes. I urge you to please address this issue soon.


Deborah Greenwood, PhDc, RN, MEd, CNS, BC-ADM, CDE, FAADE