Development of the NDEOS was based on integrating diabetes education into the diabetes care system; identifying and tracking standardized learning, behavioral, and clinical outcomes measurements; and gathering data at the individual, program, and national levels. The position statement was written by representatives of the ADA, American Association of Diabetes Educators (AADE), and Academy of Nutrition and Dietetics (AND). The second purpose was to identify the influences, resources, and constraints that affect and alter the attitudes and practices of diabetes educators. Those who did not improve any aspect of self-care reduced their mean glycohernoglobin frorn 9.7 to 9.0. Evidence indicates that persons with diabetes have lower serum concentrations of vitamin D. Transcripts underwent a qualitative content analysis approach. What if we started choosing healthy lifestyle habits before our bodies started telling us they were sick?
Patient-centered care is the pillar of care coordination, which is typically needed during transitions of care to prevent high-cost readmission or emergency department visits. Clinical trials show that lowering A1C to the 7-8% range dramatically improves both microvascular and macrovascular complications.8,9 However, further lowering of A1C to < 7% is unlikely to further reduce heart disease10,11 and may worsen mortality rates and cardiovascular event rates in some patient subgroups.10,12 On the other hand, more intensive blood pressure and LDL cholesterol control dramatically lower mortality and cardiovascular events in those with type 2 diabetes.13,14 Recent evidence adds controversy regarding the benefits of aspirin for primary prevention of heart disease in the diabetic population, but pending more definitive studies, the national guidelines have not changed.15-17 Aspirin use is still a strong recommendation for those with diabetes and known cardiovascular disease.18The new journey to better outcomes and quality of life for patients with type 2 diabetes is through blood pressure and LDL cholesterol control, along with aspirin use when indicated, and non-use of tobacco. Rebecca is a registered dietitian with specially training in diabetes education. About Easton Hospital Easton Hospital is a 254-bed acute care teaching hospital serving more than 300,000 residents in Northampton County and the five surrounding counties in Pennsylvania and New Jersey. Founded in 1890, the hospital celebrated its 125th anniversary in 2015. Easton Hospital offers an active Emergency Department which sees more than 32,000 annual visits; a cardiac care program recognized as an accredited Chest Pain Center and one of 55 designated Heart Attack Receiving Centers in the country; a Center for Orthopedics, Joint and Spine which is accredited by the Joint Commission for both total-hip and total-knee replacement; a certified Primary Stroke Center; a Surgical Weight Loss program designated as an accredited center in Bariatric Surgery; and the Easton Regional Cancer Center which is a member of the Sidney Kimmel Cancer Network at Jefferson. In addition, the hospital maintains two free-standing, fully-accredited residency training programs in surgery and internal medicine.