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IN PRACTICE PRACTICE PAPER The Role of the Diabetes Care and Education Specialist in Caring for Diabetes Complications and Common Comorbid Conditions ANNE M. MISHER, PHARMD, MBA, BCACP, BC-ADM, CDCES JENNIFER L. ROSSELLI, PHARMD, BCPS, BCACP, BC-ADM, CDCES CHRISTINE A. SCHUMACHER, PHARMD, BCPS, BCACP, BCCP, BC-ADM, CDCES, FCCP MICHAEL SEE, MS, CEP, CDCES Comorbid conditions and complications fractures, human immunodeficiency viruses, associated with diabetes are commonly hypotestosteronemia, obstructive sleep apnea, experienced by people with diabetes and cause depression, and anxiety. significant burdens on the individual, the diabetes The diabetes care and education specialist care team (DCT), and the health care system. It is (DCES) has the knowledge and training to estimated that 98% of adults with type 2 diabetes collaborate with the interprofessional team and have 1 comorbid condition and that 89% have implement routine screenings for diabetes- at least 2 comorbidities. The detrimental effects related complications according to general care of hyperglycemia manifest as microvascular or standards. Based on individual presenting factors, macrovascular complications encompassing the DCES can facilitate referrals to diabetes self- coronary artery disease, stroke, peripheral arterial management education and support (DSMES) disease (PAD), retinopathy, nephropathy, and and medical nutrition therapy (MNT) when neuropathy. There are
ADCES in Practice – SAGE
Published: May 1, 2021
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