Q. I have diabetes and I want to be one of the helpful people who helped me. They helped me plan meals and understand my diabetes and everything. What would I have to do, school wise, and would I be allowed to since I HAVE diabetes? And I can't think of what the professional title of the job is...I just call mine my diabetes counselor but idk if thats the real title. Any help is appreicated! Thanks!
A. The official certification is a "CDE" -- Certified Diabetes Educator.
This is typically an RN (Registered Nurse) OR a Registered Nutritionist/Dietician; other typical disciplines include pharmacists, doctors, and physical therapists. Other medical people can certainly become a CDE, but it might be much harder for them, not having the scientific background. Also, people who do NOT have a CDE certainly can and do effectively teach clients/patients about management of diabetes. But, of course, the CDE certification proves that the person has had extensive experience and training beyond the ordinary.
To sit for the official CDE exam and become certified, a person must first have the prerequisite experience and education. Here is a direct cut and paste from the CDE website:
" Since 1986, the National Certification Board for Diabetes Educators has offered certification in the field of diabetes education.
The Certification Process for Diabetes Educators to obtain the credentials "Certified Diabetes Educator" is discussed below. These requirements are from the NCBDE website, at http://www.ncbde.org/eligibilityreq.html
Eligibility Requirements for Initial Certification
To qualify for the Certification Examination for Diabetes Educators, the following requirements must be met:
1. Professional Education
A. An active, unrestricted license from the United States or its territories as a registered nurse, occupational therapist, optometrist, pharmacist, physical therapist, physician (M.D. or D.O.), physician assistant, podiatrist, or registration as a dietitian by the Commission on Dietetic Registration.
OR
B. A minimum of a master's degree, from a United States college or university accredited by a nationally recognized regional accrediting body, in one of the following areas: nutrition, social work, clinical psychology, exercise physiology, health education, or specified areas of study in public health*.
*Advanced degrees in public health must be in an area of concentration specific to health education, health promotion, health and social behavior, or health communications.
2. Professional Practice Experience
After meeting the education requirement and before applying for the Certification Examination, all (A through C) of the following requirements must be met:
A. A minimum of two years (to the day) of professional practice experience in diabetes self-management education in health care settings within the United States or its territories.* Only experience occurring AFTER completing the education requirement may be counted toward this requirement.
AND
B. A minimum of 1,000 hours of diabetes self-management education experience within the past five years.* Work experience is defined as employment in diabetes patient education for compensation.
All experience must be in health care settings within the United States or its territories.
AND
C. Current employment in a primary role as a diabetes educator a minimum of four hours per week, or its equivalent, at the time of application.
* All professional practice experience requirements must be met at the time of application. "
************
the exam itself, which currently costs $350, is difficult and extremely detailed. Continuing Education credits are required each year to maintain the right to call yourself "Certified."
so, it's a long-range goal, and usually takes a few years to achieve. That's why someone who is an actual CDE really knows his / her stuff!
i hope this helps! Having diabetes yourself gives you the personal experience to really relate to your clients. I believe this is really helpful as a CDE. Good luck!
This is typically an RN (Registered Nurse) OR a Registered Nutritionist/Dietician; other typical disciplines include pharmacists, doctors, and physical therapists. Other medical people can certainly become a CDE, but it might be much harder for them, not having the scientific background. Also, people who do NOT have a CDE certainly can and do effectively teach clients/patients about management of diabetes. But, of course, the CDE certification proves that the person has had extensive experience and training beyond the ordinary.
To sit for the official CDE exam and become certified, a person must first have the prerequisite experience and education. Here is a direct cut and paste from the CDE website:
" Since 1986, the National Certification Board for Diabetes Educators has offered certification in the field of diabetes education.
The Certification Process for Diabetes Educators to obtain the credentials "Certified Diabetes Educator" is discussed below. These requirements are from the NCBDE website, at http://www.ncbde.org/eligibilityreq.html
Eligibility Requirements for Initial Certification
To qualify for the Certification Examination for Diabetes Educators, the following requirements must be met:
1. Professional Education
A. An active, unrestricted license from the United States or its territories as a registered nurse, occupational therapist, optometrist, pharmacist, physical therapist, physician (M.D. or D.O.), physician assistant, podiatrist, or registration as a dietitian by the Commission on Dietetic Registration.
OR
B. A minimum of a master's degree, from a United States college or university accredited by a nationally recognized regional accrediting body, in one of the following areas: nutrition, social work, clinical psychology, exercise physiology, health education, or specified areas of study in public health*.
*Advanced degrees in public health must be in an area of concentration specific to health education, health promotion, health and social behavior, or health communications.
2. Professional Practice Experience
After meeting the education requirement and before applying for the Certification Examination, all (A through C) of the following requirements must be met:
A. A minimum of two years (to the day) of professional practice experience in diabetes self-management education in health care settings within the United States or its territories.* Only experience occurring AFTER completing the education requirement may be counted toward this requirement.
AND
B. A minimum of 1,000 hours of diabetes self-management education experience within the past five years.* Work experience is defined as employment in diabetes patient education for compensation.
All experience must be in health care settings within the United States or its territories.
AND
C. Current employment in a primary role as a diabetes educator a minimum of four hours per week, or its equivalent, at the time of application.
* All professional practice experience requirements must be met at the time of application. "
************
the exam itself, which currently costs $350, is difficult and extremely detailed. Continuing Education credits are required each year to maintain the right to call yourself "Certified."
so, it's a long-range goal, and usually takes a few years to achieve. That's why someone who is an actual CDE really knows his / her stuff!
i hope this helps! Having diabetes yourself gives you the personal experience to really relate to your clients. I believe this is really helpful as a CDE. Good luck!
I am having pre-diabetes condition yet i took in 1 ice cream and other things, could i have got diabetes?
Q. I was diagnosed with pre-diabetes but I brought down my blood sugar to normal , yet recently i took in 1 ice cream cone, several seedless grapes, 2 oranges and 2 bananas. Could these eatables have given me diabetes, as I have not yet gone for the tests?
A. I have Type 2 diabetes, the impaired ability of the body to regulate the level of sugar in the bloodstream. Because of my size and lifestyle I was always going to be at risk - very tall, overweight, though not defined as obese.
As you get older the risk increases because of fat build-up; moreso that I would have thought, until it happened to me.
The ice-cream is the greatest risk in the list you have provided; because it contains fats (and sugars). The glucose and fructose in the rest will raise the blood sugar level. Bananas are a great source for rapidly recovering from a low (hypo) by type 1 diabetics - AND they have no fat!
You will not get type 2 diabetes from eating that list of foods, even in one setting.
However, you will increase the likelihood of developing diabetes if you eat foods that are high in sugar in conjunction with fatty/oily foods. It's the fats that prevent the insulin getting to the cells to use the sugars, so the sugar levels in the blood stay high and contribute to the other problems of diabetes, including circulatory disease, etc.
So it's both the fats and sugars that increase the risk of NIDDM [non-insulin dependent diabetes meletes (sic?)]
No those edibles did not give you diabetes; your excesses of them will increase your likelihood of develpong, not catching, diabetes.
As you get older the risk increases because of fat build-up; moreso that I would have thought, until it happened to me.
The ice-cream is the greatest risk in the list you have provided; because it contains fats (and sugars). The glucose and fructose in the rest will raise the blood sugar level. Bananas are a great source for rapidly recovering from a low (hypo) by type 1 diabetics - AND they have no fat!
You will not get type 2 diabetes from eating that list of foods, even in one setting.
However, you will increase the likelihood of developing diabetes if you eat foods that are high in sugar in conjunction with fatty/oily foods. It's the fats that prevent the insulin getting to the cells to use the sugars, so the sugar levels in the blood stay high and contribute to the other problems of diabetes, including circulatory disease, etc.
So it's both the fats and sugars that increase the risk of NIDDM [non-insulin dependent diabetes meletes (sic?)]
No those edibles did not give you diabetes; your excesses of them will increase your likelihood of develpong, not catching, diabetes.
can I sue a doctor for prescribing the wrong medicine for diabetes that caused my heart problems?
Q. I have diabetes and took a medicine that cause my heart to lose over 50% of capacity. My cardiologist and this doctor who prescribed the wrong medicine never communicated with each other as to which medicine I was taking and if the one that I took for diabetes was bad for my heart.
A. It would really be helpful to know what medication you are talking about. If a physician prescribes the 'wrong medication' and it this medication lead to 'harm' then yes you have a solid basis for a malpractice suit. The initial problem is in defining what is the right and / or wrong medication. It is not uncommon for a drug to be widely utilized before we become aware of potential problems. I am not able to think of a diabetic medication that might cause your heart to lose 50% of capacity (I am not certain what you mean by this). The thiazolidinediones pioglitazone (Actos) and rosiglitazone (Avandia) are both presumed to have the potential for cardiovascular complications. Rosiglitazone should have been abandoned several years ago after it became clear that there was a link with myocardial infarctions (heart attacks) although this was not known when the drug was approved. Pioglitazone carries a warning that it may cause or worsen systolic heart failure. If the clinical studies are examined carefully the data does not support this conclusion. It is true that pioglitazone may lead to swelling in the feet and ankles but this does not in and of itself indicate heart failure. If you provide me with more specific information I will try to be of further assistance. I wish you the very best of health and in all things may God bless.
How are volunteers selected to test a medicine in human clinical trials before it is released for sale?
Q. Do the volunteers already have some illness that there is a chance the medicine could cure in testing?
If so, for most illnesses (e.g. diabetes) medicines already exist that would be safer for the patient to use. Also the people who may look to untested medicines because no existing medicine works would not make up a reliable sample for people affected by the illness, right?
Are the volunteers given money? If so, how do they acquire the illness the medicine is designed to cure?
What is the main motivation for volunteering in human clinical trials?
If so, for most illnesses (e.g. diabetes) medicines already exist that would be safer for the patient to use. Also the people who may look to untested medicines because no existing medicine works would not make up a reliable sample for people affected by the illness, right?
Are the volunteers given money? If so, how do they acquire the illness the medicine is designed to cure?
What is the main motivation for volunteering in human clinical trials?
A. Clinical trials are highly regulated by the FDA with a clear set of guidelines and procedures that must be followed. The selection of potential candidates must be clearly defined by a very specific criteria, which is in turn must also be approved by the FDA. This criteria largely depends on a number of factors, including the type of drug, age, lifestyle, etc.
Usually, there is two types of testing: compensated and uncompensated. The uncompensated is what most people are familiar with, which usually comes in the form of treating patients with a terminal illness or a disorder that currently has no effective treatments. The compensation for participation is being possibility of being cured or at least have improved symptoms instead of monetary values. The other form, compensated testing, is found typically in elective products, like cosmetics and weight loss pills, where the volunteer will get paid a certain amount upon completing the trial successfully and adhering to their protocols.
"How do they acquire the illness the medicine is designed to cure?" Humans aren't lab rats, so it is unethical and illegal to induce any condition that alter health of an individual negatively. Again, the individuals selected must either already have the condition the product is intended to treat or at least show clear signs that they can benefit from its use. In most cases, even the latter is not enough to volunteer.
Usually, there is two types of testing: compensated and uncompensated. The uncompensated is what most people are familiar with, which usually comes in the form of treating patients with a terminal illness or a disorder that currently has no effective treatments. The compensation for participation is being possibility of being cured or at least have improved symptoms instead of monetary values. The other form, compensated testing, is found typically in elective products, like cosmetics and weight loss pills, where the volunteer will get paid a certain amount upon completing the trial successfully and adhering to their protocols.
"How do they acquire the illness the medicine is designed to cure?" Humans aren't lab rats, so it is unethical and illegal to induce any condition that alter health of an individual negatively. Again, the individuals selected must either already have the condition the product is intended to treat or at least show clear signs that they can benefit from its use. In most cases, even the latter is not enough to volunteer.
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