American Diabetes Association
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Role and Perspective of Certified Diabetes Care and Education Specialists in the Development of the 4T Program

posted on 2024-01-19, 17:15 authored by Jeannine C. Leverenz, Brianna Leverenz, Priya Prahalad, Franziska K. Bishop, Piper Sagan, Anjoli Martinez-Singh, Barry Conrad, Annette Chmielewski, Julianne Senaldi, David Scheinker, David M. Maahs

The Diabetes Control and Complications Trial (DCCT) clearly delineated the benefits of intensive diabetes management in preventing long-term complications in people with insulin-dependent diabetes (1). Despite the data from the DCCT, a majority of youth with type 1 diabetes do not meet glycemic targets. One aspect of the DCCT intervention was frequent insulin dose adjustments by a care team member. Although this was a landmark clinical trial, translation of its findings into clinical practice has been challenging because of barriers in implementing glucose data-sharing technology and clinical time constraints. There is also a shortage of diabetes care team members (2) to review glucose data and communicate insulin dosing advice and provide diabetes self-management education and support (DSMES). In particular, there is a nationwide shortage of certified diabetes care and education specialists (CDCESs) (2).


Lucile Packard Children’s Hospital LPCH Auxiliaries

U.S. Department of Health and Human Services > National Institutes of Health > National Institute of Diabetes and Digestive and Kidney Diseases R18DK122422

U.S. Department of Health and Human Services > National Institutes of Health P30DK116074 to Stanford Diabetes Research Center

Stanford REDCap Platform x UL1 TR001085


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