The Johnson & Johnson Diabetes Institute, in partnership with The Diabetes Influencers Network, has launched a series of Twitter chats from August through December 2016 geared to diabetes healthcare professionals. Topics will cover the gamut from using social media for career growth to helping clients accept the diagnosis of diabetes to offering guidance on healthy restaurant eating.
These lively Twitter chats will be facilitated by Hope Warshaw, MMSc, RD, CDE, BC-ADM. Warshaw is a Johnson & Johnson Diabetes Institute Faculty member and is serving during 2016 as president of the American Association of Diabetes Educators.
Our recent Twitter chat took take place on Thursday, October 20 from 9:00 – 10:00 pm ET, 8:00 – 9:00 pm CT, 6:00 – 7:00 pm PT. The topic was: Smooth the Transition to Insulin in Type 2 Diabetes. Following is a summary of that Twitter chat.
|maureensrn||Resistance may manifest as-> denial of current status; bargain for another trial of oral meds #DiabetesINFL|
|doctablet||Major educational goal of diabetes management in primary care setting would be to ensure basal #insulin is dosed safely #DiabetesINFL|
|nutritionjill||#ad See resistance in body language like crossed arms. #diabetes #DiabetesINFL|
|gabriellerdcde||Patients immediately think they’ve failed, how to overcome that emotion? #DiabetesINFL|
Tell me your concerns regarding insulin?
|nutritionjill||ad Resistance likely when the patient is not engaged in conversation. #DiabetesINFL|
|hopewarshaw||Open-ended question I use: Why do you think your provider recommends you start on insulin? You? #DiabetesINFL|
|gabriellerdcde||How does this step make you feel? #DiabetesINFL|
|maureensrn||Resistance may manifest as-> patient only shares bad outcome stories of insulin therapy#DiabetesINFL|
|askdrbev||As a clinical psychologist and CDE, I ask my patients w/T2D how they feel about starting insulin. #DiabetesINFL|
What is it about insulin that troubles you the most?
|doctablet||Have you ever known anyone on insulin #DiabetesINFL|
|hopewarshaw||Words I hear: “I just want to give staying on my diet and getting more exercise one more chance.” #DiabetesINFL|
|nutritionjill||ad: I ask questions like: What have you heard about taking insulin injections? That sure opens up conversation. #DiabetesINFL|
|hopewarshaw||Yes, how do you reframe? #DiabetesINFL https://t.co/0iWUpMRTta|
|askdrbev||Reluctance of PWDs T2D to start insulin is known as psychological insulin resistance. It’s helpful to address PWD’s fears. #DiabetesINFL|
|askdrbev||As a PWD living w/T1D for 41 years, I try to validate their resistance to starting injections. It’s normal to be anxious. #DiabetesINFL|
|corlansky||Do you know anyone using #insulin? #DiabetesINFL|
|hopewarshaw||Definitely!! Fears of insulin are REAL, present a hurdle. #DiabetesINFL https://t.co/jlyhCUQ5ZA|
|maureensrn||Assess patients previous exposure to those using insulin. Outcomes? Problems? Preconceived ideas? #DiabetesINFL|
|hopewarshaw||Open-ended question I use: What do you know abt taking insulin? Do you know ppl who take insulin? Their experiences? #DiabetesINFL|
|nutritionjill||But then often hear “cause I was bad.” So sad to hear this. #DiabetesINFL https://t.co/hII4sBo56L|
|corlansky||Starting #insulin does not mean you have not failed #DiabetesINFL|
|corlansky||Do you have family members on #insulin? #DiabetesINFL|
|doctablet||Insulin can often help your pancreas recover from the injury of high blood sugar #DIABETESINFL|
|hopewarshaw||How do you think having #diabetes helps you with this transition to insulin ppl face? #DiabetesINFL https://t.co/zc219qaZcj|
|maureensrn||Progression on diabetes does not equal failure of patient efforts! #DiabetesINFL|
|aprilsaundersrd||Ask them! “How do you feel about taking insulin?” Or “What are you thoughts on taking insulin”? #DiabetesINFL|
|hopewarshaw||Tx! Do you feel this resonates with ppl? Does it help over that psychological insulin resistance? #DiabetesINFL https://t.co/1MgUv15GNE|
|gabriellerdcde||Diabetes changes over time, so treatment does too. Does not = failure. #DiabetesINFL|
|hopewarshaw||Words I hear: “It’s just going to be too hard, inconvenient for me to manage taking insulin. So much to do.” You? #DiabetesINFL|
|hopewarshaw||Got to address this failure mentality! #DiabetesINFL https://t.co/hIwmXAuJ9j|
|gabriellerdcde||@hopewarshaw Yes, the idea just overwhelms them #DiabetesINFL|
|corlansky||I ask: Do you know anyone using #insulin? #DiabetesINFL|
|barbruhsrd||With so much innovation in insulin and how it’s delivered (pumps) diabetes can be well controlled #DiabetesINFL|
|predictbgl||Don’t need pump for good control – insulin + dose calculation gives same results at low cost #DiabetesINFL https://t.co/wOhv53f0rV https://t.co/Ig59lsY8M7|
|doctablet||# insulin is not dangerous if used correctly. it simply pushes sugar into the cell #DiabetesINFL https://t.co/YbR5u1fvH9|
|nutritionjill||ad: some mistakenly believe that insulin leads to severe complications of #diabetes #DiabetesINFL|
If I need insulin it means I failed to manage my diabetes.
|gabriellerdcde||The needle will be huge and hurt! #DiabetesINFL|
|maureensrn||Misconception-> insulin = patient failure d/t noncompliance of current therapy#DiabetesINFL|
|nutritionjill||ad And some think that they require insulin because they were “bad” or “failed” #DiabetesINFL|
Some associate insulin with more health problems down the road.
|hopewarshaw||Misconceptions often stem from ppl client knows/has known who take insulin. Suggest explore client’s beliefs #DiabetesINFL|
|maureensrn||Misconception-> insulin = too costly; too risky; too complicated#DiabetesINFL|
|maureensrn||Focus that insulin therapy is to get blood sugar regulated more quickly; reduce complications. #DiabetesINFL|
|hopewarshaw||Misconception: Taking insulin means I now have serious, bad diabetes. Do you hear this? #DiabetesINFL|
|nutritionjill||#client: When, in fact, there will be less if insulin is used as needed. Better glucose control is critical. #DiabetesINFL https://t.co/hFb56hL1vL|
|askdrbev||Most frequent misconception I hear from PWDs is self-blame and feeling guilty. I reassure them it’s not their fault. #DiabetesINFL|
|askdrbev||Many PWDs assume that taking shots will hurt. I explain that shots are given just under the skin – which does not hurt. #DiabetesINFL|
|hopewarshaw||Misconception: Taking insulin is painful b/c of sharp needles, sting insulin. Suggest let person feel insulin injection. #DiabetesINFL|
|gabriellerdcde||PWD think insulin = permanent. Were in denial before, thought they had touch of sugar. #DiabetesINFL|
|hopewarshaw||Do you let person just take/test/feel an injection? #DiabetesINFL https://t.co/PqzvWa3Usa|
|hopewarshaw||Misconception: Concern abt having regular hypoglycemia due to insulin. Suggest offer fact. Very low events in T2 #diabetes #DiabetesINFL|
|doctablet||Misconception that insulin delivery is complicated. I use the pen analogy to help simplify things some #DiabetesINFL https://t.co/HCVs4mMoec|
|gabriellerdcde||Yes! Show them the needle, let them take empty syringe and poke self #DiabetesINFL|
|gabriellerdcde||Many think it is needle like vaccine needle when its actually quite small #DiabetesINFL|
|corlansky||Don’t blame self for poor diabetes control #DiabetesINFL|
|corlansky||Misconception: I can’t ever eat what I want and now I’m being put on insulin. #DiabetesINFL|
|corlansky||Huge Misconception: Insulin causes weight gain #DiabetesINFL|
|hopewarshaw||Doesn’t have to does it. What helps prevent wt gain? #DiabetesINFL https://t.co/TZIXwwGDDh|
|nutritionjill||#client: fear of injection pain, hypoglycemia, fear that insulin leads to loss of limbs. #DiabetesINFL|
|hopewarshaw||Common fears abt taking insulin: Frequent hypoglycemia. Discuss likelihood, how to prevent, be prepared to treat. #DiabetesINFL|
|maureensrn||Insulin “injections” = negative feelings such as “drug addict” #DiabetesINFL|
|eatingsoulfully||Fear of Hypoglycemia, needles, injecting, weight gain #DiabetesINFL|
|nutritionjill||#client: And fear of weight gain, fear that they will always require insulin. #DiabetesINFL|
|gabriellerdcde||“I’m going to lose my toe like my aunt did” “I’ll never afford insulin” “I can’t eat anything now” #DiabetesINFL|
|maureensrn||Insulin therapy too complicated and risky ( higher risk of hypoglycemia) #DiabetesINFL|
|hopewarshaw||Concern frequent hypoglycemia. How do you discuss this w ppl w T2 #Diabetes? #DiabetesINFL|
|askdrbev||1 fear PWDs have is the fear of how big the needles are. Having never seen a pen tip, I show them how tiny it really is. #DiabetesINFL|
Allay fears by discussing needle size, ie smaller and thinner than ever before
|maureensrn||Additional therapy = additional costs. Insulin therapy may be financial threat. #DiabetesINFL|
|askdrbev||Fear of hypoglycemic episodes. We discuss strategies such as frequent blood sugar testing & treating w/fast acting carbs. #DiabetesINFL|
|eatingsoulfully||Allay fears by showing patients that injections are painless.|
|hopewarshaw||Common fears abt taking insulin: I’ll gain weight. Suggest assure doesn’t need to happen. Give strategies to prevent. You? #DiabetesINFL|
|eatingsoulfully||@HopeWarshaw I also give strategies to prevent weight gain. #DiabetesINFL|
|gabriellerdcde||@HopeWarshaw Carb counting. Mediterranean diet. Plate method #DiabetesINFL|
|corlansky||Fear of #hypoglyglycemia, #diabetes education is important! #DiabetesINFL|
|maureensrn||Address potential weight gain with routine weights, food journals, activity logbook. #DiabetesINFL|
|eatingsoulfully||I discuss the concept of carb counting to control amount of insulin required. #DiabetesINFL|
|corlansky||“Taking #insulin is not sexy. Will I have a sex life?” Good BG control is important! #DiabetesINFL|
|corlansky||Reassure ppl w/T2 #diabetes newer insulins mimic natural release of insulin #DiabetesINFL|
|corlansky||Show short needles and explain single use, less sting #DiabetesINFL|
|hopewarshaw||Discussion/concept T2 #Diabetes as “progressive” disease is new concept to many. I describe with real, actionable words. #DiabetesINFL|
|nutritionjill||#client: Many do not understand progressive beta cell failure. I like to say you did not fail, your pancreas did. #DiabetesINFL|
Absolutely! I explain that diabetes is a progressive disease.
|maureensrn||Patients must understand diabetes is progressive. #DiabetesINFL|
|nutritionjill||#client At 1st visit w/type 2 patient, I explain pathophysiology of disease & how their drugs fit into it. #DiabetesINFL|
|askdrbev||I explain as we age, we may need glasses to see better, hearing aids to hear better, & insulin to help the aging pancreas. #DiabetesINFL|
|maureensrn||Insulin therapy is not a sign of failure/noncompliance#DiabetesINFL|
|maureensrn||Insulin therapy is not a sign of failure/noncompliance #DiabetesINFL|
|askdrbev||To reduce psychological insulin resistance, it helps PWDs to “blame” their pancreas, not their failure, to start insulin. #DiabetesINFL|
|gabriellerdcde||Studies show patients prefer “diabetes changes over time” rather than word “progressive” #DiabetesINFL|
|maureensrn||Patient education is paramount on disease process and progression. #DiabetesINFL|
|hopewarshaw||What words do you use to describe T2 #diabetes w current knowledge as progressive disease, need for progressive therapies? #DiabetesINFL|
|eatingsoulfully||I also discuss the natural history of diabetes and pathophysiology. #DiabetesINFL|
|gabriellerdcde||Need to unpack all the tools in the tool box and insulin happens to be one of them #DiabetesINFL|
|doctablet||the pancreas can only work overtime for so long, it eventually needs help with insulin #DiabetesINFL https://t.co/rItsLpbmUK|
|hopewarshaw||I say, progression not your fault, failure to manage. It’s how we now know disease progresses. We didn’t know years ago. #DiabetesINFL|
|hopewarshaw||I say, due to progression you’ve got to match treatment/meds to current status. Healthy eating, exercise always help. #DiabetesINFL|
|hopewarshaw||I say, good thing abt insulin is that you can increase dose(s) as needed to control BGs. Work closely w your prescriber. #DiabetesINFL|
|eatingsoulfully||Diabetes is a progressive disease that requires progressive therapy for management. #DiabetesINFL|
|corlansky||Importance of staying on top of your blood glucose to prevent or slow down long term complications #DiabetesINFL|
|corlansky||Sometimes use #insulin in ppl w/T2 to get sugars down. May not be on #insulin rest of life #DiabetesINFL|
|nutritionjill||#client: I think some HCP believe their patients will not be compliant w/insulin treatment. #DiabetesINFL|
|maureensrn||HCP may be hesitant to insulin therapy d/t patient literacy, financial status #DiabetesINFL|
|gabriellerdcde||HCPs often let people try diet/exercise for too long #DiabetesINFL|
|hopewarshaw||Transitioning ppl w T2D to insulin has challenges: dealing w resistance, dosing, titrating dose(s). Takes time, follow up. #DiabetesINFL|
|maureensrn||HCP may be resistant d/t lack of patient education resources. #DiabetesINFL|
|askdrbev||I encouraged one patient to ask her PCP to start her on insulin. After 9 months, he “fired” her b/c she was too much work! #DiabetesINFL|
Many make the assumption that the patient will be “non-compliant”
HCP’s have a bigger fear of needles than patients with diabetes
|gabriellerdcde||HCPs often let people try diet/exercise for too long #DiabetesINFL|
|askdrbev||Blessing in disguise! My patient started seeing an endocrinologist and now her A1C has improved with insulin. 🙂 #DiabetesINFL|
Surprisingly, there are MDs who don’t want to manage ppl on insulin.
|hopewarshaw||Prescribers may use scare tactics abt starting insulin to encourage regimen adherence, rather than probe resistance #DiabetesINFL|
|maureensrn||when dealing with solo HCPs, less likely to prescribe insulin as they don’t have educational resources & time to teach. #DiabetesINFL|
|gabriellerdcde||Seems insulin better managed by endo than most family docs. Most not all. #DiabetesINFL|
|hopewarshaw||Prescribers sometimes collude w person w T2 #Diabetes in dual resistance to progress to insulin. What do you see? #DiabetesINFL|
|hopewarshaw||Perhap Q is how can we help/support primary care providers to transition PWD to insulin? #DiabetesINFL https://t.co/kTEqXZw1rq|
|hopewarshaw||As HCP do you talk to/intervene w prescribers on behalf clients who you know need insulin? If so, how? #DiabetesINFL|
|hopewarshaw||No doubt starting and rapidly titrating insulin to goal is time consuming for PCPs, #diabetes educators can help!! #DiabetesINFL https://t.co/YwDTgwZvpA|
|aprilsaundersrd||A lot! Don’t know why! Send us people when a1c 11% on 2 orals 🙂 #DiabetesINFL|
|nutritionjill||#client: I explain that type 1 is an autoimmune dz w/loss of insulin production. Type 2 has many more components. #DiabetesINFL|
|nutritionjill||#client: Type 1 will always need insulin to live. Type 2 sometimes need insulin to get over a hump like surgery or injury. #DiabetesINFL|
|gabriellerdcde||ALL THE TIME! Always explain T1D is diff disease pathway #DiabetesINFL|
|maureensrn||Explain differences between T1DM & T2DM re: insulin production #DiabetesINFL|
|hopewarshaw||Worth informing accurate info? No, you still have T2 #diabetes. Millions of ppl with T2 take/need insulin to control BGs #DiabetesINFL|
|askdrbev||Yes, tricky distinction to explain. I say “once a PWD T2D, then always a PWD T2D” – but managed with insulin. #DiabetesINFL|
type 1 is a condition where patients make no insulin at all due to an abnormal immune reaction
|maureensrn||Explain T2DM therapy may combine oral and injectable meds #DiabetesINFL|
I tell them starting insulin does not change their diagnosis
I review the pathophysiology of type 2 #diabetes
|hopewarshaw||Actually few types of #diabetes. Same name, big differences. What’s impt? You manage your diabetes best you can over yrs #DiabetesINFL|
|maureensrn||Include family education for additional support when possible. Insulin w/ T2DM can be very overwhelming for family #DiabetesINFL|
I describe the difference between type 1 and type 2 #diabetes
|hopewarshaw||I feel like a broken record (or CD) these days with Early, aggressive management is best #DiabetesINFL https://t.co/z3TsIPFlaD|
|hopewarshaw||Thanks for sharing resources. Look good! #DiabetesINFL https://t.co/nbvCFH3e3f|
|hopewarshaw||Sometimes you just need insulin, eh? And may be able to get off for a time. #DiabetesINFL https://t.co/oQuTjB2O2z|
|maureensrn||Assess patient willingness to use insulin; get patient into DSME classes #DiabetesINFL|
|hopewarshaw||Allow client’s concerns, apprehensions to be heard, addressed. May expose needle phobia, budget concerns, storage issues #DiabetesINFL|
|nutritionjill||#client: Mostly it should be discussed in a non-threatening way. #DiabetesINFL|
|askdrbev||I HATE when HCPs use insulin therapy as a threat to force diabetes adherence! This makes PWDs feel unnecessarily guilty. #DiabetesINFL|
|gabriellerdcde||Start insulin and send to CDE immediately and/or group classes #DiabetesINFL|
|nutritionjill||#client:: Answer all questions, assure that person is not a failure. Send to educator. #DiabetesINFL|
|maureensrn||Frequent contact with new insulin users- motivational interviewing; logbooks, meter checks. #DiabetesINFL|
|hopewarshaw||Ask client abt daily life, schedule. Discuss how they’ll fit taking insulin in their life, schedule. Others? #DiabetesINFL|
|askdrbev||It would be helpful if HCPs would introduce the idea – early in treatment – that insulin may be needed in PWD’s treatment. #DiabetesINFL|
Understanding patient barriers and negative perceptions about insulin
|hopewarshaw||Be aware of work life related concerns/issues – shift work/changes, storage, carrying hypo treatments. Ask, be sensitive. #DiabetesINFL|
|hopewarshaw||Quickly get ppl over hurdle of pain, challenge of injection, taking insulin. Have them do a shot. You? #DiabetesINFL|
|hopewarshaw||Start slowly if possible, then escalate dose, and number of shots. Perhaps one injection long-acting insulin at night. #DiabetesINFL|
|gabriellerdcde||PWD feel at ease after doing 1st shot with support in office #DiabetesINFL|
|eatingsoulfully||Review the natural history of type 2 #diabetes.|
|gabriellerdcde||Basal at first, get PWD comfy then add meal time dose #DiabetesINFL|
|eatingsoulfully||Start low (insulin dose) go slow (titrating the dose) #DiabetesINFL|
|hopewarshaw||Newer insulins = less hypoglycemia. Easier to get/take the insulin you need when you need it. #DiabetesINFL|
|nutritionjill||#client: taking insulin is simpler b/c of delivery systems, esp pen. So convenient, not painful. #DiabetesINFL|
|hopewarshaw||Insulin pens w/ needle more convenient to carry now. Can be room temp up to 30 days. Pens in use don’t need refrigeration #DiabetesINFL|
|nutritionjill||#client: Also many more types of insulin & when taken properly & matched to food intake, lower chance of hypoglycemia #DiabetesINFL|
|corlansky||Pens easy to use, can stay at room temp, making travel easy #DiabetesINFL|
|doctablet||Use weight based doses of basal insulin to avoid hypoglycemia. Do NOT titrate on fasting alone #DiabetesINFL|
|maureensrn||Multiple education avenues- videos, brochures, classes, hands on training #DiabetesINFL|
|askdrbev||41 yrs ago, I was taking 1 shot of NPH/day. Needle tips were longer, not as fine. Insulins were made from beef and pork. #DiabetesINFL|
|eatingsoulfully||Insulin we have today is associated with less hypoglycemia. #DiabetesINFL|
|maureensrn||Review variety of insulin delivery systems. Focus on patient strengths. #DiabetesINFL|
|askdrbev||Due to the impurities in the insulin 41 yrs ago, I would get an allergic reaction at my injection site! So improved now! #DiabetesINFL|
|eatingsoulfully||Pens make it easier to dose and inject insulin. #DiabetesINFL|
|maureensrn||Assess patients for special needs- visual, tactile- utilize appropriate delivery system. #DiabetesINFL|
|gabriellerdcde||Pens are so simple to use, pen needles smaller than ever, better insulins come out every year #DiabetesINFL|
Insulin can be prescribed based on the individual’s lifestyle.
|corlansky||Many options and choices for PWD today, find what works for you! #DiabetesINFL|
|nutritionjill||#client: Keep food and blood glucose records to see what’s happening. Monitor more often to avoid hypo #DiabetesINFL|
|nutritionjill||#client: For convenience & ease, many ppl like the insulin pen. #DiabetesINFL|
|hopewarshaw||Take time when buying needles to see what’s available. Ask in pharmacy. Get shortest, thinnest that work for you. #DiabetesINFL|
|hopewarshaw||Make sure to keep a backup supplies insulin pens or vials, needles. Keep insulin in box, in refrigerator. Suggestions? #DiabetesINFL|
|maureensrn||DSME classes and support groups. Learn from others; share ideas with other T2DM. #DiabetesINFL|
|askdrbev||I hear PWDs “forget” to take shots. To make more consistent & convenient, I suggest taking shots at dinner (w/other meds). #DiabetesINFL|
|gabriellerdcde||Set reminders on cell phone to not miss dose #DiabetesINFL|
|maureensrn||Review delivery systems- injectables, vials, pens, pumps find what works best for patient. #DiabetesINFL|
|askdrbev||I use the term “jiggly” parts (i.e., stomach, thighs) rather than say inject into the “fat” (stomach). It sounds kinder. #DiabetesINFL|
|maureensrn||In depth education on storage, supplies, site rotation. #DiabetesINFL|
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Constance Brown-Riggs, MSEd, RD, CDE, CDN—an award-winning RD, certified diabetes educator, and past national spokesperson for the Academy of Nutrition and Dietetics, is the author of The African American Guide to Living Well With Diabetes, which received the Favorably Reviewed designation from the American Association of Diabetes Educators, and Eating Soulfully and Healthfully with Diabetes.
Dr. Lori Shemek, PhD, CNC, CLC, the best-selling author of “Fire-Up Your Fat Burn! and leading health and weight loss expert, is also known as “The Inflammation Terminator.” She has made it her mission to educate the public on the toxic effects of certain foods and lifestyle choices and how they create inflammation in the body. She is a leading authority on inflammation and its role in weight loss, preventing disease and optimizing health.
Rebecca Bitzer – MS, RD/LD, CEDRD is an award-winning Registered Dietitian, writer, speaker, blogger, and REBEL Dietitian business owner. Rebecca and her team of six Registered Dietitians have counseled thousands of clients struggling with diabetes for over twenty-five years. They work closely with each other along with internists, endocrinologists, therapists, and families.
Maureen Sullivan – RN, CDE has worked for many years as a Registered Nurse, most of them in emergency and trauma services. She is a Certified Emergency Nurse, Certified Diabetes Educator, and the former manager of a hospital stroke program. Maureen’s wealth of knowledge, passion for nursing and education, and ability to engage people makes her an excellent teacher and a captivating lecturer. Recently, Maureen has been concentrating on writing, speaking and teaching, as well as working on her award-winning weekly podcast, “The Health and Humor Show.”
Lauren Harris-Pincus, MS, RDN is a nutrition communications specialist, registered dietitian in private practice, social media consultant, speaker, spokesperson and corporate consultant. She is currently the owner of Nutrition Starring YOU, LLC and www.NutritionStarringYOU.com. Lauren strongly believes that we should “Think Healthy, not Skinny”, and “EveryBODY is unique, your diet should be too”. Lauren was co-host of the Family Food Experts Kitchen radio show, available for listening on iHeart Radio and iTunes. Also known as one of the “NutritionBabes”, Lauren co-founded NutritionBabes.com, a popular Health and Wellness website in 2009. NutritionBabes.com was voted one of Healthline’s Top 100 Health Blogs in 2011, 2012 and 2013.
Mark Heyman, PhD, CDE is a clinical health psychologist and the director of the Center for Diabetes and Mental Health (CDMH). In addition to treating patients with type 1 and type 2 diabetes, Dr. Heyman provides training for health care providers on how to identify and address the emotional and behavioral aspects of diabetes in their patients. He also works with pharmaceutical and medical device companies to help them understand these issues and incorporate this information into their sales, marketing, and patient education materials. He is particularly interested in empirically supported behavioral interventions that promote behavior change and improve physical and mental health in people with diabetes.
Katie Ferraro, MPH, RD, CDE is a nationally-recognized registered dietitian, certified diabetes educator and author with an expertise in nutrition communications and curriculum development. She is the co-author of “Diet Therapy in Advanced Practice Nursing” (McGraw Hill, 2014) and an Assistant Clinical Professor of Nutrition at the University of California San Francisco and University of San Diego’s graduate schools of nursing.
Dr. Beverly S. Adler, PhD, CDE (aka “Dr. Bev”) is a clinical psychologist and certified diabetes educator, author and speaker. She specializes treating the emotional issues of people with diabetes. In her private practice, she provides individual, family and/or group therapy utilizing a cognitive behavior therapy orientation, combined with a spiritual approach. Her goal is to empower her patients to manage their diabetes.
Dr. Bev is the author of two self-help diabetes books. She has written numerous articles which are published in print and online – always focused on diabetes from the emotional perspective. She also speaks to audiences of people living with diabetes, as well as, to audiences of healthcare professionals and diabetes educators. Dr. Bev, herself, has been living successfully with type 1 diabetes for 40+ years.
In August 2016, Dr. Bev was honored to receive the “CDE Entrepreneur of the Year” Award from her Metropolitan NY Association of Diabetes Educators.
Jill Weisenberger, MS, RDN, CDE, FAND is an internationally recognized nutrition and diabetes expert with more than two decades experience. Through writing, speaking and one-on-one coaching, Jill empowers people to grab control of their health. She has worked as both a nutrition counselor and a diabetes educator in the hospital and research settings, and now in private practice in Newport News, VA. Jill is known for her practical approach and caring attitude. Her no-nonsense strategies to eating well include foods that both taste good and are good for you.
Marlene Koch (pronounced ‘cook’) is a nationally recognized nutritionist, popular TV personality and New York Times bestselling author. She graduated Magna Cum Laude from UCLA with a Bachelor’s degree in Nutritional Science. She is a registered dietitian and one of a select group of dietitians to hold an advanced certificate in Child and Adolescent Weight Management from the Academy of Nutrition & Dietetics.
Marlene has taught professional chefs from the American Culinary Federation the principles of healthy cooking and eating. She has been adjunct Nutrition professor and cooking instructor for Columbus State College and the Columbus State Culinary Academy, and she is a nationally recognized expert in weight loss, diabetes, child and adolescent nutrition, and sugar substitutes.
Marlene has sold over one million cookbooks, and is a regular guest on QVC.
Barbara Ruhs – MS, RDN is a Registered Dietitian Nutritionist and owner of Neighborhood Nutrition LLC, a consulting firm focused on providing solutions to help food companies and supermarkets improve consumer health & wellness. She’s a former supermarket dietitian and has run a successful business for 17 years. A leader in the field of nutrition, her mission is to help people by impacting the way food is produced, marketed and sold. She’s a strong advocate for supermarket dietitians and believes the retail food industry has the greatest potential to impact public health.
Cheryl Orlansky has over 25 years of experience in health promotion and chronic disease prevention and management. Her first career as a registered dental hygienist led her towards a path of wellness and nutrition! Her expertise is in diabetes, weight management and cardiovascular disease for individuals and groups. She works in a large private practice including endocrinology, internal medicine, rheumatology, neurology and sleep medicine. She is an award winning dietitian with current leadership positions in state and local dietetics organizations.
She has been interviewed and quoted in media outlets for WebMD, Atlanta Sports and Fitness, Georgia Public Broadcasting, and the Atlanta Journal and Constitution. She has partnered with V-103 Radio to lead supermarket tours as part of a community outreach during National Nutrition Month.
Cheryl helps her clients reach balance through lifestyle choices: cooking and eating, activity and purpose in life.
Jackie Newgent, RDN, CDN, is a registered dietitian nutritionist and classically-trained chef. With a passion for helping people (including her father) with diabetes, she’s author of The With or Without Meat Cookbook: The Flexible Approach to Flavorful Diabetes Cooking and the award-winning The All‐Natural Diabetes Cookbook, both published by the American Diabetes Association. Jackie is also author of 1,000 Low-Calorie Recipes and Big Green Cookbook. Her next book, The All-Natural Diabetes Cookbook—2nd Edition, was published in 2015.
Nutritionist Rania Batayneh, MPH is the author of the best-selling book, The One One One Diet. She holds a master’s degree in public health nutrition from the University of Michigan School of Public Health and is also a Wellcoaches Certified Health and Wellness Coach endorsed by the American College of Sports Medicine (ACSM).