If this is true, what is happening to
our diabetes educators? This may be why the project I included in
this blog about having Associate Diabetes Educators under the
umbrella of the AADE has not been in any notice of the meetings since
or even mentioned on the American Association of Diabetes Educators
website. Now I will stand by that blog about having concerns about
the new AADE leaders.
Could it be that the AADE is trying to
outdo the Academy of Certified Diabetes Educators (ACDE) and limit
what they can do. This surprises me because of the actions by the
ACDE in the state of Indiana when they opposed a law passed by the
Indiana legislature to allow non-CDEs to help educate other people
with diabetes.
At this point, only the state of
Kentucky has passed the bill allowing the AADE to be the source of
diabetes education. Like the AND (Academy of Nutrition and
Dietetics), the AADE has attempted to create mandatory certification
requirements at the state level, but has been almost completely
unsuccessful.
Now the AADE seems to be trying its
luck on the federal level. A bill before Congress called the Access
to Quality Diabetes Education Act of 2015 (HR 1726, S 1345) will
make it more difficult for patients with diabetes to get the
help they need to overcome the disease.
The so-called Access to Quality
Diabetes Education Act (which opponents are appropriately calling the
#DiabetesMiseducation Act) would turn this currently voluntary
certification into a legal requirement under Medicare, a costly,
unnecessary obstacle for thousands of healthcare workers. If passed,
this would leave countless diabetic patients without access to
important, life-altering services and possibly limit who could
educate the diabetes patients about diabetes.
There is something else you need to
know about AADE. It is not an independent, objective organization.
In fact, it receives large sums of money from Big Pharma. The
organization’s 2014 annual report shows that its top two corporate
donors were pharmaceutical giants AstraZeneca and Novo Nordisk, with
Eli Lilly not far behind.
Diabetes is a rampant, ever-worsening
health problem. One recent study found that half of adults in the US
have diabetes or are in the pre-diabetes stage. Diabetes is often,
but not always, the result of poor diet and lack of exercise. The
standard American diet (SAD) tends to create insulin resistance. New
studies have emerged showing that consuming highly processed starches
is like eating sugar, causing rapid glucose spikes that may over time
induce insulin resistance and, eventually, type 2 diabetes.
Conventional doctors often lack the
resources to provide much support to diabetic patients. Often they
do not have the time to do diabetes education, or they provide
seriously misguided information on how to manage or reverse the
disease. Health coaches and diabetes educators become particularly
important.
And, if the AADE gets this passed, what
will happen to those diabetes knowledgeable people that are helping
doctors in rural areas? Will they be criminalized? Even scarier is
diabetes bloggers; will they criminalize us as well? The future looks
very grim and we will be facing two organizations that will be
competing to be the only organizations allowed to teach nutrition and
to do diabetes education. This will mean that patients will no
longer have a choice in learning about diabetes and will suffer
because of the advice being promoted by two exclusive organizations.
Because of the AADE leaders that have
two titles, CDE and RD after their names, it is not surprising that
our diabetes education will take on a new twist – more and more
whole grains and more and more carbohydrates. BIG FOOD must be
licking their chops with this bill, as well as Big Pharma.
Patients will be advised to consume
more high carbohydrate and dense carbohydrate foods and cover their
high blood glucose spikes with more diabetes drugs. It will mean
that diabetes will become more progressive for the people that
willingly follow the advice of CDEs and RDs (registered dietitians).
Those of us that have learned the consequences of following this
advice know that we cannot go there and need to continue limiting our
carbohydrate consumption and increase our fat consumption. Covering
increased carbohydrate consumption with more diabetes drugs is not
the answer and leads to more overweight people with diabetes.
I have sent my objections to my
senators and representative. Read this article for more information.
I would suggest that you read this blog by Steve Cooksey.
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