Certified Diabetes Educator Changes to Diabetes Care & Education Specialists

As of January 22, the profession's credential is changed from certified diabetes educator to certified diabetes care and education specialist (CDCES) and the former American Association of Diabetes Educators is now named the Association of Diabetes Care & Education Specialists (ADCES).

The profession comprises nurses, dietitians, physicians, pharmacists, and other health professionals who obtain additional credentialing in diabetes management, prediabetes, and diabetes prevention.

The credentialing requirements will not change with the transition from CDE to CDCES, as the title reflects what the professionals are already trained to do and have been doing, including clinical management and support. Their services are covered by Medicare and most insurers, although reimbursement is often suboptimal and there are other barriers to access, such as lack of geographic proximity and lack of physician awareness.

Evidence supports the benefits of CDCES in managing glucose levels and other diabetes-related outcomes including reducing emergency room visits and the need for medications in people with diabetes, and improving mental health and well-being.

Yet, data cited by the CDC suggest that less than 5% of Medicare beneficiaries and less than 6.8% of privately insured people in the United States participate in "diabetes self-management education services" within the first year of diagnosis, despite coverage for the service.

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