#814 Defining Diabetes: CDE and CDCES

December 23, 2022Scott Benner

Scott and Jenny Smith define diabetes terms In this Defining Diabetes episode, Scott and Jenny define CDE.

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Scott Benner 0:00
Hello friends, and welcome to Episode 814, of the Juicebox Podcast.

I'm excited to have Jenny back today for another installment of defining diabetes. And today, Jenny and I are going to define C D E. This will be the 47th installment of the defining diabetes series. It's a series that takes the time to define the terms that you use every day with diabetes, from fat and protein rise to brittle diabetes bolusing and everything in between. Check out the finding diabetes short episodes that let you feel like you know what you're talking about. And bonus, after you listen, you will actually know what you're talking about. There are a number of different series within the podcast. So if you go to juicebox podcast.com, to see a list of them. If you do it on a browser, you'll just see it at the top. And there it is the finding diabetes you click on it. If you're on your phone, there's a little menu like the three lines, it's a menu click on that, then it shows you to find diabetes. There you will get a complete list of the episodes, as well as an online player and links to a number of different popular podcast apps and links to the other series. Like bold beginnings thyroid disease algorithm pumping diabetes variables, ask Scott and Jenny mental health afterdark and the diabetes pro tip episodes. This show is sponsored today by the glucagon that my daughter carries G voc hypo Penn Find out more at G voc glucagon.com. Forward slash juicebox. today's podcast is also sponsored by Ian Penn from Medtronic diabetes, get yourself an insulin pen that has much of the functionality of a pump at in pen today.com The last sponsor of the day is the Contour Next One blood glucose meter. This little blood glucose meter is the bomb. It's the best one I've ever used. I love it. Contour next one.com forward slash juicebox.

Jennifer Smith, CDE 2:13
As an excited Yes.

Scott Benner 2:16
They didn't hear me say I wasn't recording when I said do you want to try it out for what I've come to realize when I'm editing the defining do I any of our stuff together? Then I say to you alright Jenny, let's do this now. And you very jokingly, but very dryly go yes or yay, or something like that. And I listened back to a one time and I thought people must think that she's like, No, I don't want to do this. Because it sounds so like, I don't know, you're just like yeah, sure, buddy. I guess so. Sorry. That's sound like we're here. We might as well do. You got your line? The bed? CD, I guess, which is what I'm going to ask you about right now. Because looking back over the defining diabetes series, we never defined certified diabetes educator, which at this point isn't what they call certified diabetes educators anymore. So we'll start with, but let's start with CDE though. Okay,

Jennifer Smith, CDE 3:15
so C D E, and thank you for asking. C D E is certified diabetes educator, and is no longer the term that is used, although, quite honestly, people still use it because they don't know that we have a new acronym.

Scott Benner 3:37
Well, first, let's go over this. Yeah, what do you need to be to be a CD?

Jennifer Smith, CDE 3:43
Right. So to be a CDE. The typical in common? I guess education backgrounds, nurses, dieticians, pharmacists, mental health specialists, physicians, exercise physiologists, mainly the medical background kind of bachelor degree based medicine degrees. Can the diabetes educator now to take the step into becoming an educator, there are certain criteria that you have to have in order to be able to sit the CDE exam, which is a pretty lengthy exam, it's about four hours. When I took it eons ago, it was still on paper. And I had to fill in all the little sir fill in the circle completely, so that your answer gets recorded in the right way. Right.

Scott Benner 4:42
Those are called Scantrons is drawn. There

Jennifer Smith, CDE 4:45
you go. Yes. I still know where I took it in Baltimore. And then my husband and I had planned to go to a baseball game after that afternoon because we were there and why I got to something else. That's fun, right? So it, you have to log enough hours in education in order to be able to apply to take the exam, okay. And the number of hours used to be years ago, 2000 hours, within a certain defined time period of, like, two years, I think it was. Now it's down to 1000 hours logged of in depth diabetes education, which means that somebody needs to it as they're educating people with diabetes, they have to keep a log of all of the patients that they've worked with, what they educated about the length of time they spent educating. And you also have to be able to state in that application that you are currently in a role of diabetes education a certain number of hours in a week's time. Yeah. Right. So I logged my hours after I took a job. As a dietitian, I started logging hours as I was working with outpatients within just some of the diabetes education from a nutrition aspect to there. And then once I started teaching classes for type two diabetes, I was able to log more hours in terms of things like medication use, and how to use it in you know, using glucometers. And the nutrition aspect and the lifestyle stuff, all that kind of stuff that you have to to know about. And then I got a job in an endocrine clinic after I had actually taken my exam.

Scott Benner 6:44
Well, did that take?

Jennifer Smith, CDE 6:48
My Login took two years, okay. Because I was not initially doing 100% 40 Hour Work Week, give or take in diabetes education, right?

Scott Benner 7:03
Wow. It's a lot. It's a lot to give a lot. Do you see people begin the process and give up on it? Or do you think people fall through mostly because I mean, it's a long Africans, you're already a nutrition, you're your niche, you have a nutrition background, you're a nutritionist, you can work that way. And you're like, Well, I'm gonna start doing this stuff with diabetes, too. I wonder how many people get like a year ago, they're like this never gonna get these 1000 hours. And then you gotta pass the test on top of that. Effort is what I'm saying.

Jennifer Smith, CDE 7:33
And the test is certainly all encompassing, you know, and that's why, despite having multiple starting backgrounds of like medical or health education, right, you really do have to focus in on the specifics of diabetes management. And especially, you know, I'm actually glad I took the test when I did, because now in today's world of medication for type two diabetes, and for type one, there is a number of extra and combination medications and use this but don't use it with this and only use it for this law. It's like,

Scott Benner 8:13
a learning. No, yeah, there's, there's a lot more and plus, now, you probably could take the test digitally, you wouldn't have to color you can.

Jennifer Smith, CDE 8:19
Absolutely. In fact, I actually have somebody I've been friends with for a while and she's taking her exam this weekend.

Scott Benner 8:28
Well, good luck. Very excited. So now, a while back now, I spent almost a couple of years. Somebody just told me one time like, well, we don't call ourselves CDs anymore. We're CDC e ss. Is that right?

Jennifer Smith, CDE 8:41
That's right. Certified. Care. Specialist.

Scott Benner 8:47
How about that? Good job. Well, this stuck into my head, I guess, because I'm actually not reading. So I just, I just like I'm like no, this surprised myself. Okay, so certified diet. You just made me feel like I was five I was like, thank you. I appreciate pat on the back. So CDE certified diabetes educator, CDC II s Certified diabetes Care and Education Specialist. You're going to meet these people in your wallets. First of all, I'd say I hope you meet these people in your Windows Office. Do you think Do they exist more in in care for children or is it equal for adult like Will an adult no like I'm about to have this experience like Arden is going to meet an adult endo soon. Is there going to be a CDE in the in the office? Is there going to be like I don't even think Arden like she she usually just talks to a nurse practitioner to be perfectly honest. She Yeah, she doesn't usually see your doctor I mean, the doctor.

Jennifer Smith, CDE 9:50
I I would say that more pediatric endocrine practices have either an in house educator, they may even have a dietician and an educator. And or it might be a dietician, educator and maybe a nurse practitioner, kind of like you guys have been working with more of a nurse practitioner rather than the Endo. Actually. I would say that's more the peds world, to find them to gather, or to have a peds endo that has a reference to somebody that their their clinic works closely with an adult endos I don't even know if it's 5050. Quite honestly,

Scott Benner 10:43
you're gonna see the really low and the person that helps them see their patients usually had Nurse Practice, correct.

Jennifer Smith, CDE 10:49
And if education is needed, especially upon newly diagnosis, type one or type two, they will usually send you to an education class, where there will be if it's an accredited, accredited by the ADEA. Then there will be a nurse educator who is head of the class or a dietician educator who is head of the class. And those are much more common for type two than they are for type one as an adult, though.

Scott Benner 11:24
Okay. All right. Oh, okay. Well, I appreciate you doing this with me very much person. Absolutely. Figuring out what all this means. I was just still like taking that I knew what CDC Yes.

Jennifer Smith, CDE 11:35
Hi, I'm surprised you because it took me a while to remember myself. It

Scott Benner 11:40
bounces. There's that it's the Certified diabetes Care and Education. Like once you find the little bounce in it. It sticks in my head. But yeah, so for that. I mean, the first time somebody told me they were renaming the CVS, I was like, please leave me out of this. I have a hard time remembering things. I don't want more stuff to remember right? Very much. I'll talk to you soon.

Jennifer Smith, CDE 12:00
Sure, absolutely. Bye bye.

Scott Benner 12:05
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Guys, it was a short episode today, but I want to thank you for listening. I also want to thank Jenny Smith and remind you that Jenny works at integrated diabetes.com. If you'd like to hire her, she can help you with your diabetes, integrated diabetes.com to find Jenny Smith. Hope you're enjoying the defining diabetes series. I find it to be one of the best, you know, just to hear the short conversations and leave with an understanding of a term that is going to come up over and over again in your life. It's really I don't, I'm a big fan of it. Anyway. That's it. Thank you so much for listening. I'll be back again very soon with another episode of The Juicebox Podcast.