
ADCES22 Live: Addressing Health Disparities with Eva Vivian and Daphne Smith Marsh
10/13/22 • 20 min
Eva Vivian, PharmD, PhD, BC-ADM, CDCES, FADCES, and Daphne Smith Marsh, PharmD, BC-ADM, CDCES, discuss the impact of health disparities on-site at ADCES22 in Baltimore. You’ll hear their perspectives on the environmental and social factors that contribute to health disparities, both in and out of the clinical setting. You’ll also hear how diabetes care and education specialists and other healthcare professionals can address health disparities in simple, practical ways that meet the needs of the individual while building trust.
Resources:
- ADCES Resources on Health Equity: DiabetesEducator.org/HealthEquity
- ADCES22 On-Demand Sessions: ADCES22.org
- Edgoose J, Quiogue M, Sidhar K. How to Identify, Understand, and Unlearn Implicit Bias in Patent Care. Fam Pract Management. 2019 Jul-Aug;26(4):29-33
- Reid H, Lin O, Fabbro RL, et al. Provider communication in black patients with T2DM is associated with glycemic control. Presented at: American Diabetes Association 80th Scientific Sessions; June 12-16, 2020. Abstract 52-LB.
- Akturk HK, Agarwal S, Hoffecker L, Shah VN. Inequity in racial ethnic representation in randomized controlled trials of diabetes technologies in type 1 diabetes: critical need for new standards. Diabetes Care. 2021;44(6):e121-e123.
Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.
Learn more about ADCES and the many benefits of membership at adces.org/join.
Eva Vivian, PharmD, PhD, BC-ADM, CDCES, FADCES, and Daphne Smith Marsh, PharmD, BC-ADM, CDCES, discuss the impact of health disparities on-site at ADCES22 in Baltimore. You’ll hear their perspectives on the environmental and social factors that contribute to health disparities, both in and out of the clinical setting. You’ll also hear how diabetes care and education specialists and other healthcare professionals can address health disparities in simple, practical ways that meet the needs of the individual while building trust.
Resources:
- ADCES Resources on Health Equity: DiabetesEducator.org/HealthEquity
- ADCES22 On-Demand Sessions: ADCES22.org
- Edgoose J, Quiogue M, Sidhar K. How to Identify, Understand, and Unlearn Implicit Bias in Patent Care. Fam Pract Management. 2019 Jul-Aug;26(4):29-33
- Reid H, Lin O, Fabbro RL, et al. Provider communication in black patients with T2DM is associated with glycemic control. Presented at: American Diabetes Association 80th Scientific Sessions; June 12-16, 2020. Abstract 52-LB.
- Akturk HK, Agarwal S, Hoffecker L, Shah VN. Inequity in racial ethnic representation in randomized controlled trials of diabetes technologies in type 1 diabetes: critical need for new standards. Diabetes Care. 2021;44(6):e121-e123.
Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.
Learn more about ADCES and the many benefits of membership at adces.org/join.
Previous Episode

Good Sources of Fats and Fiber for Diabetes Management with Erin Palinski-Wade
Erin Palinski-Wade, RD, CDCES, LDN, CPT, joins The Huddle to discuss two key nutrients for blood glucose management and overall health: fats and fiber. Many adults with or at risk for type 2 diabetes aren’t getting adequate amounts of these nutrients. In this episode, we dive into the health benefits of dietary fats and fiber, highlight some nutrient-dense sources, like fresh avocado, and share some practical ways individuals can increase their intake of these nutrients.
Disclosure: This episode is sponsored by Fresh Avocados – Love One Today®. Love One Today® is a leading source of the healthiest reasons and tastiest ways to enjoy fresh avocados. A science-based resource, it provides turnkey solutions that make it easy for health professionals to stay on top of the latest research and confidently recommend avocados.
Episode Notes:
- Love One Today: https://loveonetoday.com/
- 2020-2025 Dietary Guidelines For Americans: https://www.dietaryguidelines.gov/
- Schoeneck, Malin, and David Iggman. “The effects of foods on LDL cholesterol levels: A systematic review of the accumulated evidence from systematic reviews and meta-analyses of randomized controlled trials.” Nutrition, metabolism, and cardiovascular diseases : NMCD vol. 31,5 (2021): 1325-1338. doi:10.1016/j.numecd.2020.12.032
- Reynolds, Andrew N et al. “Dietary fibre and whole grains in diabetes management: Systematic review and meta-analyses.” PLoS medicine vol. 17,3 e1003053. 6 Mar. 2020, doi:10.1371/journal.pmed.1003053
- Dana E. King, Arch G. Mainous, Thomas A. Buchanan, William S. Pearson; C-Reactive Protein and Glycemic Control in Adults With Diabetes. Diabetes Care 1 May 2003; 26 (5): 1535–1539. https://doi.org/10.2337/diacare.26.5.1535
- Zhang X, Xiao D, Guzman G, Edirisinghe I, Burton-Freeman B. “Avocado Consumption for 12 Weeks and Cardiometabolic Risk Factors: A Randomized Controlled Trial in Adults with Overweight or Obesity and Insulin Resistance.” The Journal of nutrition vol. 152,8 (2022): 1851-1861. doi:10.1093/jn/nxac126
- Zhu, Lanjun, Yancui Huang, Indika Edirisinghe, Eunyoung Park, and Britt Burton-Freeman. 2019. "Using the Avocado to Test the Satiety Effects of a Fat-Fiber Combination in Place of Carbohydrate Energy in a Breakfast Meal in Overweight and Obese Men and Women: A Randomized Clinical Trial" Nutrients 11, no. 5: 952. https://doi.org/10.3390/nu11050952
Resources:
- Avocado nutrition 101
- How to choose and prepare an avocado
- How to cut, slice, peel and pit an avocado
- How to ripen avocados faster
- How to store avocados
- Accredited Podcast: Avocados, Satiety and Mindful Eating in Diabetes with Erin Palinski-Wade, MS, RDN, CDE
- Educational Handout: Effects of avocado on LDL cholesterol
- Nutrition Therapy for Adults with Diabetes or Prediabetes: A Consensus Report
Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.
Learn more about ADCES and the many benefits of membership at adces.org/join.
Next Episode

Results of the 2021 National Practice Survey with Jan Kavookjian
The National Practice Survey is conducted once every 5 years to help ADCES understand current trends in the diabetes care and education specialist workforce and how their services are integrated into the full care team. 2022 ADCES President Jan Kavookjian, PhD, MBA, FAPhA, FADCES, joins us to discuss why this survey is so important. She gives us a teaser of some of this year’s findings and explains how the results influence strategic planning and key initiatives at the association.
ADCES gratefully acknowledges Joanne Rinker, MS, RDN, CDCES, LND, FADCES, Sheryl Traficano and the Certification Board for Diabetes Care and Education, the National Practice Survey writing group and any others involved for their support of the National Practice Survey.
Resources
- Kavookjian J, Bzowyckyj AS, DiNardo MM, et al. Current and Emerging Trends in Diabetes Care and Education: 2021 National Practice and Workforce Survey. The Science of Diabetes Self-Management and Care. 2022;48(5):307-323. doi:10.1177/26350106221120787
- ADCES Blog Post: Key Takeaways from Current and Emerging Trends in Diabetes Care & Education: 2021 National Practice and Workforce Survey: www.diabeteseducator.org/news/perspectives/adces-blog-details/adces-perspectives-on-diabetes-care/2022/10/10/key-takeaways-from-current-and-emerging-trends-in-diabetes-care-education-2021-national-practice-and-workforce-survey
- Value of the DCES Toolkit: www.DiabetesEducator.org/Value
- Ask the Reimbursement Expert: www.diabeteseducator.org/practice/ask-the-expert
Listen to more episodes of The Huddle at adces.org/perspectives/the-huddle-podcast.
Learn more about ADCES and the many benefits of membership at adces.org/join.
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