Considerations for more actionable consensus guidance for monitoring individuals with islet autoantibody-positive pre-stage 3 type 1 diabetes. Reply to Mallone R [letter]

Letter

Author: Tonyushkina, Ksenia N ; Dutta, Sanjoy ; de Beaufort, Carine ; Marcovecchio, M Loredana ; Kordonouri, Olga ; Rewers, Marian J ; Danne, Thomas ; Rich, Stephen S ; Achenbach, Peter ; Lange, Karin ; Holt, Richard I G ; DiMeglio, Linda A ; Maahs, David M ; Lundgren, Markus ; Mathieu, Chantal ; Elding Larsson, Helena ; Battelino, Tadej ; Addala, Ananta ; Couper, Jennifer J ; Wood, Jamie R ; Haller, Michael J ; Simmons, Kimber M ; Jacobsen, Laura M ; Hendriks, Emile ; Ismail, Heba M ; Veijola, Riitta ; Albanese-O'Neill, Anastasia ; Griffin, Kurt J ; Wentworth, John M ; Gallagher, Mary P ; Kolb, Leslie E ; Colhoun, Helen M ; Oron, Tal ; Skyler, Jay S ; Bonifacio, Ezio ; Bell, Kirstine J ; Patil, Shivajirao P ; Sims, Emily K ; Frohnert, Brigitte I ; Ebekozien, Osagie ; Hagopian, William ; Ziegler, Anette-Gabriele ; Schatz, Desmond A ; Phillip, Moshe ; Craig, Maria E ; Lash, Robert W ; Dovc, Klemen ; Besser, Rachel E J ; Steck, Andrea K ; Libman, Ingrid ; Speake, Cate ; Wherrett, Diane K ; Greenbaum, Carla J ; Schulman-Rosenbaum, Rifka ; Lernmark, Åke

01 Feb 2025·Journal of the Academy of Nutrition and Dietetics

Tenets for Increasing Access to Nutrition Care Delivered Via Telehealth: Recommendations from the Academy of Nutrition and Dietetics Telehealth Task Force

Article

Author: Martin, Hannah ; Schofield, Marsha ; Yakes Jimenez, Beth - Elizabeth ; Yakes Jimenez, Elizabeth

The Academy of Nutrition and Dietetics' Telehealth Task Force was charged with developing a telehealth policy stance to guide the work of the Academy. The task force comprised representatives from diverse areas of telehealth practice, including research, practice, payment, and licensure. They convened in 2020-2021 to conduct an environmental scan and develop a recommended stance on telehealth policy. The tenets of the resulting telehealth stance are (1) Nutrition care services are critical to comprehensive health care delivery systems and should be covered when provided via telehealth under the same coverage and payment policies as in-person care; (2) Patients should have coverage for telehealth delivered via audio only if they cannot effectively access or use audio-visual technologies; (3) In declared emergency situations when access to qualified providers is otherwise severely impacted, the modification of certain consumer protection policies, such as licensure and Health Insurance Portability and Accountability Act requirements, may be appropriate; (4) Public funding and support for broadband internet, technology, digital literacy education, and language services are necessary to address racial, economic, and geographic health disparities and to address disabilities; and (5) Publicly funded research on telehealth should be nationally representative and include a wide variety of services and providers, including nutrition care services provided by registered dietitian nutritionists and nutrition and dietetic technicians, registered. The telehealth policy stance was formally adopted by the Academy in April 2021.

02 Aug 2024·Health Affairs Scholar

Accessibility of diabetes education in the United States: barriers, policy implications, and the road ahead

Article

Author: Tharakan, Anna ; Spratt, Susan ; McPeek Hinz, Eugenia ; Brucker, Amanda ; German, Jashalynn ; Huang, Wei Angel ; Rinker, Joanne ; Memering, Chris ; Denmeade, Brad ; Zhu, Emelia

AbstractDiabetes Self-Management Education and Support (DSMES) programs are an effective, yet underutilized, resource to improve health outcomes and behaviors for people with diabetes. We examined the attendance and referral rates for people with diabetes to DSMES classes at an academic medical center, noting a 10% referral rate and 37% completion rate for those referred. We identified barriers to DSMES care at patient, provider, and health system levels. Current technology platforms and training fail to prioritize referrals to diabetes education; providers and people with diabetes are often unfamiliar with program content and benefits. Scheduling mechanisms often delay or lose interested patients in receiving vital education. Existing Medicare reimbursement strategies limit expansion of DSMES programs, generating significant wait times and limit capabilities for Diabetes Care and Education Specialists. We identify potential policy solutions and recommend alterations to existing referral and scheduling systems to expand existing technology platforms for DSMES programs and shift reimbursement policies to individualize and better support care for persons with diabetes.

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