Recent Posts by Barbara Eichorst, MS, RD, CDE

 
Barbara is the Diabetes Clinical Liaison at Voluntis. Previously, she has been a Vice President of Clinical Care responsible for leading a global patient-centric self-management education of 126 countries. Barbara’s experience from the last 20 years includes working with a national insulin titration initiative, directing provider and approver units at the American Association of Diabetes Educators, managing a diabetes education program at Rush University Medical Center, and providing patient care at Chicago based academic institutions such as Loyola University Medical Center and Northwestern Memorial Hospital. Barbara’s professional focus is on behavioral interventions in disease management, insulin titration, and digital therapeutics. She has contributed to multiple publications, public speaking, and key opinion leadership with her expertise in diabetes patient/provider engagement, self-management education, insulin titration and digital therapeutics.
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Overcoming therapeutic inertia with the help of technology

Therapeutic inertia is a multifactorial challenge for all of us in diabetes care. It relates to so much more than just failure to initiate or escalate therapy, and it involves many players - people with diabetes (PWD), healthcare providers (HCPs), health systems and payers.    

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How do Digital Therapeutics Apply to AADE7 Self-Care Behaviors®?

Digital therapeutics, such as insulin titration apps, are becoming more common as part of diabetes self-management, and consequently part of AADE7 Self-Care Behaviors®. Healthcare providers (HCPs) prescribe applicable digital tools to people with diabetes (PWD) who need help titrating their insulin. The AADE7® is a curriculum framework, used by diabetes educators, to assess and support the individualized needs of PWD. There are seven self-care behaviors: healthy eating, being active, monitoring, taking medication, problem solving, healthy coping, and reducing risks.

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Translating the Science of Digital Insulin Titration into Practice

Years ago, when I was working as a dietitian at a diabetes clinic, part of my job was to help people with type 2 diabetes (PWD-T2) titrate their insulin. Being a dietitian, most of the adjustments were related to meal planning, like manipulating food to achieve desirable glucose goals. PWD and I were figuring out the carb to insulin ratio, the right amount of protein vs. fat, and meal/snack timing. Unfortunately, the insulin adjustment conversations always ended in “Talk to your doctor about your insulin adjustment.”

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