Duke's Adult Diabetes Education Program team is composed of clinical nurse specialists and registered dietitians who are all certified diabetes educators (CDEs). Our team is dedicated to helping patients improve their glucose control while implementing healthier lifestyle changes. Diabetes self-care management helps to prevent long-term complications associated with diabetes. These diabetes and nutrition educational services are part of a comprehensive diabetes treatment plan. Your diabetes education team will work with you in collaboration with your primary care provider and /or endocrinologist to help you in managing your diabetes. After completing our program, your diabetes care team will remain available for questions, consultation, support, and evaluation of your goals. We offer group classes as well as individual appointments with CDEs.

Patients are referred via a written referral by their health care provider. Duke’s Adult Diabetes Education Program (ADEP) and its curriculum are based on the standards of diabetes care recommended by the American Diabetes Association. The program has achieved recognition as a "Quality Diabetes Education Program."

Group Classes

ADEP offers the following classes to help patients learn to manage their diabetes.

• Taking Control of your Diabetes (TCD): Class provides review of diabetes self-care management goals and skills. Emphasis on preventing long-term complications of diabetes, managing acute complications (hypoglycemia, hyperglycemia and illness), blood glucose monitoring, target goals, record keeping, trending and pattern management.(For patients with new diagnosis of diabetes, diabetes with change of treatment plan, complications, or for update and review of diabetes self-care management goals and skills.)
• Diabetes Nutrition and Carb Counting (DNC): Class discusses skills needed for diabetes meal planning; focusing on portion sizes, carbohydrate counting, reading nutrition labels, and making healthy food choices.
• Pre-diabetes / PCOS (PDM): Emphasis on preventing or delaying the progression to type 2 diabetes. This class focuses on the role of healthy life style changes such as exercise, healthy nutrition, weight management and medication.
• Introduction to Insulin Pump Therapy (IPT):Class provides information to potential pump candidates (currently are managed with MDI therapy and have strong DSME skills related to monitoring and carb counting) regarding insulin pump therapy, benefits, patient responsibilities, insurance process and review of essential DSME skill sets
• Gestational Diabetes (GDM): Class for women with new onset gestational diabetes with emphasis on nutrition for diabetes & pregnancy, monitoring, exercise, target glucose goals, medications . Focus on reducing risks and life style modification

Individual Appointments with Certified Diabetes Educators (CDE's)

As part of our comprehensive program, patients also may receive individual appointments with either a nurse CDE or with a dietitian CDE who provide information about the following diabetes-related topics and issues:

• Pathophysiology
• Monitoring
• Exercise
• Acute complications
• Diabetes self-care management
• Insulin administration
• Coping
• Medications
• Reducing risks and prevention complications
• Pregnancy and diabetes
• 72-hour diagnostic continuous glucose sensor (two appointments)
• Insulin pump therapy review
• Insulin pump training and initiation  (two appointments)
• Insulin pump conversion and review
• Real-time personal continuous glucose sensor training and initiation
• Nutritional consultation related to diabetes meal planning or carbohydrate counting
• Special nutrition needs related to diabetes

Who Should Participate in This Program?

This program is appropriate for patients who are newly diagnosed as having pre-diabetes or diabetes, as well as for long-standing diabetes patients who wish to update their diabetes knowledge and skills such as patients:

• who want to take charge of their diabetes
• whose diabetes is out of control or who need to update their diabetes knowledge and skills
• whose treatment regimen has changed
• who have been recently hospitalized for hyperglycemia, DKA  , hypoglycemia
• who have other complex medical issues or co-morbidities that complicate their diabetes management
• who are considering or who are currently on intensive insulin therapy or insulin pump therapy
• who are pre or post-organ transplantation or have cystic fibrosis related diabetes
• who have new or upgraded insulin pumps and or CGM sensors
• Women who are pregnant and have diabetes, those with gestational diabetes, and women who currently have diabetes but want to get pregnant

Appointments

To schedule an appointment with Duke University’s Adult Diabetes Education Program, please call the Endocrine Appointment Hub at 919-620-5300. A written physician referral is required.

For providers within the Duke Health Systems Network who are using Maestro Care please completed the ambulatory referral for diabetes education (# 20) under Meds and Orders.

For providers in outside the Duke Health Systems Network who are not yet using Maestro Care, please complete the written paper referral attached and fax to the Endocrine Appointment Hub at 1-919-479-2661

For additional information, please contact the ADEP office at 919-684-3158. Our fax number is 919-668-1650.

Adult Diabetes Education Team

• Jan Nicollerat  MSN, RN, ACNS-BC, BC-ADM, CDE, Program Coordinator
• Nancy Lelle-Michel MSN, RN, CNS, BC-ADM, CDE
• Beverly Gardner RD, CDE, LDN
• Susan Rohn RD, CDE, LDN
• Tiffany Ashley, Administrative Assistant

Locations

Our program is located in the Duke South Clinic Building in Clinic 1A: Adult Endocrinology
Duke Clinic 1A, 30 Duke Medicine Circle, Durham, NC 27710 .

Parking:  Parking is available in the parking garage on Trent Drive across from the Duke Clinics. The fee is $ 1.00 /hour.

Locations

This service is available at:

• Duke Endocrinology
  Duke Clinic 1A, 30 Duke Medicine Circle, Durham, NC 27710