Perspectives on Diabetes Care

This is the official blog of the Association of Diabetes Care & Education Specialists where we share recent research and professional opinions on diabetes care and education.


Explore Helpful Views on Diabetes Care & Education

If you're looking for professional opinions on diabetes care and education, you're in the right place. Perspectives on Diabetes Care is the official ADCES® diabetes care and education blog that shares helpful views on diabetes care and education. 

This is where you'll find practical tips on working with people affected by prediabetes, diabetes and related cardiometabolic conditions and the latest research and viewpoints on issues facing diabetes care and education specialists and the people they serve.



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Diabetes Management Success Isn’t Always Attainable: A Discussion Guide for Technology-Focused Solutions

Nov 13, 2020, 09:00 AM

by Lorena Drago, RD, MS, CDN, CDCES

Managing diabetes requires multiple daily calculations and careful tracking. If people living with diabetes don’t have an excellent memory, they may miss recording vital information necessary for effective decision making. However, there are solutions that can help

Ivan is a client who has type 2 diabetes and takes insulin. He counts and tracks the time and amount of carbohydrates he consumes, his exercise, his glucose levels and insulin dosage. Together, we review and decipher the data. In a perfect world, Ivan would track every single insulin dose, food and activity, but he is a family man who works long hours in a busy job and does not always have the time to log everything. And he’s not alone.

Many people living with diabetes wish they could find easier ways to track their insulin and how it affects their glucose levels. In fact, a recent national survey conducted by ADCES and supported by Sanofi found that 65 percent of respondents living with type 1 and type 2 diabetes who take insulin feel they are doing everything possible to manage their diabetes, while at the same time, 67 percent feel guilty about not doing a better job.

So, back to Ivan. I asked him to share his logbook so I could review his entries prior to our appointment. On a few days, he had only logged his pre-prandial glucose level and morning insulin. On those days, he had been remarkably busy at work, and while he had the best intentions to log at the end of the day, he simply forgot.

Ivan’s experience echoes the findings of the ADCES national survey. Sixty-two percent of people living with diabetes reported being too busy or forget to log their insulin use at least once in the past month. This poses a challenge for the person living with diabetes and the healthcare team. Without this information, it is difficult to adjust insulin and create a meaningful plan of action. However, this is where technology can really make a difference.

Eighty-two percent of people with diabetes wish all of their diabetes data were in one place so they can make appropriate decisions. More than eighty percent of respondents believe a device which connects to an insulin pen, automatically tracks insulin use and wirelessly sends the information to an app, would be helpful in more effectively managing their condition.

Ivan and many other individuals who use insulin, check their blood glucose, track their food intake and exercise have options to make their lives easier. It’s important to discuss with your clients, like Ivan, what technology solutions might exist and how they can access and use them effectively. Check out a new discussion guide from ADCES to help people with diabetes have those conversations with the healthcare team.

Learn more today at


Lorena Drago
About the Author:

Lorena Drago, RD, MS, CDN, CDCES, maintains her own private practice and is the owner of Hispanic Foodways, which specializes in creating culturally and ethnically-oriented nutrition and diabetes education materials.


ADCES Perspectives on Diabetes Care

The Association of Diabetes Care & Education Specialists Perspectives on Diabetes Care covers diabetes, prediabetes and other cardiometabolic conditions. Not all views expressed reflect the official position of the Association of Diabetes Care & Education Specialists.

Copyright is owned or held by the Association of Diabetes Care & Education Specialists and all rights are reserved. Permission is granted, at no cost and without need for further request, to link to, quote, excerpt or reprint from these stories in any medium as long as no text is altered, and proper attribution is made to the Association of Diabetes Care & Education Specialists.

HEALTHCARE DISCLAIMER: This site and its services do not constitute the practice of medical advice, diagnosis or treatment. Always talk to your diabetes care and education specialist or healthcare provider for diagnosis and treatment, including your specific medical needs. If you have or suspect that you have a medical problem or condition, please contact a qualified health care professional immediately. To find a diabetes care and education specialist near you, visit