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From the Academy| Volume 118, ISSUE 7, P1312-1321, July 2018

Identification of Generalist Registered Dietitian Nutritionist Knowledge Gaps in Diabetes Medical Nutrition Therapy Compared to Diabetes-Credentialed Registered Dietitian Nutritionists: Results of a Survey to Inform Educational Opportunities

Published:March 29, 2018DOI:https://doi.org/10.1016/j.jand.2018.01.009
Identification of Generalist Registered Dietitian Nutritionist Knowledge Gaps in Diabetes Medical Nutrition Therapy Compared to Diabetes-Credentialed Registered Dietitian Nutritionists: Results of a Survey to Inform Educational Opportunities
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      The Figure appears at www.jandonline.org.As of 2015, the prevalence of undiagnosed and diagnosed diabetes mellitus is 30.3 million in the United States.

      Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Division of Diabetes Translation. National Diabetes Statistics Report 2017. https://www.cdc.gov/diabetes/pdfs/data/statistics/national-diabetes-statistics-report.pdf. Accessed January 16, 2018.

      Estimates indicate there are an additional 84.1 million Americans with prediabetes.

      Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Division of Diabetes Translation. National Diabetes Statistics Report 2017. https://www.cdc.gov/diabetes/pdfs/data/statistics/national-diabetes-statistics-report.pdf. Accessed January 16, 2018.

      Medical nutrition therapy (MNT) is considered an essential component of diabetes management,
      • Evert A.B.
      • Boucher J.L.
      • Cypress M.
      • et al.
      Nutrition therapy recommendations for the management of adults with diabetes.
      Diabetes Care. 2013; 36: 3821-3842
      yet there are only 8,107 registered dietitian nutritionists (RDNs) in the United States with a diabetes credential (7,988 Certified Diabetes Educators, [CDE]

      National Certification Board for Diabetes Educators. 2017 Count of CDEs by state and other statistics. https://www.ncbde.org/2017-count-of-cdes-by-state-and-other-statistics/. Published March 13, 2017. Accessed September 5, 2017.

      and 119 with Board Certification in Advanced Diabetes Management [BC-ADM] (personal communication, J. Johnson, American Association of Diabetes Educators, July 31, 2017). The implication is that it would be virtually impossible for all patients with diabetes to see an RDN who is also a CDE or BC-ADM. The high prevalence of diabetes in the US population (9.4%)

      Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Division of Diabetes Translation. National Diabetes Statistics Report 2017. https://www.cdc.gov/diabetes/pdfs/data/statistics/national-diabetes-statistics-report.pdf. Accessed January 16, 2018.

      is such that most RDNs in practice will frequently encounter and care for patients with diabetes. Therefore, it is important that RDNs with and without a diabetes credential are able to provide competent and evidence-based diabetes care.
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      References

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      7. Academy of Nutrition and Dietetics Evidence Analysis Library. Evidence based nutrition practice guideline for the prevention of diabetes. http://www.andeal.org/topic.cfm?menu=5344. Published July 14, 2104. Updated 2014. Accessed September 9, 2014.

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      Biography

      K. Bisanz is a clinical dietitian, Mayo Clinic, Rochester, MN.

      Biography

      A. Parker is a research dietitian, Anaheim Clinical Trials, Anaheim, CA.

      Biography

      C. Byrne is a graduate student and teaching assistant, University of Illinois, Chicago; at the time of the study, she was a project manager, Dietetics Practice Based Research Network, Academy of Nutrition and Dietetics. Chicago, IL.

      Biography

      S. A. Parker is an outpatient dietitian, McClaren Northern, Petosky, MI.

      Biography

      J. Thomas is a research project manager, Department of Nutrition, University of North Carolina, Chapel Hill.

      Biography

      J. Mancino is a certified clinical research coordinator and a research review analyst, Human Research Protection Office, University of Pittsburgh, Pittsburgh, PA.

      Biography

      R. K. Hand is an instructor, Department of Nutrition, Case Western Reserve University, Cleveland, OH; at the time of the study, she was director, Dietetics Practice Based Research Network, Academy of Nutrition and Dietetics, Chicago, IL.

      Article info

      Publication history

      Published online: March 29, 2018

      Footnotes

      STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors.

      FUNDING/SUPPORT The Diabetes Care and Education Dietetic Practice Group provided funding for this study and the Academy’s Research, International, and Scientific Affairs team provided an in-kind contribution of staff time to coordinate the study and conduct the analysis.

      Identification

      DOI: https://doi.org/10.1016/j.jand.2018.01.009

      Copyright

      © 2018 by the Academy of Nutrition and Dietetics.

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