Home / Joy Pape, MSN, FNP-C, CDE, WOCN, CFCN, FAADE

Joy Pape, MSN, FNP-C, CDE, WOCN, CFCN, FAADE

Joy Pape, MSN, FNP-C, CDE, WOCN, CFCN, FAADE
(Associate Medical Editor Diabetes In Control) Clinical Nurse Practitioner, CDE, Comprehensive Weight Control Center, Weill Cornell Medical College; President of EnJoy Life! Health Consulting, New York City, NY; co-author of the Real-Life Guide to Diabetes; Immediate Past President for the Metropolitan New York Association of the American Diabetes Association of Diabetes Educators (MNYADE). As an internationally known family nurse practitioner (FNP) and certified diabetes educator (CDE), Joy Pape specializes in diabetes, weight management, home blood pressure monitoring, sleep, and foot care. She is the co-author of the Real-Life Guide to Diabetes (The American Diabetes Association). She writes for several national magazines, is a dynamic national motivational presenter for both health-care professionals and the general public, and is a partner of Laugh it Off! a health edutainment team. Joy says, “Most important is that I still see patients. That is my passion…to connect with my patients so that together we can help them reach their optimum health.

Be Aware, Proactive to Manage PCOS

Woman, 43 years of age, PCOS, prediabetes, BMI 26, B/P 130/70, A1C 5.5%, Lipids, TC-156, HDL 52, Trig 76, LDL 84, mother of 3 children, visited today. She reports that her mother had PCOS, so was very carefully watching her as a child and adolescent hoping to prevent her from developing the complications of PCOS, such as infertility, obesity, type 2 diabetes, cardiovascular disease, and/or cancer later in life.

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How Do You Talk with Your Patients?

As noted in our Editor's Letter, David Joffe discusses the importance of how we talk with patients. And to that I'll add...how or if we listen to our patients. David's letter made me think about what we say to patients when they are at risk, when they are diagnosed, and during the treatment phase. If we keep current with our knowledge of diseases — in this case, diabetes — and share what we know today but be clear that we may learn more and differently in the future, the patient may be more open to accept changes and work toward their health goals while at the same time taking into consideration what is known and currently available.

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CGM Simplicity Can Be Complex Information for Beginners

Woman, 55 years of age visited with me 3 weeks ago. Her glucose levels were in the 200-250 mg/dL range. She was actually a new patient of ours; her A1C was 9.2%. We recommended a CGM. She purchased one and brought it to the office for me to teach her how to use it. I did so. This patient is well-educated and seemed tech-savvy. When she left the visit, she "seemed" to understand CGM, what it is, what to do, and how to insert the sensor, get readings, interpret readings, etc.

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Try Living Like Your Patients

When I was studying to become a CDE, the students in our class who did not have diabetes were given the assignment to live as though we did have insulin-requiring diabetes for a period of time. It was very helpful. At that time, we did not have continuous glucose monitors (CGM), but we did have insulin, vials and syringes (not sure about the pens but I don’t recall those), glucose monitors, and other supplies. We gave ourselves normal saline as if it were insulin, checked our glucose at least four times/day, carb counted, and everything else required to manage our "diabetes" daily. One incident that stands out to me was a friend faking having a hypoglycemia event while waiting for her food at a restaurant. It was quite an eye-opening period of time for all of us.

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