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Linda Siminerio Part 1, Shared Decision Making Diabetes Management

In part 1 of this Exclusive Interview, Dr. Linda Siminerio talks with Diabetes in Control Publisher Steve Freed during the ADA meeting in San Diego, California, about the changes in diabetes care over the years.

Dr. Linda Siminerio RN, PhD is a Professor of Medicine at the University of Pittsburgh and Executive Director of the University of Pittsburgh Diabetes Institute.

Transcript of this video segment:

Steve: This is Steve Freed. We’re here at the American Diabetes Association 77th Scientific Studies and we are here to present to you some really exciting interviews with some of the top endocrinologists around the world. And we have a very special guest, Linda Siminerio. Maybe you can start off and tell us a little bit about what you do.

Dr. Siminerio: I am a professor of medicine and nursing at the University of Pittsburgh. I’m here at this ADA meeting in my position as chair of the national diabetes education program. And I’ve been actively involved clinically and in research in looking at self-management and healthcare delivery models for diabetes care.

Steve: the first question I want to ask you about diabetes management is how long have you been doing this?

Dr. Siminerio: 45 years

Steve: Let’s go back to your first year.

Dr. Siminerio: Oh, my goodness. Well, it’s so different. And that’s kind of what we were talking about.

Steve: What’s changed?

Dr. Siminerio: Everything, When I think about 1972, we didn’t have blood glucose monitoring. I remember going to camp and we would stay up all night with the children just feel their foreheads to see if they were perspiring from hyperglycemia. We had rows of test tubes for testing urine because we didn’t have blood glucose monitoring. We always had a station wagon there so if somebody came and was going into DKA and we had to get them to the hospital for severe hyperglycemia hat we could rush them to the hospital, that was 1972 and 1973. What’s changed? We didn’t have the evidence. We kind of thought that good glucose control prevented complications, but we didn’t have the science. We didn’t know then that diabetes could be prevented or delayed. We didn’t have a diabetes prevention program and our approach to how we work with patients, I guess wasn’t as effective as we thought it was going to be. So, I’m here at this meeting to just talk about how we need to learn strategies to have a more patient-centered approach.

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