Guiding Principles

EDAN supports diabetes-related ECHO programs that are committed to promoting the following ABCDES principles:

• Access: People living with diabetes often lack access to diabetes specialty care and complex diabetes management care is addressed in the primary care setting. We are committed to targeting and reaching priority populations living with diabetes to identify and address unmet needs.

• Beyond A1c: People with diabetes are being judged and stigmatized based on A1c and weight, which leads to increased therapeutic inertia. We are committed to de-stigmatizing diabetes to influence health care professionals to be non-judgmental in supporting people with diabetes beyond solely glycemic targets.

• Confidence: Frontline primary care clinicians report they lack confidence in managing complex diabetes. We are committed to creating a community of practice to improve the confidence of frontline health care professionals to support people with diabetes.

• Disparities: Underserved and minority populations receive unequal care and have suboptimal outcomes. We are committed to addressing implicit biases and being more explicit in improving diabetes outcomes in priority populations.

• Education: We believe every person living with diabetes deserves individualized and equitable care with the fundamental right to diabetes education and empowerment.

• Systems: People living with diabetes have suboptimal outcomes not because they are “non-compliant” but rather because the current system of healthcare delivery is failing the majority of these individuals. We believe the ECHO model has role to play in helping change this NOW.