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The 9th Annual 2025 T1D Exchange Quality Improvement Learning Session 

The 2025 T1D Exchange Quality Improvement Learning Session 

November 11-12, 2025

The Whitley Hotel Atlanta Buckhead
3434 Peachtree Rd NE, Atlanta, GA 30326

With our team-based focus on contributing partners, clinical collaboration, and co-production with people living with diabetes, we are excited to share the agenda, give you a glimpse at the guest speakers travelling to this learning session, and highlight what we will get to see and hear from our co-hosts at Children’s Healthcare of Atlanta and Grady Memorial Hospital.

Learning Session Objectives: 

  1. Synthesize a basis for the practice of delivering equitable, evidence based, cost effective diabetes care, both person-centered and population based in a learning health network. 
  2. Integrate current clinical science, health outcomes research, quality improvement methodologies, drug therapies, education, and technology into clinical practice. 
  3. Become more informed and involved in advocacy issues related to diabetes care.  
  4. To provide a forum for resident education on current clinical practice, relevant diabetes care, practice management, and advocacy issues in preparation for careers and competent and ethical diabetes clinicians.                                            

We are so glad to have you with us. Here’s to making life with diabetes better for everyone. 

 – The T1D Exchange QI Team 

Journal of Diabetes

November 11, 2025, T1DX-QI Learning Session, Journal of Diabetes Abstracts

Nov 10

Day 0 – November 10, 2025

Time Event
3:00-4:00 pm 5k Fun Run
5:00-6:30 pm Welcome Reception

Nov 11

Day 1 – November 11, 2025

Time Event
7:30 – 8:45 am Breakfast
8:45 – 9:00 am Greetings, Logistics, and Agenda Overview (Nicole Rioles, MA)
9:00 – 9:25 am Introduction and Welcome from Atlanta, Georgia PIs (Kristina Cossen, MD and Georgia Davis, MD)
9:25 – 9:35 am Partnering with T1D Exchange (Dave Walton, MBA)
9:35 – 9:55 am Improving Outcomes for PWD (Ori Odugbesan, MD)
10:00 – 10:45 am Keynote
10:45 – 11:00 am Break
11:00 – 12:10 pm

Breakout Session 1

Pediatric Type 2 Diabetes: Rising Incidence and Interventions (Moderator: Monica Bianco, MD)

  • Reducing Wait Time in Pediatric Diabetes Clinic by
    Optimizing Access to Diabetes Device Data
  • Low Continuous Glucose Monitoring Use in Youth with Type 2 Diabetes: Baseline Data from the T1D Exchange Pediatric T2D Registry
  • Assessing Health Literacy in Pediatric Type 2 Diabetes
  • Step by Step: Increasing Physical Activity in Youth with Diabetes

Holistic Care: Transitions, Access, Shared decisions, and Psychological Support (Moderator: Siham Accacha, MD, CDCES)

  • Implementation of an Electronic Medical Record Pediatric to Adult Healthcare Transition Planning Tool for Youth with Diabetes Mellitus
  • Next Stop, Adult Care: Implementing A Transitions
    Roadmap for Youth with Diabetes
  • Development of Transition Curriculum from Patient
    Identified Topics
  • Beyond the Stereotypes: The Impact of Diabetes Misconceptions on the Lives of People with Type 1 Diabetes

Screening and Early Detection of Diabetes (Moderator: Alex Tuttle, MD, MEd)

  • Single-Center Experience: Implementation of Screening and Staging of Type 1 Diabetes
  • Improving Screening Rates of Patients at Risk for Type 1 Diabetes in an Academic Institution with Multiple Providers and Clinic Sites
  • Operationalizing Stage 1 and Stage 2 Type 1 Diabetes Screening: A Multicenter Quality Improvement Initiative
  • Implementing an Early Screening Workflow
    for Stage 1 and Stage 2 Type 1 Diabetes in a
    Pediatric Endocrinology Clinic
12:15 – 1:15 pm Lunch and Perspectives from People with Diabetes (Melody and Maximus)
1:15 – 2:10 pm Poster Session
2:10 – 2:45 pm How can we Bridge the 4T Model to Adult Care? A discussion moderated by the team at Stanford University
2:50 – 3:55 pm

Breakout Session 2

Diabetes Device Use at Diagnosis and Data Insights (Moderator: Brian Miyazaki, MD)

  • A Standardized, Interdisciplinary Approach to Accelerate Automated Insulin Delivery System (AID) Initiation in Adults with Diabetes
  • The Role of the CDCES in promoting the use of AID in 4T
  • Improving Early CGM Initiation in Pediatric Type 1 Diabetes Through Standardized Education and Documentation Protocols
  • The Next Chapter: Evolving Our T1D Quality Improvement Portal

Health Equity and Social Determinants of Diabetes (Moderator: Shideh Majidi, MD MSCS)

  • REACH-AID: Reducing Equity and Access Challenges to Harness Automated Insulin Delivery
  • Improving Food Insecurity Screening and Access to Nutrition Support for Youth with Type 1 Diabetes
  • Bridging the Gap in CGM Disparities: Standardizing Early CGM Initiation in New-Onset Type 1 Diabetes
  • Implementation of a best practice advisory to improve AID use in pediatric T1D

Remote Patient Monitoring, Diabetes Data, and New Diagnoses (Moderator: Patrick Hanley, MD)

  • Improving Clinic Follow-up for Newly Diagnosed T2DM patients
  • Validation and implementation of an EHR based DKA risk score
  • Machine Learning Prediction of Diabetic Ketoacidosis in People with Type 1 Diabetes: Analysis of T1DX-QI Collaborative Data Using Random Forest
  • Utilizing Telemedicine in a New-Onset Diabetes Education Program for Pediatric Patients with Type 1 Diabetes
4:00 – 4:20 pm Overview of the 2025 T1DX-QI Survey and T1DX-QI EMR Data Completeness (Susan Thapa, PhD and Dhruvi Vora, MS)
4:20 – 5:00 pm Panel Discussion: Meeting Unmet Needs
5:05 – 5:25 pm Group Photo (outside)
6:30 – 8:30 pm Dinner at St Cecelia’s for RSVPed attendees

Nov 12

Day 2 – November 12, 2025

Time Event
7:15 – 8:30 am Breakfast
8:30 – 8:50 am Logistics and Awards (Nicole Rioles, MA)
8:50 – 9:10 am The Convergence Era in Diabetes: Therapies and Technologies Redefining T1D and T2D (Francisco Javier Pasquel, MD, MPH)
9:10 – 9:40 am Hypoglycemia and Diabetes
9:45 – 10:55 am

Breakout Session 3

GLP-1 and Other Adjunctive Therapies and Glycemic Outcomes (Moderator: Viral Shah, MD)

  • Diabetes Resource Education and Management Support (DREAMS): Updates for 2024 and 2025 Cohorts
  • Blossoming Outcomes: A Multidisciplinary Model for Youth with Type 1 Diabetes (T1D) and Sub-optimal Glycemic Control
  • Remote Patient Monitoring for PwT1D Experiencing Elevated Glycemic Measures
  • GLP-1 RA Choice and Change Patterns in Pediatric Type 2 Diabetes: A Single Institution Study

Reducing Risks in T2D (Moderator: Tamara Hannon, MD, MS)

  • Raising the Bar: Increasing Urine Microalbumin Screening Compliance in a Pediatric Type 2 Diabetes Program
  • Improving Adherence to Screening Guidelines for Eye Examination in Youth with Diabetes
  • Improving Diabetic Nephropathy Screening Practices for Type 1 and Type 2 Diabetes
  • Advancing Equity and Outcomes: A QI Initiative to Increase CGM Use in Children with Type 2 Diabetes

Complications and Comorbidities in Diabetes (Moderator: Marina Basina, MD)

  • Streamlining AID Sick Day Protocols to Reduce Communication Load
  • Having Your Back(up): Implementing Safety Nets For Insulin Pump Failures
  • Screening for Peripheral Arterial Disease (PAD)in Diabetes Using the Ankle Brachial Index (ABI)
  • Quality Improvement Analysis of Sick Day Rule Updates on DKA Admissions in Children With Type 1 Diabetes Using Hybrid Closed-Loop Insulin Pumps
10:55 – 11:10 am Break
11:10 – 11:55 am Workgroup report outs: 

1. Hybrid Closed Loop;

2. Diabetes Distress;

3. Transitions of Care;

4. T2D Pediatrics
11:55 – 12:15 pm Supporting People With Diabetes as Healthcare Providers (Marissa Hitchcock, RN, CDCES)
12:15 – 1:15 pm Lunch
1:15 – 2:10 pm Committee report outs: 

1. Data Science;

2. Data Governance;

3. Publications;

4. Clinical Leadership;

5. People With Diabetes;

6. QI Champions
2:10 – 2:20 pm Wrap-up and Evaluation (Dave Walton, MBA)
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A Special Thank You To

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