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Justine Fierman, Memorial Diabetes Provider, Receives Advanced Diabetes Care Recertification

June 22, 2017

NORTH CONWAY, NH – Justine Fierman FNP-BC, BC-ADM, CDE earned a 5 year national Board recertification in Advanced Diabetes Management (BC-ADM). She is one of 1051 professionals to hold this board certification. The BC-ADM certification validates a healthcare professional's specialized knowledge and expertise in the management of people with diabetes. Practicing within their discipline's scope of practice, healthcare professionals who hold the BC-ADM certification credential adjust medications, treat & monitor acute and chronic complications, provide medical nutrition therapy, help patients plan exercise regimens, counsel patients to manage behaviors and psychosocial issues, participate in research and mentor. The depth of knowledge and competence in advanced clinical practice and diabetes skills affords an increased complexity of decision making which contributes to better patient care.

Justine is also a certified diabetes educator. The BC-ADM certification differs from the CDE certification. The CDE certification involves diabetes education and the BC-ADM involves management of diabetes.

A Certified Diabetes Educator® (CDE®) is a health professional who possesses comprehensive knowledge of and experience in prediabetes, diabetes prevention, and management. The CDE® educates and supports people affected by diabetes to understand and manage the condition. A CDE® promotes self-management to achieve individualized behavioral and treatment goals that optimize health outcomes

To renew the Board certification in Advanced Diabetes Management, a candidate must have a minimum of 1000 practice hours related to the role as an advanced diabetes manager within the 5 years preceding the renewal. They must also complete 2 of 5 professional development categories in their certification specialty. Professional development categories include: Continuing education, Academic Credits, Presentations, Publication and Research, Preceptor and Professional Service.

In April 2009, Justine was one of 3 Nurse practitioners to serve on the Standard Setting Panel for the American Nurses Credentialing Center and participated in the development of the next national certification exam in Advanced Diabetes Management for Nurse Practitioners, Clinical Nurse Specialists, Pharmacists and Registered dietitians. She was chosen as an AADE Content Panel Expert and Test Item Writer for the Board Certification in Advanced Diabetes Management in the spring of 2011.

Justine shared, "Diabetes can affect every aspect of life for a person with diabetes. My goal is to help people manage their diabetes versus having diabetes manage them. Every person is different. I seek to understand my patients, what their needs and goals are, and to work individually in partnership them. I explain to patients that diabetes is a lifelong journey that requires changes in medications and tools over the course of a person’s life. I assist the patient in acquiring the education, tools and healthcare needed to help them regain control in their lives and to maintain that control throughout the journey, preventing complications of the disease."

Justine is the director of the Miranda Center for Diabetes at Memorial Hospital. The staff of the Miranda Center at Memorial Hospital is a multi-disciplinary team dedicated to the evaluation, treatment and education of patients with diabetes and endocrine disorders. The Miranda Center for Diabetes and Endocrinology has been recognized nationally by the American Diabetes Association since 2002. For more information, visit them online at

About Memorial Hospital

Memorial Hospital is the Valley's largest healthcare facility and a not-for-profit 25-bed Critical Access Hospital located in North Conway, NH. It is a member of the MaineHealth family. Its hospital services include a 24-hour emergency department, surgery center, clinical laboratory, heart health & wellness programs, family birthing center, sleep center, wound care center, oncology, chemotherapy and infusion services and the Miranda Center for Diabetes. Physician practices include primary care and family medicine, women's health, urology, orthopedics and sports medicine. The Merriman House, a 45-bed nursing home specializing in Alzheimer's and other memory disorders, is also located on the hospital campus. Together, our staff and providers are committed to meeting the health needs of the Mt. Washington Valley and surrounding communities by collaborating with community partners in the delivery of accessible, comprehensive, compassionate, and quality health care.

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