Full Course Description

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Program Information

Target Audience

Certified Diabetes Educators, Registered Dietitians & Dietetic Technicians, Nurses, Physician Assistants, and other Healthcare Professionals

Objectives

1. Specify diagnostic criteria for Diabetes Mellitus and different diagnoses.
2. Evaluate Metabolic syndrome and the three H’s: Hyperglycemia, Hyperlipidemia and Hypertension.
3. Categorize the symptoms of Hyperglycemia & Hypoglycemia.
4. Prescribe insulin, other injectable diabetes medications and oral anti-diabetes medications.
5. Calculate basal/bolus dosing of insulin administration including various insulin administration schedules to achieve optimal control.
6. Perform motivational techniques to assist patients for optimal control of their diabetes.
7. Integrate nutrition and label reading to facilitate patient behavioral changes.

Outline

1. Physiology of Diabetes
   1. Classifications of Diabetes
      1. Type 1
      2. Type 2
      3. Type 3? - Future Classifications
      4. Maturity-Onset Diabetes of the Young (MODY)
      5. Gestational
      6. Medication-induced
      7. Chronic Disease-induced
   2. Cost of Diabetes
2. Progression of Diabetes
   1. Identify Pre-diabetes
   2. Beta Cell Function
   3. Complications
      1. Acute Complications
      2. Chronic Complications
      3. Implement Interventions
3. Screening for Diabetes
   1. Children
   2. Race/Ethnicity
   3. S/S of Insulin Resistance
   4. Gestational Diabetes Mellitus (GDM) and Polycystic Ovarian Syndrome (PCOS)
   5. BMI Greater than 85% in Children
   6. BMI Greater than 25% in Adults
   7. Medication-Induced
   8. Chronic Diseases/Stress-Induced
4. Diagnosis: ADA Criteria for Diagnosis
   1. Pre-Diabetes
   2. Diabetes
   3. Future Diagnosis of Diabetes
   4. Treatment Goals: Landmark Studies
   5. Monitoring: Annual Goals
5. Management Options
   1. Medication
      1. Correct Medication
      2. Correct Dosage
      3. Correct Time
      4. Normalizing BG
6. Insulins
   1. Insulins (charts)
   2. Insulin Delivery Systems
   3. Insulin Pumps
   4. Pattern Management
      1. Basal rate 1800/1500 rule
      2. Bolus rate 500/450 rule
   5. Inhalable Insulins
7. Oral Agents for Type 2 Diabetes
   1. Injectables
8. AADE7 Self-Care Behaviors for Treatment
   1. Healthy Eating
   2. Being Active
   3. Monitoring
   4. Taking Medication
   5. Problem Solving
   6. Healthy Coping
   7. Reducing Risks
9. Assessing Readiness for Change
   1. Potential Problems
   2. Solutions
   3. Prevention

Copyright : 02/26/2016

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Nutrition Interventions

Program Information

Target Audience

Certified Diabetes Educators, Registered Dietitians & Dietetic Technicians, Nurses, Physician Assistants, and other Healthcare Professionals

Objectives

1. Prioritize evidenced-based recommendations for multiple diagnoses.
2. Determine best practice guidelines for nutritional management of patients with co-morbidities.
3. Consider the value of laboratory data to assess patient’s nutritional status.
4. Incorporate strategies to resolve difficulties with patient compliance.
5. Evaluate common reasons patients may be reluctant to fully engage in change.
6. Practice the four-step process of motivational interviewing.
7. Perform multiple motivational interventions, techniques, and strategies.

Outline

The Complex Patient Assessment

• NPG Rating System
• Nutrition Assessment

Meal Planning Strategies by Diagnosis

• Evidenced-based Diets
• Energy and Macronutrient Requirements

Dietary Modifications for:

• Diabetes
• Hyperlipidemia
• Cardiovascular Disorders
• Hypertension
• Obesity
• GERD
• IBS
• Gluten-free Diets
• Food Allergies
• FODMAPS and more….

Addressing Behavior & Attitude Key Motivational Interviewing Strategies

• Goal Setting Methods
• Identifying Patient Barriers to Change
• Stimulus Control of Behavior
• SMART Goals
• Stages of Change
• Transtheoretical Model (TTM)
  • Consciousness Raising
  • Dramatic Relief
  • Self-Re-Evaluation
  • Environmental Re-Evaluation

Keys to Successful Behavior Change

• Cultural Considerations
• Adult Learners
  • Retaining Information
  • Assuring Compliance
• Top 9 Psychosocial Factors that “Make or Break” Behavior Change
• Critical Design Features for Interventions & Teaching
• Avoiding Common Breakers to Patient Rapport
• Integrating Patient Life Variables into ALL Interventions

Additional Resources

• Sample Meal Plans
• Goal Sheets
• Dietary Lists for Multiple Diagnoses
• Patient Assessments
• Custom Assessment Check List
• Motivational Interviewing Work Sheets

Copyright : 11/09/2015

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