Full Course Description

Diabetes Mellitus: Management and Education Online Conference

When you work with diabetic patients, you are dealing with a complex condition that will never go away.

And without effective management, the long-term outcomes can be devastating. If you fail to help your patients manage their symptoms, they can lose their vision, their limbs, even their lives.

What’s more, progress can be fleeting. Your patient may have a good visit… then a disappointing one. Between A1C fluctuations, financial worries, lifestyle changes, co-morbidities, new technology, and other challenges, it’s easy for patients and healthcare providers alike to get overwhelmed.

You need the most current guidance and the latest evidence to help keep your patients' blood glucose under control and prevent negative outcomes.

That's why we put together this training presented by renowned diabetes experts Jennifer Okemah, MS, RDN, CSSD, BC-ADM, CDCES, and Tracey Long, PhD, MS, MSN, RN, APRN-BC, CDCES, CNE, CCRN, COI. You’ll get clinical insights from years of practice, along with essential updates, straight from the August ADCES conference, including:

How to decode the mystery of closed-loop pump settings
The most valuable patient tools for tracking nutrition
New recommendations for oral and injectable medications
Simple approaches for minimizing and preventing complications… such as retinopathy, cardiovascular, dermopathies, and more
Patient education strategies that empower people to make healthier choices — without overwhelming or discouraging them
Live technology demonstrations of the newest pumps and CGMs
And much, much more!

Program Information

Objectives

Differentiate between the ADA and AACE standards of care and diagnosing the four types of diabetes.
Compare the 7 self-management standards, including exercise recommendations from ADA and ADCES.
Determine important aspects of nutrition management in DM, as well as resources and tools.
Outline glycemic target goals for ages, with indications for self-monitoring and continuous blood glucose testing methods and systems.
Describe the various current technology choices for insulin delivery and the existing insulin pumps.
Compare the ADA and AACE pharmacology recommendations & decision tree for the use of oral antiglycemic medications in the treatment of DM.
List the various insulins by time of action, peak and duration and the administration through injection or various insulin delivery devices.
Describe the causes, types, clinical symptoms, and treatment for hypoglycemia, DKA and hyperglycemia.
Describe the causes, types, clinical symptoms, and treatment for neuropathy, retinopathy, diabetic dermopathies, and cardiovascular, nephrotic, musculoskeletal complications.
Address special topics for the lifespan: childhood, teens, young adult, adult, and the elderly.
Discuss the diabetes prevention program and prediabetes treatment recommendations.
Compare and contract common mental health challenges for people with diabetes.
Identify the steps on how to create a diabetes program with consideration of community, education and resources.
Implement a teaching plan for individuals with diabetes using adult learning theory.
Describe the CDCES exam blueprint topics and categories of content.
Outline the Certified Diabetes Care and Education Specialist roles and responsibilities.

Outline

Lecture 1: Pathophysiology of Diabetes Mellitus

A history of diabetes mellitus
Causes of diabetes mellitus
Pathophysiology of diabetes
Different types of diabetes mellitus
Diagnostic criteria
Testing tools
Clinical symptoms

Lecture 2: Diabetes Management Strategies

ADA and AACE standards of care
7 Self-Management Strategies
Mass reduction / weight loss strategies
Movement (exercise) guidelines

Lesson 3: Nutrition Management

Medical Nutrition Therapy
Macro and Micronutrients
Systems of Nutrition Planning
Tools for tracking nutrition

Lecture 4: Monitoring Diabetes Control

Glycemic target goals
Self-monitoring
Continuous blood glucose testing
Pattern interpretation and control

Lecture 5: Using Technology for Diabetes Success

Smart pens and insulin delivery gadgets
Insulin pumps
Understanding how to use CGM monitors
The artificial pancreas

Lecture 6: Oral Pharmacological Treatment of Diabetes Mellitus

Classes of oral antihyperglycemics
Action, side effects, and impact on A1c
Monotherapy, dual and mixed therapy
Nonpharmacological therapies

Lecture 7: Injectable Pharmacological Treatment of Diabetes Mellitus

Injectable antihyperglycemics (not insulin)
Insulins
Action, side effects, and impact on A1c

Lesson 8: Acute Complications of Diabetes Mellitus

Hypoglycemia
DKA
Hyperglycemic hyperosmolar nonketotic syndrome

Lesson 9: Chronic Complications of Diabetes Mellitus

Neuropathy
Retinopathy
Dermopathies
Cardiovascular complications
Nephropathy
Musculoskeletal complications
Reproductive system complications

Lesson 10: Special Populations and Issues

Issues for children with diabetes
Issues for teens and young adults with diabetes
Issues for adult and the elderly with diabetes
Sick day rules
Traveling with Diabetes

Lecture 11: Prediabetes and Obesity

Diabetes Prevention
Prediabetes treatment
Strategies for obesity

Lecture 12: Mental Health and Behavior Change

Behavior change theories
Motivational Interviewing
Strategies to help people make healthier choices
The role of coaching people with diabetes

Lecture 13: Developing and Administering a Diabetes Education Program

Options for accreditation or certification programs
Components of an accredited diabetes education program
Resources for Diabetes Educators

Lecture 14: Teaching Effectively People with Diabetes

Adult learning theory: pedagogy and androgogy
Patient education strategies
Tools for teaching
Teaching techniques

Lecture 15: Becoming a CDCES / BC-ADM

Exam eligibility requirements
Exam blueprint
Exam process and application
Strategies for study
Certified Diabetes Care and Education Specialist roles and responsibilities

Target Audience

This course is appropriate for nurses, physicians, dieticians, physical and occupational therapists, pharmacists, and allied healthcare professionals who need to be updated on current trends, research, clinical guidelines, and tools for treating diabetes mellitus.

Copyright : 09/28/2023

Managing the Sugar Bump: Caring for the Gestational Diabetes Client

Gestational Diabetes is one of the most common and significant complications a family can face during the childbearing year. Globally, it is estimated that 21.1 million live births were impacted by some form of hyperglycemia and of these 80.3% were due to Gestational diabetes. In the United States, about 2-10% of childbearing families will experience Gestational diabetes increasing the risk of adverse maternal, fetal, and neonatal outcomes. The overwhelming prevalence of Gestational Diabetes makes it likely that you will not only encounter this imperative health issue in your practice, but you will need to engage with families impacted by the condition at some point during their health journey. As clinicians and birth workers we can help improve current and future health outcomes for families impacted by Gestational diabetes by keeping abreast of the most current evidenced based recommendations. This session will provide you with the most up-to-date evidence that will equip you to care for your clients with Gestational Diabetes from antepartum through the postpartum period.

Program Information

Objectives

Determine the epidemiology, social determinants of health, risk factors, pathophysiology, prevention, screening, and diagnosis of Gestational Diabetes.
Evaluate the non-pharmacological and pharmacological treatment options for Gestational diabetes including lifestyle prescriptions for nutrition, exercise, stress, social support, and reducing toxic substances.
Execute clinical and nonclinical care of the client with gestational diabetes during the antepartum, intrapartum, and postpartum period.
Plan screening and follow-up for gestational diabetes including behavioral interventions and lifestyle change programs to prevent the development of Type 2 diabetes.

Outline

The epidemiology, determinants of health, risk factors and screening guidelines for Gestational Diabetes

Discuss global and national prevalence rates of Gestational Diabetes
Discuss the social and environmental contributors of Gestational Diabetes
Discuss the pathophysiology and risk factors for Gestational Diabetes including age, race/ethnicity, plurality, weight, family history and pre-existing conditions
Discuss screening and diagnostic tests for Gestational diabetes including the one-, two-, and three-hour oral glucose tolerance test (OGTT)

Non-Pharmacological and Pharmacological treatment options for Gestational Diabetes

Discuss non-pharmacological treatment options including lifestyle prescriptions for diet and exercise
Discuss contraindications to exercise during pregnancy and self-care strategies to employ during physical activity
Discuss oral medications and the use of insulin for the Gestational Diabetes client
Discuss technology used in diabetes care including insulin pumps, glucose meters, and continuous glucose monitors

Clinical and non-clinical care for the Gestational Diabetes client during the antepartum, intrapartum, and postpartum period

Describe and identify interventions that meet the physical, emotional, mental, and spiritual needs of the Gestational Diabetes client from antepartum to the postpartum period
Discuss the essential components of antenatal care including referrals to specialists, increased fetal monitoring, pharmacological and non-pharmacological treatment, patient education and anticipatory guidance
Discuss the intrapartum care including labor inductions, c-sections, and risk of birth trauma
Discuss postpartum care including breastfeeding and screening for neonatal hypoglycemia

Discuss the long-term follow-up for the client with Gestational Diabetes

Discuss screening guidelines for Type 2 diabetes including the OGTT at the 6-week post-partum visit
Discuss long-term screening and surveillance guidelines for Type 2 Diabetes following a Gestational diabetes diagnosis
Discuss behavioral interventions and lifestyle change programs that help prevent diabetes after a Gestational diabetes diagnosis

Target Audience

Nurses
Nurse Practitioners
Physicians
Physician Assistants
Midwives
Doulas

Copyright : 03/10/2023

It’s All About the Food: Improving Diabetes Outcomes

Health care professionals often find themselves having to dispense recommendations about nutrition against a backdrop of rampant misinformation. Learn the latest guidelines about healthy eating with diabetes and which eating patterns are associated with the best outcomes. Common misconceptions about meal planning for diabetes will be exposed and you’ll learn how to expertly address today’s hottest topics like keto and artificial sweeteners.

Program Information

Objectives

Determine the key parameters for effective medical nutrition therapy in people with diabetes.
Evaluate the metabolic impact of macronutrients on blood glucose levels.
Analyze the use of various eating patterns on health outcomes in persons with diabetes.
Assess the guidelines for weight management in diabetes.

Outline

Diet Tribes: Which Diet is Best for Diabetes?
- Examining the evidence
Nutrient Know-How: How they impact blood sugar
- Is there an ideal macronutrient ratio?
Hot topics: EXPOSED!
- Misconceptions about meal planning
- The use of artificial sweeteners
- Role of carbohydrate in the overall diet
Locking in Behavior Change
- Meal planning tips
- Medical nutrition therapy guidelines
- Common resources

Target Audience

Nurses
Occupational Therapists
Occupational Therapy Assistants
Physicians

Managing the Diabetic Foot: Protocols That Work

According to the National Diabetes Statistics Report, 37.3 million adults are diabetic, 8.5 million are yet undiagnosed and 96 million are prediabetic. Up to 20% of these will develop a diabetic foot ulcer, 80% of which will result in amputation. It doesn’t have to be this way! This session will provide the assessment skills, common causes, complications, and treatment strategies both to prevent ulceration and achieve healing in these difficult cases.

Program Information

Objectives

Assess the characteristics of a diabetic foot ulcer.
Appraise the factors that contribute to the development of a diabetic foot ulcer.
Apply evidenced based interventions to promote healing.
Determine when to refer to other disciplines to complement healing.
Develop individualized treatment programs for each patient.

Outline

Comorbidities

Coronary artery disease
Large and small vessel damage
Depression

Causes of Foot Ulcerations

Peripheral & autonomic nervous system neuropathy
Mechanical stress
Foot deformities

Assessment and Diagnostic Tools

Loss of protective sensation
Semmes- Weinstein 5.07 monofilament
128hz tuning fork
Capillary refill
ABI

Managing the Diabetic Foot

L.E.A.P
Callus management
Footwear

Characteristics of a Diabetic Foot Ulcer

Location
Shape
Exudate
Wound bed appearance

Assessment of Bacterial Burden

Signs of infection
Silent infection
Quantitative tissue biopsy
Wound cultures
Proper wound cleansing

Orthopedic Assessment

X ray
Osteolysis
Charcot foot
Total contact casting
Offloading boots
Custom shoe inserts
Osteomyelitis

Vital Role of Dietitian

Protein & carbohydrates
RDA’s for adults
Amino acids
Nitric oxide

Optimal Wound Healing Requirements

Too wet/too dry
Dressings
Biologics
Silvers
Cytotoxics

Therapy Modalities

High and low frequency ultrasound
Pulsed lavage/jet ox
Hyperbaric oxygen
Topical/transcutaneous oxygen
Electric Stimulation (HVPG)
MIRE
Wound Vac

Target Audience

Nurses
Nurse Practitioners
Physicians Assistants
Physical Therapists