Full Course Description

2-Day Diabetes Certificate Conference

It is often thought that diabetes is “caused” by weight gain and that weight loss “cures” diabetes.

I’m going to share with you evidence that paves the way for a paradigm shift to more weight neutral diabetes care. I will discuss emerging evidence that supports patient motivation for healthy behaviors rather than focusing on weight loss alone. My 2-day comprehensive training will include case studies, demonstrations, and simulations to illustrate current best practices and clinical insights to improve patient outcomes. After all, when patients succeed, providers succeed.

I’m Laurie Klipfel, RN, MSN, ANP-BC, CDCES, WCC. I’ve been a Certified Diabetes Care and Education Specialist for over 20 years managing both inpatient and outpatient care for patients with diabetes. I’m excited about this opportunity to provide you with all the tips and strategies I’ve accrued through my own experiences with patients. Diabetes management is ever changing. It really is essential that you have a thorough understanding of glycemic control, acute/chronic complications, AADE-7® behavioral goals and all the newer treatment options (glucose sensors. sensor-augmented insulin pumps…).

Management of diabetes is more complex than I’ve ever seen it. And it’s more critical than ever that we all practice up-to-date, incorporating the current diabetes standards and guidelines. Together, I am confident that we can empower patients to take control of their health and lives.

Laurie Klipfel, RN, MSN, ANP-BC, CDCES, WCC
and the PESI Healthcare Team

Program Information


  1. Determine diagnostic criteria for the different types of diabetes.
  2. Evaluate the relationship between metabolic syndrome and pre-diabetes.
  3. Analyze optimal treatments based on ADA Standards of Care and AADE-7® behavioral goals.
  4. Appraise the basal/bolus concept of insulin administration including various insulin administration schedules.
  5. Assess for prevention/treatment techniques for acute and chronic complications.
  6. Integrate evidence-based research to focus on healthy behavior rather than weight loss.
  7. Plan to address tight glycemic control, including management strategies during illness or surgery.
  8. Determine what to do when a patient is wearing an insulin pump.
  9. Analyze motivational techniques to assist patients to progress.
  10. Distinguish the benefits of new treatment therapies.
  11. Analyze basal/bolus administration of insulin and how to adjust insulin dosages.
  12. Plan to improve patient outcomes through evidence-based strategies.


Importance of Glycemic Control – Acute Complications, Symptoms and Treatment

  • Diabetic ketoacidosis (DKA)
  • Hyperglycemic hyperosmolar
  • Non-ketotic syndrome (HHNK)
  • Hypoglycemia
  • Infection
  • Fatigue/depression
Chronic Complications, Prevention, Identification, and Treatment
  • Cardiovascular disease
  • Peripheral vascular disease
  • Retinopathy
  • Nephropathy
  • Neuropathy
Goals of Therapy
  • Glucose control
  • Blood pressure control
  • Lipid management
  • Smoking cessation
  • Improved “well-being”
AADE-7 ®Behavioral Goals
  1. Healthy eating (carbohydrate counting, balanced fat/protein/carb)
  2. Being active with complications of diabetes
  3. Healthy coping/stress management/ depression treatment
  4. Monitoring: frequency, timing and evaluation of results
  5. Risk reduction
  6. Problem-solving with case examples
  7. Medication: indications and Contraindications
Oral Medications
  • Sulfonylureas
  • Meglitinides
  • Thiazolidinediones (TZD)
  • Biguanides
  • Alpha-glucosidase inhibitors
  • DPP-4 inhibitors
  • SGLT-2 inhibitors
  • Incretin Mimetics
  • Combinations



  • Action times
  • Basal/bolus dosing
  • Benefits of insulin pump therapy
  • Management of insulin pump in the hospital

-Incretin Mimetics

  • Amylinomimetics
    • Newer Therapies
    • Glucose sensors
    • Sensor-augmented insulin pumps
    • On the Horizon:
  • Closed loop insulin pumps
  • Improved pancreatic transplants
  • Many combination pills
  • More DPP-4 inhibitors
  • Obesity medications
  • Stem cell research

Healthy Coping/Stress Management Skills

-Healthy Weight

  • Genetic component
  • The Obesity Paradox
  • Healthy choices
  • Treatment options with pros/cons
  • Focus on healthy behaviors

-Patient Education and Empowerment

  • Techniques
  • Adult learning styles
  • Setting “SMART” goals
  • Motivational techniques

-Improving Glycemic Management In Hospitalized Patients

  • Standards of care
  • Goals
  • Surgical considerations
  • Insulin pumps in hospitalized patients
  • Resources for patients and professionals

Case Studies

  • Delaying onset of diabetes for at risk patient
  • Choosing the best initial treatment for newly diagnosed diabetes
  • How to advance therapy with optimization of oral agents
  • Advancing to combination therapy
  • Optimizing basal bolus insulin therapy
  • Motivational techniques
  • How to address weight issues
  • Improving glycemic management in hospitalized patients

Target Audience

  • Nurses
  • Nurse Practitioners
  • Clinical Nurse Specialists
  • Certified Diabetes Care and Education Specialists
  • Physician Assistants
  • Pharmacists

Copyright : 06/21/2021

Diabetes Meal Planning

You are seeing an increased volume of patients with diabetes and many of these cases are very challenging. You need practical strategies and meal plans you can put into practice the very next day. In this program, you’ll learn recommendations for specific nutrient modifications, nutrition assessment, patient monitoring and evaluation methods, and problem solving skills. Don’t miss this opportunity to advance your clinical practice and improve patient outcomes.

Program Information

Target Audience

Nurses, Nurse Practitioners, Clinical Nurse Specialists, Dietetic Technicians


  1. Choose questions to ask patients before establishing a meal plan.
  2. Consider dietary considerations beyond carbohydrates in meal planning.
  3. Recommend meal planning considerations for exercise.
  4. Analyze the evidenced-based recommendations for the key diabetes nutrition interventions related to; glycemic index, plant based diets, very low calorie diets, hypoglycemia, exercise, weight control and sick day management.


Meal Planning Considerations for:

  • Blood Glucose Control
  • Current Diet
  • Meal Preferences
  • Type of Work
  • Medications
  • Socioeconomic
  • Cultural
  • Willingness to Change
Nutrition Management Priorities
  • Type I Diabetes
  • Type II Diabetes
Problem Solving
  • Sick Day Management
  • Travel Days
  • Weight Loss

Copyright : 03/23/2018