Full Course Description

Diabetes Medications: The Latest Treatments & Guidelines

Advancements in research and treatment for diabetes mellitus is exciting. With 9 classes of diabetes medications now available, there are a lot of options, but it can also be confusing to choose which medications are best to treat your patient with diabetes. Devising an individualized plan of care for each patient requires that your practice is up-to-date and based on the current evidence-based guidelines.  Tracey Long, PhD, MSN, MS, RN, APRN-BC, CDE, CNE, CCRN, will share her expertise on the pharmacological management in this evolving specialty.

Program Information


  1. Differentiate between the nine currently available classes of medications to treat diabetes.
  2. Apply ADA and AACE practice guidelines for medication decision making.
  3. Describe side effects and effectiveness used for treatment of diabetes mellitus.
  4. Explain the use of combination therapy for treatment of chronic hyperglycemia.


Diabetes Medication Classes

  • Oral antihyperglycemics: alpha-glucosidase inhibitors, biguanides, DPP4-inhibitors, meglitinides, SGLT2 inhibitors, sulfonylureas, thiazolidinediones
  • Injectable antihyperglycemics (not insulin): amylin analogs, incretin mimetics, GLP-1 agonists
  • Insulins: rapid, regular, intermittent, long acting
ADA and AACE Practice Guidelines
  • What has changed for 2022
  • Standards of care and diagnosing
  • Glycemic control algorithm
  • Guidelines for monotherapy and combination therapy
Comparison of Medication Side Effects
  • Medication decisions include side effects, organ effect, and adverse drug effects
Up-to-Date Prescription of Insulin
  • Insulin delivery systems: syringe, pen, pump, and inhaled insulin
  • Algorithm for adding/intensifying insulin
  • Patient education for storage, mixing and traveling
  • Multiple daily injections vs. continuous glucose monitoring

Target Audience

  • Nurses
  • Nurse Practitioners
  • Physicians
  • Physicians Assistants

Copyright : 03/25/2022

Weight Loss Medications: Evaluate Evidence, Risk & Cost for Prescriptive Decisions

You’ve seen it too….

With the goal of losing weight, patients will try endless efforts and gimmicks. As providers, we have explained the importance of maintaining a healthy weight and lifestyle. These conversations can lead to frustrations, for everyone involved.

Studies show a 5-7% weight loss with behavior changes (a mere 10-15 pounds for a 200-pound person). Often weight loss efforts lead to weight cycling, which carries documented health risks and often leads to higher than initial weights. In the past there have been a lot of assumptions about the cause of weight being more behavioral. Newer evidence supports a more genetic, environmental, and biologic relationship with weight.

However, many healthcare providers continue to recommend behavior changes for weight loss, despite documented research showing not only poor success with those tactics but great harm including weight stigma, decreased utilization or delay in medical care, repeated weight loss and regain/weight cycling, reduced self-esteem/motivation, eating disorders, stress, and depression. All of which have been shown to contribute negatively to overall health.

The seriousness of this situation has led both patients and providers to look at pharmacological interventions to manage weight. These options have significant cost and risk that need to be carefully considered against the potential benefits. You have an incredible opportunity to learn from Laurie Klipfel, RN, MSN, ANP-BC, CDCES, WCC, as she breaks down the very latest evidence supported weight loss medication options.

Imagine being able to support the lasting weight loss outcomes you’ve been hoping patients would experience!  Purchase today!

Program Information


  1. Apply the latest evidence to select current pharmacological options for weight loss in patients.
  2. Analyze the benefit vs cost and risk of the various weight loss medication options available today.
  3. Evaluate the effect on weight for medications intended to treat other ailments such as hypertension, diabetes, or depression.
  4. Determine benefits of focusing on outcomes such as health/longevity, rather than weight.
  5. Choose therapies that best meet individual needs and provide effective support.
  6. Investigate how big business can influence standards/recommendations for healthcare providers regarding weight loss options.
  7. Develop techniques for successful motivational interviewing.


Current Non-Pharmacological Options

“Healthy” Diets

  • Dash diet
  • Mediterranean diet
  • Paleo
  • Atkins
  • Keto
  • Plant-based diet
  • Commercially prepared meals
  • Commercial weight loss plans
  • Cardio/aerobic
  • Resistance training/anerobic
  • Stretch/flexibility
  • Precautions

Stress management
Sleep hygiene
Surgical options
Motivational techniques to maintain healthy habits and avoiding fads

Pharmacological Options for Weight Loss

Older Medications Taken Off the Market Due to Complications

  • Sibutramine
  • Fenfluramine/phentermine “fen-phen”
  • Lorcaserin
  • Limitations/bias of older recommendations

FDA Approved Medications for Weight Loss (Effectiveness, Dosage, Side Effects, Warnings, Cost)

  • Orlistat
  • Phentermine/topiramate
  • Naltrexone/buproprion
  • Liraglultide
  • Semaglutide
  • Setmelanotide (only approved for 3 rare genetic conditions)

Medications Approved for Short Term Use Only (12 weeks)

  • Phentermine
  • Benzphetamine
  • Diethylpropion
  • Phendimetrazine

Medications Used Off Label for Weight Loss

  • A drug approved for treating a different medical problem
  • Two or more drugs at the same time
  • A drug for a longer time period than approved by the FDA

“Food Supplements” Not Under FDA Guidelines

Potential Mechanisms of Action for Future Medications

  • Regulating several gut hormones at the same time
  • Targeting specific genes that cause obesity
  • Allowing people to lose body fat without losing muscle during weight loss
  • Changing bacteria in the gut to control weight

Medications Used for Other Conditions that Affect Weight

  • Diabetes medications
  • Hypertension medications
  • Psychiatric medications

Target Audience

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

Copyright : 11/10/2022

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


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


  • 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

Copyright : 12/15/2022

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

Implementing Motivational Interviewing

Motivational Interviewing is widely used and it is an efficient way to get your patients to increase their motivation to change. But, knowing how and when to implement the techniques isn’t an easy skill to master. In this program Marlisa Brown, will demonstrate different strategies by reviewing her own successful techniques. These insightful and practical tips will increase your confidence and enhance your motivational interviewing skills. Don’t miss this opportunity to improve the care you provide; your patients will thank you!

Program Information

Target Audience

Nurses, Nurse Practitioners, Clinical Nurse Specialists


  1. Assess a patient’s readiness to change.
  2. Select the appropriate response based on motivational interviewing techniques.
  3. Evaluate the patient’s emotional state and utilize appropriate counseling skills.
  4. Adapt a more individualized approach to patient care.


Methods of Assessment

  • Identifying Patient Concerns
  • Working as the Collaborator, Not the Expert
Know your Role with Behavior Change
  • The 80/20 Talking Rule
  • Stages of Change
  • Behavior Change Strategies
  • SMART Goals
  • Motivational Interviewing Techniques
Helpful Tools
  • Learning Styles
  • Psycho-Social Considerations
  • Environment & Economic Considerations
  • Cultural Competency

Copyright : 04/28/2018

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


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



  • 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

Copyright : 10/20/2022

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


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


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

Management of Type 2 Diabetes

In this session, Matthew will discuss the two main treatment approaches for managing Type 2 Diabetes in a primary care setting. Starting with an overview of the complications, he will focus on the treatment approaches, and A1C guidelines. He will discuss both necessary lifestyle changes, including diet, and improving exercise/activity level. Additionally, he will cover the oral medicines for initial treatment and when insulin may be needed. Long term goals for treatment will be discussed to decrease the chance for heart failure, neuropathy and other complications.

Program Information


  1. Integrate the pathophysiology of T2D into the development of a management plan.
  2. Educate patients on any medications prescribed for control of T2D.
  3. Implement the ADA T2D clinical practice guidelines to improve outcomes for patients.


  • Complications
    • Macrovascular
    • Microvascular
    • Neuropathy complications
  • Treatment
    • A1C Goals
    • Medications (ADA Guidelines) --cost of medications
    • Patient teaching Reduction of ASCVD Risks
  • Goals
    • Reduced HF Risk
    • Reduce risk of Neuropathy
    • Increased quality of Life

Target Audience

  • Nurses
  • Nurse Practitioners
  • Clinical Nurse Specialists
  • Physicians
  • Physician Assistants

Copyright : 01/06/2023