The Ultimate One-Day Diabetes Course: Managing Diabetes: Improving Patient Outcomes – Sandra L. Kimball

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As a healthcare professional, you need sufficient diabetes knowledge to provide safe, competent care to patients with diabetes and pre-diabetes. Diabetes is becoming more complex and it is critical that you understand the latest strategies in insulin delivery, blood glucose monitoring, AADE 7, and nutrition to give your patients the best outcomes.
National diabetes expert, Sandra L. Kimball, BA, RN, MS, NP-C, CDE, CPT, in this patient-focused one-day seminar on diabetes will leave you with new management techniques and tips to improve the outcomes of patients with diabetes and pre-diabetes, as well as how to implement the latest clinical guidelines to optimize the quality of life of your patients and prevent further complications.

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.

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

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