New Treatments & Technologies in Diabetes

#1 - Insulin Pumps, Part 1

I. Benefits

II. Limitations

III. Pump Candidates & Indications

a. How to get started

b. Documentation

c. Costs & Insurance coverage

a. Basal rates

b. Insulin carb ratio’s

c. Correction dosing

a. Site Selection

b. Insertion sets

c. Skin problems

VII. Blood glucose analysis

a. Evaluating trends

b. Making rate adjustments

Behavioral/Learning Objectives:

1. State 2 indications for the use of an insulin pump.
2. Describe how to calculate the initial basal rate for a pump.
3. Describe how to calculate an insulin to carbohydrate ratio for use with an insulin pump.
4. State 2 appropriate insertion sites for an insulin pump.

#2 - Insulin Pumps, Part 2

I. DKA prevention

a. Clogs

b. Leaks

c. Malfunctioning pump?

d. Proper correction procedures

a. Hypoglycemia prevention

b. Adjusting basal rates

c. Disconnecting from the pump

a. Hypoglycemia/unawareness

b. Children and Teens

c. Traveling

d. Pregnancy

a. Realities of pump therapy

b. Carbohydrate counting

c. Problem solving

Behavioral/Learning Objectives:

1. Explain 2 reasons a patient could develop diabetic ketoacidosis with an insulin pump.
2. State 2 important area’s of education before a patient uses an insulin pump.
3. Identify how to change basal rates for planned physical activity.
4. Explain how to appropriately disconnect from an insulin pump for short periods of time.

#3 - Continuous Glucose Monitoring

I. What is continuous glucose monitoring?

II. Where are cgms helpful and appropriate?

III. Brands of Continous Glucose Monitors

A. Sensor life

B. Initialization

C. Costs

D. Alarms

E. Directional arrow trends

F. Water transmission

Behavioral/Learning Objectives:

1. List 2 continous glucose monitors available for purchase.
2. State 2 reasons to consider continuous glucose monitoring.
3. Define a limitation of continous glucose monitoring.

#4 - What’s New in Diabetes Medications

I. Newer diabetes medication therapies

A. Guidance for evaluating cardiovascular risk in new antidiabetic therapies to treat type 2 diabetes

B. Oral medications

1. Onglyza (saxagliptin)

2. Cycloset

C. Injectable medications

1. Liraglutide

A. Oral insulin (Ora-lyn)

B. Insulin patch

C. Insulin sprays (buccal, intranasal)

D. Inhaled insulin

Behavioral/Learning Objectives:

1. Describe one new oral medication used to manage diabetes.
2. Describe two new insulins under development.

#5 - What’s New in Diabetes Herbals

I. Supplements targeting persons with diabetes

A. Supplements with hypoglycemic activity

B. Supplements targeting diabetes complications

C. Dangerous supplements for persons with diabetes

II. Vitamin D and diabetes

III. Guidelines for safe supplement use

A. Education

1. Natural is not harmless

2. Lack of government regulation

3. Research

4. Cost-Benefit analysis

5. Open sharing of information

6. Where to report problems

B. Supplement DO's and DON’Ts

Behavioral/Learning Objectives:

1. Describe 3 dietary supplements that claim to benefit persons with diabetes.
2. Describe the role of vitamin D in diabetes.
3. State 3 guidelines for safe supplement use.

#6 - What’s New in Diabetes Technologies

I. New diabetes technologies/research

A. BG Monitoring

B. Insulin delivery

C. Implantable insulin pump

A. Islet cell transplantation

B. Pancreas transplantation

C. Artificial pancreas

D. Diabetes Trial Net

E. Type 2: prevention

Behavioral/Learning Objectives:

1. Describe two new technologies currently investigated to control diabetes.
2. Describe two new technologies currently investigated to cure or prevent diabetes.

Accreditation Information

Nurses – Academy Medical Systems is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s COA.

Academy Medical Systems (AMS) is also a provider approved by the California Board of Registered Nursing, provider #CEP14413.

AMS is also a provider approved by the Florida Board of Nursing, provider #50-19.

Iowa Nurses – The Iowa Board of Nurses will recognize the recorded webinars as a home study program. They recognize our ANCC approved provider status as well as our CA and Fl Board of Nursing provider approval for home study products for nurses in Iowa.

All other states recognize our approved provider status listed in the above text for continuing education credit for nurses.

9.0 contact hours will be rewarded to nursing professionals at the completion of this workshop.

Dietitians - Academy Medical Systems is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 9.0 continuing professional education units (CPEUs) for completion of this program/material.

Occupational Therapist - Occupational Therapist will receive 9, continuing education hours for completion this program and a test score of 70% or better. AMS is an approved provider for the AOTA , provider # 5470.  This course is an intermediate education level.

Exercise Physiologist – ACSM recognizes AMS’s approved provider status with the ANCC and will honor our continuing education for Certified Exercise Physiologist recertification purposes.

Certified Athletic Trainers – Academy Medical Systems is recognized by the Board of Certification (BOC) to offer continuing education for certified athletic trainers. 9 hours will be awarded at the completion of this program.

Physical Therapists - PTs and PTAs in the following states will receive 9 contact hours for completion of all 6 webinars: AK, AL, AZ, CA, CO, CT, GA (Class 1), HI, IA, ID, IN, KS (Cat 2), KY,  MA, ME, MI, MN (Cat 2), MO, MS, MT, NE, NM, ND, OK (Cat 2), OR, RI, SC, SD, UT, VA (Type 2), VT, VI, WA, WI, WY.

We are an approved provider to offer continuing competency courses to CA PTs, approval date 4/5/10.  The following state boards recognize other state’s approval: AL, AZ, GA (Class 1), KY, MO, MS, OK (Cat 2), WI.

Because each state’s continuing education requirements for physical therapists is subject to change, please verify this information with your state board. Thank you.

Social Workers - This course meets the qualifications for 9 hours of continuing education credit for MFCCs and/or LCSWs as required by the California Board of Behavioral Sciences, provider #PCE 4947.  Please check with your state board’s requirements to determine if this program meets your continuing education requirements or call us at 866-414-3500 to assist you.

Academy Medical Systems has been approved by the TX State Board of Social Workers Examiners to provide continuing education activities for social workers, Provider # 5998.

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