Improving Outcomes in Diabetes Case Management

#1 - Advanced Meal Planning Using Carbohydrate Counting

I. Carbohydrate (Carb) Counting

A. Definition

B. What foods contain carbs?

C. Determining what is a carb serving/portion control

D. Determining carbs per meal and snack

E. Discuss use of Nutrition Facts Label and other sources of carb info

F. Factors that influence glycemic response

II. Advanced Carb Counting

A. Definition of a carb to insulin ratio

1. 500 rule for calculating carb to insulin ratios

B. Determining accuracy of carb to insulin ratios

1. Pre/post meal blood glucose testing

III. Carb counting technique.

A. Pattern management: adjustments based on SMBG results

B. Reasons for high and low blood glucose levels

C. Adjusting for physical activity

Behavioral/Learning Objectives:

1. Define carbohydrate counting.
2. Calculate a carb to insulin ratio.
3. Describe carb counting.

#2 - Oral Medication for Diabetes

I. Medication classes

A. Functions

B. Benefits

C. Side effects

II. How to make medication selections

III. Incretins

A. Actions

B. Where to use appropriately

C. Side effects

IV. Case Studies

Behavioral/Learning Objectives:

1. List a side effect of 2 oral medications.
2. State when it would be appropriate to use sulfonylurea’s
3. Define acceptable creatinine levels for use of metformin

#3 - Injectable Medications For Diabetes

I. Insulin

II. Onset, Peak, Duration

III. Matching appropriate insulin to blood glucose patterns

IV. Calculations for initiation of insulin

V. Case studies

Behavioral/Learning Objectives:

1. Describe when mixed insulin may be an appropriate selection for insulin initiation.
2. Explain when it would be appropriate to use U500 regular insulin.
3. Identify the storage recommendations for insulin.

#4 - New Diabetes Technologies

I. New diabetes technologies/research

A. BG Monitoring

B. Insulin delivery

C. Implantable insulin pump

II. New diabetes technologies/research

A. Islet cell transplantation

B. Pancreas transplantation

C. Artificial pancreas

D. Diabetes vaccines

E. Diabetes Trial Net

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.

#5 - Pediatrics and Diabetes

I. BG monitoring

II. Medication use/Injection options

III. Meal Planning

IV. Ketoacidosis prevention

V. School Plans

VI. Psychosocial issues

VII. Case Study

Behavioral/Learning Objectives:

1. List the guidelines for when to test for ketones
2. Define a 504 Plan
3. Describe one psychosocial issue for teens with diabetes.

#6 - Patient Centered Medical Home Model and Education Reimbursement Opportunities

I. Patient Home Care Model

A. What is it?

B. Program development

C. Certification and reimbursement

II. Education reimbursement opportunities

A. Group classes

B. Physician office clinics

C. Medical Nutrition Therapy

Behavioral/Learning Objectives:

1. List 2 benefits of providing diabetes education in the physician office setting.
2. Define the Patient Centered Medical Home model and can we change.
3. State 2 capabilities of the Patient Centered Medical Home.
   

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.

Certified Diabetes Educators – Academy Medical Systems' approved Provider Status with the ANCC (nurses) and the CDR (dietitians) is recognized by the National Certification Board of Diabetes Educators (NCBDE).

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.  See The Federation of State Boards of Physical Therapy website for more information.

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