Nutritional Principles and Practices for Persons with Diabetes

#1 - Nutrition and Diabetes Evidenced Based Research

I. Medical Nutrition Therapy

A. Length/Frequency of visits
B. Long-term follow-up

II. Assessment

III. Glycemic control

IV. Nutrition Interventions

V. Macronutrients

A. Carbohydrate, protein, fat
B. Glycemic index
C. Fiber
D. Sugar substitutes

VI. Weight Management

VII. Coordination of Care

Behavioral/Learning Objectives:

1. Identify how to use sugar substitutes in the diabetes meal plan.
2. Define how the glycemic index information can be utilized for blood glucose pattern management.
3. State 2 things that should be assessed during a nutrition assessment.
4. List 2 recommendations for carbohydrate intake in diabetes meal planning.

#2 - Eating for Diabetes Complications

I. Cardiovascular disease and Hypertension

A. Fats
B. Cholesterol
C. Sodium

II. Nephropathy

A. Protein recommendations
B. Cholesterol, fats and sodium
C. Potassium, phosphorus and calcium

III. Illness

A. Avoiding hypoglycemia
B. Adjusting carbohydrate intake
C. Fluids

IV. Hypoglycemia

A. 15/15 rule
B. Appropriate carbohydrate choices
C. Evaluating glucose results during treatment
D. Adjustments for physical activity

Behavioral/Learning Objectives:

1. State how to avoid hypoglycemia during physical activity.
2. List 2 ways to eat healthier sources of fat to prevent cardiovascular disease.
3. Define how to calculate recommended protein intake for those with renal disease.
4. Identify 2 appropriate carbohydrate foods for treating hypoglycemia

#3 - Dining Out

I. Dining Out Facts & Figures

II. Fats

A. Types of fats
B. Hidden fats
C. Eating lighter

III. Carbohydrates

A. Calculating carb servings
B. Blood glucose management

IV. Sodium

V. Label Reading

VI. Ethnic Foods

Behavioral/Learning Objectives:

1. State 2 ways to reduce fat intake while dining out.
2. Identify 2 ways to reduce sodium intake while dining out.
3. Describe how to evaluate menu items based on the nutrition label

#4 - Label Reading-Part 1

I. Food Labeling regulation

A. Nutrition Labeling and Education Act (NLEA) of 1990
B. Food Allergen Labeling & Consumer Protection Act of 2006

II. Front Labeling components

A. Nutrient claims
B. Health claims
C. Food label symbols

1. American Heart Association Heart Check Mark
2. Kellogg’s Diabetes Friendly Seal
3. PepsiCo Smart Spot

D. Nutrient Scoring Programs

III. Components of the nutrition facts panel

A. Serving Size/servings per container
B. Calories/calories from Fat
C. Nutrient List

1. Total fat
2. Cholesterol
3. Sodium
4. Total carbohydrate

D. Ingredient list
E. Percent Daily Value

Behavioral/Learning Objectives:

1. Describe food label regulation.
2. List 3 components of the front label.
3. List 3 components of the nutrition facts panel.

#5 - Label Reading-Part 2

I. Label Components

A. Fiber/Whole Grains

1. Dietary Fiber
2. Functional Fiber

B. Whole Grains
C. Sugars
D. Sugar Substitutes
E. Sugar Alcohols
F. Fat Substitutes

II. Locating carbohydrate, fat and sodium information on the food label.

A. What counts as a serving and recommendations for:

1. Carbohydrate
2. Fat (saturated, trans, unsaturated, cholesterol)
3. Sodium

B. Planning meals

1. Using labels to plan meals
2. Exercises using nutrition facts information

Behavioral/Learning Objectives:

1. Differentiate between dietary and functional fiber.
2. Describe how any food can fit into a diabetes meal plan.

#6 - Diabetes Prevention and Weight Management

I. Diabetes Epidemic: prevalence contributing factors

A. Aging population
B. Cultural influences
C. Sedentary lifestyle
D. Obesity/overweight
E. New diagnostic criteria

II. Prevention strategies

A. Lifestyle interventions

1. Physical Activity
2. Healthy eating

B. Pharmacological
C. Diabetes prevention studies

III. Therapeutic interventions for weight management

A. Assessing candidates for weight loss
B. Weight loss goals
C. Therapeutic lifestyle changes

1. Nutrition therapy
2. Physical activity
3. Behavior therapy
4. Other

D. Pharmacological
E. Surgical

Behavioral/Learning Objectives:

1. List 3 factors contributing to the increase in diabetes in the US.
2. List 2 lifestyle interventions to help prevent diabetes.
3. Explain 3 therapeutic interventions for weight management.
   

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 Dietary Managers – The Certifying Board of Dietary Managers (CBDM) has approved this course for 9 general hours, course approval # 130898.

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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