Diabetes Through the Life Cycle

#1 - Managing Type II Diabetes

I. Managing type 2 diabetes

1. Prevalence
2. Metabolic Abnormalities

a. Insulin Resistance
b. Beta cell failure
c. The hormonal roles

3. Diagnostic criteria

II. Factors contributing to the development of type 2 diabetes

1. Genetic
2. Ethnicity
3. Environment
4. Population
5. Socio-cultural

III. Management Strategies for type 2 diabetes

1. Diabetes Self-Management Education
2. Medication Nutrition Therapy
3. Physical activity
4. Blood glucose monitoring
5. Pharmacological intervention
6. Stress/depression management
7. Standards of Care

Behavioral/Learning Objectives:

1. Identify two metabolic abnormalities involved in the progression of type 2 diabetes
2. State three factors contributing to the development of type 2 diabetes.
3. Name three self-management techniques to assist in reaching target blood glucose levels.

#2 - Managing Type I Diabetes

I. Physiology and etiology

II. Blood Glucose Monitoring

III. Treatment Options

IV. Medical Nutrition Therapy

V. Physical activity

VI. Complications

VII. Case Studies

Behavioral/Learning Objectives:

1. Describe the etiology of Type 1 diabetes.
2. State 3 treatment options for Type 1 diabetes.
3. List two components of a meal plan for people with type 1 diabetes.
4. Describe 1 risk associated with physical activity for those with type 1 diabetes.
5. List potential long-term complications for individuals with type 1 diabetes.

#3 - Managing Type 1.5 Diabetes

I. Type 1.5 diabetes: also known as “Slow Onset Type 1 Diabetes or Latent Autoimmune Diabetes of Adulthood –(LADA)”

A. Definition
B. Clinical Feature

-Adult age at diagnosis (over 25 yrs)
-Absence of obesity
-Absence of diabetic ketoacidosis at diagnosis
-Absence of metabolic syndrome
-Uncontrolled hyperglycemia despite use of oral meds
-Family history of type I diabetes or autoimmune diseases
-Initially controlled with meal planning with or without oral diabetes medications
-Insulin dependency gradually occurs, frequently within months
-Positive pancreatic auto-antibodies
-Low c-peptide levels
-Unlikely to have family history of type II diabetes

II. Screening for type 1.5 diabetes

A. Screen persons for clinical features described in Part A
B. Immune markers

-GAD antibodies
-C-peptide
-HLA typing
-Other antibodies (islet cell, thyroid)

C. Management of Type 1.5 diabetes

-Achieve good metabolic control
-Oral meds versus insulin
-Prevent chronic complications
-Case Studies

Behavioral/Learning Objectives:

1. List four clinical feature of type 1.5 diabetes.
2. Describe one immune marker for type 1.5 diabetes.
3. List two goals of managing type 1.5 diabetes.

#4 - Type I Diabetes in Pediatric Patients (through age 12)

I. Etiology of type 1 diabetes

II. Treatments Options

III. Medical Nutrition Therapy

IV. Managing physical activity

V. Sick day management

VI. Development Issues

VII. Case Studies

Behavioral/Learning Objectives:

1. State one of the major developmental concerns for those children with type 1 diabetes.
2. Describe meal planning considerations for normal growth and development for a child with type 1 diabetes.
3. Identify 2 key educational considerations regarding a sick day plan for a child with type 1 diabetes.
4. List 2 factors to consider regarding physical activity in children with type 1 diabetes.

#5 - Type 1 and 2 Diabetes Management in Adolescents

I. Incidence

II. Treatment Options

III. Medical Nutrition Therapy

IV. Managing Physical activity

V. Sick day management

VI. Developmental and psychosocial Issues

VII. Case Studies

Behavioral/Learning Objectives:

1. Describe meal planning considerations for an adolescent with diabetes.
2. State the appropriate times to test ketones.
3. Identify 1 risk factor of physical activity for the adolescent with type 1 diabetes.
4. List 2 treatment options for adolescents with type 2 diabetes.
5. Describe 2 methods of overcoming educational barriers when working with adolescents with diabetes.

#6 - Diabetes in the Older Patient

I. Incidence

II. Treatment Options

III. Guidelines for improving care

IV. Geriatric Syndromes

V. Risks of intensive glycemic control

VI. Standards of Care

VII. Blood Glucose monitoring

VIII. Psychosocial Issues

IX. Case Studies

Behavioral/Learning Objectives:

1. Identify the risks of poor glycemic control in the older adult with diabetes.
2. List 2 guidelines for improving care in an older adult with diabetes.
3. State 2 potential barriers for educating older adults with diabetes.
4. List 2 self-management education strategies that may be effect when educating older adults about diabetes.
5. List 2 standards of care when working with an older adult with diabetes.

Accreditation Information

Academy Medical Systems is also a provider approved by the California Board of Registered Nursing, provider #CEP14413, for 9 hours. AMS is an approved provider for the Florida Board of Nursing, provider #50-19, for 9 hours.

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.

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 continuing professional education units (CPEUs) for completion of this material.

CDEs – 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).

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

Physical Therapists – For Physical Therapists in states that require pre-approval of continuing education programs please call us at 866-414-3500, ask for the Accreditation Dept., for the current status of this program in your state. In states that do not require pre-approval, Physical Therapists will receive 9 continuing education hours.

Occupational Therapists – 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.

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.

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