Diabetes Management & Cardiovascular Disease

Primary & Secondary Prevention
A Comprehensive One-Day Workshop focusing on the research & practical application of disease prevention and management, including exercise prescription techniques for the patient with diabetes and cardiovascular disease.

Highlighting

• Pathophysiology of diabetes & the relationship to cardiovascular disease.
• The role of insulin resistance – what we know now.
• Diabetes Dyslipidemia - the atherogenic profile.
• Diagnostic criteria & post prandial blood glucose guidelines.
• The ADA Clinical Practice Recommendations and Standards of Care.
• Fitness assessment & exercise prescription for the diabetic with cardiovascular disease.
• Exercise prescription for special populations.

Purpose and Concept:

This workshop provides healthcare professionals with a comprehensive review of diabetes management techniques, particularly as these relate to prevention of diabetes complications, especially cardiovascular disease. Clinicians will come away with a clear definition of the metabolic syndrome and the chronic diseases that are associated with diabetes and premature heart disease. Specific assessment tools and methods are provided to assess health, fitness and to prescribe health and exercise prescription for the diabetic patient with heart disease. Application of the American College of Sports Medicine guidelines is provided.

Who Should Be Interested:

This exciting workshop in intended for any professional involved with cardiac patients, challenging both the skilled and novice clinician alike. Specifically, it will benefit:

• Registered Dieticians
• Nurses
• Exercise Physiologists/PT/OT
• Coronary Care Staff and Managers
• Cardiac Rehab Staff and Managers

Behavioral Objectives:
At the conclusion of this workshop the successful participant will be able to:

• Describe the overwhelming role of insulin resistance & the pathogenesis cardiovascular disease.
• Identify both primary and secondary prevention goals for CAD in patients with diabetes.
• List and describe the therapeutic options available to treat metabolic syndrome and diabetes.
• Describe the pre-exercise blood glucose recommendations in clinical practice.
• List management techniques to address hypertension, dyslipidemia and hyperinsulinemia.
• Explain the role of aerobic and strength conditioning on metabolic and musculoskeletal health in special populations

Workshop Curriculum:

DIABETES TRENDS AND CLINICAL FINDINGS
1. Lifestyle, Risk Factors and Disease Prevalence

• Surgeon General’s report, CDC Obesity and DM Maps, AHA Data

2. Aging, Healthcare Demand and Role of Prevention

3. Clinical Findings:

• Diabetes and CV Disease
• Insulin Resistance and HTN
• Insulin Resistance and diabetic dyslipidemia
• Insulin Resistance and Thrombosis Risk
• Insulin Resistance and Fatty Acid Metabolism
• Microanatomy of the Insulin Receptor

THE METABOLIC SYNDROME
1. Introduction and Definitions

• NCEP Diagnostic Criteria
• ACE / AACE Recommendations and the OGTT
• Pre-Diabetes: Hyperinsulinemia before Hyperglycemia

TREATMENT GOALS AND METHODS
1. Review of ADA Practice Guidelines

2. Review of new Oral Medications for Treatment of DM

3. Review of Effects of Weight Management in Metabolic Syndrome

• Obesity Treatment and Success rates
• Nutrition Modifications for Metabolic Syndrome

4. Effects of Exercise on Insulin Sensitivity

• Exercise Prescription Methods
• Blood glucose and Dose Response Considerations

ROLE OF AEROBIC AND STRENGTH TRAINING FOR SPECIAL POPULATIONS

1. Introduction to RT principles

2. Review of Aerobic & RT Training Adaptations

3. Physical Adaptations

• Muscle morphology, Neural patterns, Biochemical

4. Resistance Training in the Control of:

• Obesity, Diabetes, Bone Health
• Special Considerations for Diabetes and CV Disease

Presenters:

Tim Maynard, BS, MSS, a published diabetes educator, National Conference and University lecturer with over 15 years experience in hospital-based diabetes and cardiopulmonary rehabilitation programs. Mr. Maynard has been associated with the AADE (American Association of Diabetes Educators), having earned a certification as a diabetes educator (CDE) in 1988, is the past-instructor Exercise Course for ASIDE (Advanced Studies Institute for Diabetes Education) and is a member of the Editorial Advisory Board for The Diabetes Educator journal. Mr. Maynard is also associated with the ACSM (American College of Sports Medicine) as a certified clinical program director, lecturer and is a past member of the ACSM National Committee for the Certification and Registry Board.