The Ultimate One-Day Diabetes Course – Laurie Klipfel

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While 1 in 13 Americans have diabetes; 1 in 4 are diagnosed with pre-diabetes.

All healthcare professionals will care for patients with diabetes, pre-diabetes or metabolic syndrome on a daily basis, regardless of specialty. As management of diabetes becomes increasingly complex, it is imperative to keep up to date on new treatment options and standards regarding complication prevention. You play an important role in diabetes prevention, care, and management. Your role begins with a solid understanding of diabetes and its treatment.

Attend this seminar and increase your understanding of diabetes and pre-diabetes, and learn evidence-based pharmacological and non-pharmacological techniques for glucose control. You will leave with an in-depth understanding of the latest approaches in assessing and treating patients with diabetes, as well as new skills to apply for those at risk for diabetes.

Laurie Klipfel will provide you with strategies to optimize patient education and empowerment so you can improve the care you provide to diabetes patients.

1. State diagnostic criteria for diabetes and understand the differences between Type 1, Type 2 and pregnancy induced (gestational) diabetes.
2. Evaluate metabolic syndrome (“the deadly quartet”: diabetes, hypertension, hyperlipidemia and obesity) and pre-diabetes.
3. Recognize the symptoms of hyper- and hypoglycemia and use current research for optimal pharmacologic and non-pharmacological treatment based on ADA Standards of Care and AADE-7™ behavioral goals.
4. Discuss the basal/bolus concept of insulin administration including various insulin administration schedules to achieve optimal control.
5. Assess risk and employ prevention/treatment techniques for acute and chronic complications, including how to address weight issues.
6. Utilize current research to support the nationwide impetus for tight glycemic control for hospitalized patients, including management strategies during illness or surgery.
7. Explain what to do when a patient is wearing an insulin pump.
8. Analyze motivational techniques to assist patients to progress from knowing to doing.
9. Describe new treatment therapies and what is on the horizon.

Diabetes: Current Diagnostic Criteria and Prevalence

• Type 1/Type 2
• Pregnancy and diabetes
• Metabolic syndrome/pre-diabetes
• Other causes of hyperglycemia

Importance of Glycemic Control

• Outpatient:
  • Acute Complications: Causes, Symptoms and Treatment
    • Diabetic ketoacidosis (DKA)
    • Hyperglycemic hyperosmolar non-ketotic syndrome (HHNK)
    • Hypoglycemia
    • Infection
    • Fatigue/depression
  • Chronic Complications:
    • Prevention, Identification, and Treatment
    • Cardiovascular disease
    • Peripheral vascular disease
    • Retinopathy
    • Nephropathy
    • Neuropathy
• Inpatient:
  • Morbidity
  • Mortality
  • Length of stay

Goals of Therapy

• Glucose control
• Blood pressure control
• Lipid management
• Smoking cessation
• Improved “well-being”

Treatment

• AADE-7 behavioral goals
• Healthy Eating (carbohydrate counting, balanced fat/protein/carb)
• Being active with complications of diabetes
• Healthy coping/stress management/depression treatment
• Monitoring: frequency, timing and evaluation of results
• Risk reduction
• Problem-solving with case examples
• Medication: Indications and Contraindications
  • Oral medications:
    • Sulfonylureas
    • Meglitinides
    • Thiazolidinediones (TZD)
    • Biguanides
    • Alpha-glucosidase inhibitors
    • DPP-4 inhibitors
    • SGLT-2 inhibitors
    • Combinations
  • Insulin:
    • Action times
    • Basal/bolus dosing
    • Benefits of insulin pump therapy
    • Management of insulin pump in the hospital
    • Incretin Mimetics: Byetta
    • Amylinomimetics: Symlin

New Therapies

• • Glucose sensors
  • Sensor-augmented insulin pumps
• On the Horizon: Closed loop insulin pumps
  • Improved pancreatic transplants
  • Many combination pills
  • More DPP-4 inhibitors
  • Obesity medications
  • Stem cell research

New Medications

Patient Education and Empowerment Techniques

• Adult learning styles
• Setting “SMART” goals
• Motivational techniques

Resources for Patients and Professionals