Intensifying Diabetes Management class in session

This course is designed for the diabetes educator who is interested in learning more advanced concepts of diabetes mellitus management. Current management of diabetes requires individualized goals and skills in an effort to prevent or delay the complications of both type 1 or type 2 diabetes. This course sequentially follows the 3 day diabetes education course discussing the in depth challenges facing both the clinician and the patient in achieving intensive management.   Please bring a calculator to class.

The following concepts will be discussed:

• Benefits and risks of intensifying diabetes management
• Intensive diabetes medication options including insulin pump therapy
• Pattern Management
• Nutritional management strategies including basic and advanced carbohydrate counting and carb factoring
• Calculation of insulin dose, correction and sensitivity factors
• Insulin pump practicum
• Applying concepts to a case study   

Prerequisite:  Diabetes education course or strong diabetes education background

Course Objectives:

• Discuss the results of the Diabetes Control and Complications Trial and Kumomoto Study and their implications for intensifying management of diabetes.
• Describe the risks and benefits of intensifying diabetes management.
• Distinguish between which candidates would benefit from intensifying diabetes management and which ones would not.
• Discuss the pathophysiological differences between Type 1 and Type 2 diabetes mellitus.
• Differentiate between hypoglycemia and hyperglycemia and their related symptoms.
• Discuss the Clinical Practice Recommendations of the American Diabetes Association for glycemic control, lipid, and blood pressure.
• Review the medications used in the control of diabetes.
• Discuss when a treatment option for diabetes is, and is not successful, and the next possible options available.
• State three common procedural errors and three limitations in the use of blood glucose meters.
• Describe the basic principles and research supporting the use of carbohydrate counting as a meal planning approach.
• Discuss the nutrition goals for a person with diabetes.
• Describe potential options for insulin and/or carbohydrate adjustment during active periods, planned or unplanned.
• Explain the difference between basal and bolus insulin rates and their basic function.
• Name at least three reasons why pump therapy (CSII) is pharmacokinetically preferred to multiple daily injections (MDI).
• Apply the principles of intensifying management to a patient case study.