Event ID : AADE_CE_LV American Association of Diabetes Educators Las Vegas August 3-6, 2011

August 3-6, 2011

Individual Programs

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W01- Best Practices in Presentation Skills: How to Market Your Practice
Best Practices in Presentation Skills: How to Market Your Practice

Speaker(s) : Colin Maiorano, BS

This workshop is for presenters who want to take their presentation skills to the next level and want all of the “best practices” packaged into easy-to-implement tools and templates for immediate use. The tools in this workshop are neatly wrapped into a comprehensive system that provides solutions for the top challenges advanced presenters face. In this highly interactive workshop, you will apply mind-mapping techniques to organize your presentation and put into practice tools to increase clarity, engage your audience and project credibility. You will also learn how to simplify complex ideas into understandable concepts and motivate your audience to take action.

Presentation Format(s) : MP4, MP3

$50.00

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W02- Medical Management of Diabetes after Gastric Bypass Surgery

Speaker(s) : Walter J. Pories, MD, FACS

Type 2 diabetes is no longer a hopeless disease. To everyone’s surprise, the gastric bypass, an operation designed to cause weight loss, produces full, durable and safe remission of our nation’s most expensive disease, a chronic illness that is the biggest cause of blindness, amputations and liver failure and a major cause of heart disease and stroke. In addition, the operation also produces remission of hypertension, sleep apnea, cardiopulmonary failure, NASH, GERD and polycystic ovary disease with a 78% reduction in mortality. All these statements are true, but it is also true that the bariatric surgical patient is not returned to “normal” by their operations, but, instead, is confronted by new challenges which, although less dangerous, still very significant. This presentation will review the indications, outcomes and complications of surgery with an emphasis on the perioperative and long-term care, not only in terms of health but also in terms of family relationships.

Presentation Format(s) : MP4, MP3

$50.00

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W03- Implementation of DSME using Shared Medical Appointments in Primary Care for Adults

Speaker(s) : Iris Sanchez DNP, FNP, BC-ADM

Implementation of a diabetes self-management education (DSME) program in primary care is an innovative quality improvement (QI) health care delivery model with the potential to improve cost-effective patient care outcomes. The Chronic Care Model (CCM) and the Plan-Do-Check-Act (PDCA) rapid change cycle model have been used to implement Shared Medical Appointments (SMA) in a variety of settings to manage chronic diseases. The goal is to improve clinical outcomes, health status, and quality of life. Data are lacking regarding implementation of DSME programs in primary care settings. Time constraints, as well low reimbursement for DM education, are barriers to DSME delivery in primary care settings. Shared Medical Appointments are an innovative system redesign concept with the potential to provide comprehensive and coordinated care for patients with multiple and chronic health conditions while still being an efficient, effective, financial viable and sustainable program.

Presentation Format(s) : MP4, MP3

$50.00

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W04- Practical Pramlintide: How to Make Effective Use of Symlin in Patient Management

Speaker(s) : Gary Scheiner MS, CDE

Symlin (pramlintide acetate injection) was once considered one of the most exciting breakthroughs in the treatment of Type 1 diabetes since the discovery of insulin. Why, then, is it rarely being utilized? And why is the adherence rate so poor? Many clinians report that pramlintide produces significant benefits, but they and their patients struggle with the complexities of using it effectively in a clinical. This session aims to change all that by providing a practical process for incorporating pramlintide into treatment plans, SAFELY and EFFECTIVELY. Following a brief overview of the amylin hormone and patient selection criteria, attendees will benefit from the presenter's years of personal and professional experience in developing 'best practices' for the initiation and maintenance of pramlintide in patients utilizing intensive insulin therapy.

Presentation Format(s) : MP4, MP3

$50.00

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W05- Reimbursement Essentials

Speaker(s) : Patty Telgener RN, MBA

Attaining reimbursement for diabetes self-management training can be daunting. Understanding the requirements is critical to developing programs for the unmet needs of the 23.6 million patients with diabetes. This session will provide insight on navigating the maze of reimbursement by highlighting the essential components.

Presentation Format(s) : MP4, MP3

$50.00

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W06- The Diabetes Online Community: What the Heck is Going On?

Speaker(s) : David Edelman BA , Manny Hernandez M. Eng , Amy Tenderich MA , Hope Warshaw MMSc, RD, CDE, BC-ADM

The Diabetes Online Community: What the Heck Is Going On? will immerse attendees in an in-depth exploration of what their clients and their clients support teams (loved ones and caregivers) are/can access and become engaged with online. A panel of leading online diabetes community experts will introduce the diabetes social media landscape and explain how these resource can supplement diabetes education, help people gain and offer crucial emotional support for day-to-day challenges of diabetes care, and also become engaged as diabetes advocates and activists. Attendees will learn the basic nomenclature of online communication and the how-to's of participating online. This will be reinforced with ongoing live demonstration. Attendees will be shown assets of well-respected online sites and communities, and learn how to guide their clients to these. Lastly, they’ll be encouraged to connect online with their colleagues through the AADE online vehicles and beyond.

Presentation Format(s) : MP4, MP3

$50.00

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W07- That's Entertainment: Putting Pizzazz in Your Presentations!

Speaker(s) : Mechelle R. Coble MS RD LD CDE , Donna Heaverin RN, BSN , Janey Wendschlag RN, BSN

The Kentucky Diabetes and Control Program was thrilled to present at the 2010 American Association of Diabetes Educators' annual meeting on using different tools to make your presentations more active, engaging and fun. Since the meeting, our group has discussed even more adventurous ways to put pizzazz in your diabetes education sessions. Adults learn in both passive and active styles of entertainment. Let us share with you how comedy, electronics, skits/role playing, and movies/television can help you relate to your patients, engage your audiences, and give you more tools to use to customize each of your classes to fit your style and to meet the needs of your learners.

Presentation Format(s) : MP4, MP3

$50.00

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W08- The National Diabetes Prevention Program

Speaker(s) : Kris Ernst BSN, RN, CDE

Today an estimated 60 million persons have pre-diabetes, who without intervention will develop type 2 diabetes within the next 5 years. In persons with pre-diabetes HALF of new cases of type 2 diabetes can be avoided by structured lifestyle intervention programs. Although the idea of preventing type 2 diabetes has been articulated since the discovery of insulin, only in the past decade have clinical trials demonstrated that diabetes can be prevented or delayed. An economically sustainable system for diabetes prevention will require effective partnerships among the clinical sector, community-based lifestyle programs and third-party payers to ensure that limited resources for diabetes prevention are focused on persons at high risk of diabetes. This presentation will describe the infrastructure for a national training, recognition, and quality assurance program managed by the CDC, and outline the key elements and practical partnerships needed to ensure the success of a national diabetes prevention program.

Presentation Format(s) : MP4, MP3

$50.00

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W09- Aging Well with Diabetes: Promoting Self Care for Older Adults with Diabetes

Speaker(s) : Elizabeth L. Quintana , Elizabeth L. Quintana EdD, RD, LD, CDE

Persons age 60 years and above have the highest prevalence of diabetes. Diabetes educators must meet the challenges of educating and caring for increasing numbers of older adults with diabetes. Nutrition and health promotion strategies can improve function as well as reduce the risk of morbidity and premature death. Consideration of quality of life and lifestyle factors are important to diabetes educators providing diabetes education and care for older adults. Successful aging includes preserving function and maintaining independence, productivity, and personal fulfillment. Diabetes educators are in the unique position to promote self care among their older clients with diabetes. Ethnic and traditional foods offer healthful options. Physical activities can be modified and integrated in meal and exercise plans for seniors. Educational strategies and resources for educators and consumers will be highlighted.

Presentation Format(s) : MP4, MP3

$50.00

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W10- Ancestral Diets for Modern-Day Native Americans: Reclaiming Health, Addressing Diabetes

Speaker(s) : Lois Ellen Frank M.A., Ph.D. Candidate , Caroline B. Trapp MSN, APRN, BC-ADM, CDE

No group of people have been more disproportionally impacted by diabetes than Native Americans. Furthermore, the growing epidemic of Type 2 diabetes among children and teens has also hit especially hard, with Native American youth having the highest rates of Type 2 diabetes. A growing body of research has shown that a low-fat, plant-based diet has been effective at preventing and halting the progression of Type 2 diabetes, and this nutritional approach is similar to the ancestral diets of many Native American tribes, yet far from the current diet of most Native Americans. A pilot nutrition education program was developed between five organizations involving Native community leaders, diabetes educators and other health care providers with expertise in plant-based nutrition, and chefs with expertise in Native American ancestral foods. The program was implemented in Santa Fe, Albuquerque, and in Window Rock, AZ. Program outcomes, next steps and tools will be discussed.

Presentation Format(s) : MP4, MP3

$50.00

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W16- Positive Attitude: The Key to Wellness and Peak Performance
AUDIO ONLY

Speaker(s) : Wolf J. Rinke PhD, RD, CSP

An exciting and entertaining learning experience which will enable AADE members to improve the quality of their personal and professional life so that they can improve the interactions with their patients and clients.

Presentation Format(s) : MP3

$50.00

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W17- The ABC's and Grassroots of Diabetes Educator Advocacy and Licensure Legislation

Speaker(s) : Martha L. Rinker JD , James Specker

This session addresses a variety of grassroots advocacy issues from how a bill becomes a law to the regulatory process. Additionally, we will discuss, in detail, the current legislative priorities of AADE and the benefits of these efforts, specifically the reintroduction of the Medicare Diabetes Self-Management Training Act and Licensure for Diabetes Educators. The session is designed to develop a stronger group of advocates to help support and push AADE's legislative agenda for issues relating to diabetes educators/education.

Presentation Format(s) : MP4, MP3

$50.00

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W18- Beyond DSME: A Physician-Hospital-CDE Partnership for Attaining DM Pay-for-Performance Incentives

Speaker(s) : Denise Bockwoldt RN, MS, FNP, BC-ADM , Kristin Delleman RD, LD, CDE

Healthcare reform has resulted in implementation of payment models that focus more on quality of care, clinical outcomes, and ongoing chronic disease management. A novel hospital-based, outpatient diabetes clinic was piloted with a nurse practitioner and registered dietitian/CDE to target managed care patients with poorly controlled diabetes (A1C >9%) recruited from physicians participating in a diabetes pay-for-performance structure. Within 2 years, the clinic demonstrated excellent clinical and financial outcomes. This clinic structure is an example of how CDE's can position themselves to be successfully integrated in pay-for-performance reimbursement initiatives.

Presentation Format(s) : MP4, MP3

$50.00

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W19- Dealing With Patients Who Just Won't Change

Speaker(s) : Ann Constance MA, RD, CDE , Cecilia Sauter MS, RD, CDE

We have all dealt with them – the patients who just seem unwilling or unable to change. If you have ever been frustrated by lack of patient involvement in their self-care, this is a must attend session for you! We will cover different techniques you can put into practice to more fully engage your patient – strategies that are based on empowerment, motivational interviewing and stages of change. We will guide you through an easy goal setting method, the ‘WHAT’ system, which you can immediately implement with patients. It also involves tips on ways to more fully engaging patients in setting action plans that they want to and are confident that they can achieve. In addition, we will address other concerns your patients may have that can interfere with their ability to make lifestyle changes.

Presentation Format(s) : MP4, MP3

$50.00

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W20- Metabolic Syndrome: A Window of Opportunity for Hispanic Patients

Speaker(s) : Angela Schroedl RN, MSN, ANP-BC

Metabolic syndrome is a multidimensional disease process affecting many individuals. Obesity fuels metabolic syndrome. There is an increased risk of complications such as diabetes and cardiac issues which decreases quality of life and increases health care costs significantly. Furthermore, there are minority disparities which influence early diagnosis and treatment of metabolic syndrome. Further recognition of the importance of early diagnosis and treatment of metabolic syndrome (especially in minority groups such as Latinos/ Hispanics)reduce risks of complications for underserved and vulnerable populations.

Presentation Format(s) : MP4, MP3

$50.00

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W21- Alphabet Soup: CHW, CDE, DMCP, PCP - The Community Prescription for Achieving Quality Care

Speaker(s) : Kathleen MacNeill RN, CDE

In the past, “mom’s chicken soup” fixed everything. The newest way to manage chronic disease is Alphabet soup. This is the array of letters illustrating the credentials of a team who have come together to provide optimum care: CHW, CDE, DMCP, and PCP. The Diabetes Master Clinician Program (DMCP) is an electronic disease registry that provides data on diabetes and cardiovascular metrics. The registry was designed for primary care physicians (PCPs) to help improve care. The DMCP uses a patient component called the diabetes report card. The report card shows quality indicators, and required annual exams. This report card empowers patients to take control of their disease to reach quality goals. Finally, community health workers (CHWs) work with patients on an individual basis. The CHWs are monitored by a CDE who provides education and case management. The presentation will also show the overall cost savings from implementing this program.

Presentation Format(s) : MP4, MP3

$50.00

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W22- The Impact of a Nurse-Initiated Hyperglycemia Treatment Plan During Hospitalization

Speaker(s) : Stacey J. Harris RN, CDE

This unique hyperglycemia treatment plan has enabled the bedside nurse with the tools, training and knowledge necessary to actively advocate patient glycemic care. Most importantly, the outcome of this treatment plan was improved glycemic management for adult patients during their hospitalization without increased hypoglycemia. This treatment plan has empowered the nurse to initiate a hyperglycemia nursing care plan and to achieve patient target blood glucose levels earlier and more often. The nursing protocol is used to identify risk for hyperglycemia through a screening process throughout the hospitalization. When hyperglycemia risk is identified, the nurse initiates interventions and patient education. The nursing interventions provided the physician/LIP with further data to prescribe medical management of hyperglycemia. Barriers for improving glycemic care were identified and education by CDEs was provided to the team of nurses, physicians, and pharmacists to enhance support to the process.

Presentation Format(s) : MP4, MP3

$50.00

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W23- Growing the Next Generation of CDEs: Developing Inpatient Diabetes Nurse Champions

Speaker(s) : Lucille Hughes MSN/ED, BSN, RN, CDE , Donna L. Jornsay BSN, RN, CPNP, CDE

Diabetes prevalence in New York state has doubled since 1994, with 1.8 million people with known diabetes and 4.2 million with pre-diabetes. Ethnic and racial minorities are disproportionately affected by diabetes. Yet there are only 1,000 CDEs in New York, 68% of whom work less than 25 hours/week. 90% of these CDEs are white, and only 17% speak a language other than English. On Long Island, 35-49% of inpatients have diabetes, which is twice the national average.Programs teaching bedside nurses how to teach the AADE 7 Self-Care Behaviors must be designed to meet this need. We plan to present a structure for how to design a diabetes nurse champion program. It's based on data from four separate programs designed and implemented at three different hospitals. A program curriculum, pre and post assessment tools and outcome data will be presented.

Presentation Format(s) : MP4, MP3

$50.00

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W24- Controlling Hypertension in African Americans with Diabetes

Speaker(s) : Adeola Akindana RN, MSN, CDE , Constance Brown-Riggs MSEd, RD, CDE, CDN , Denine Rogers RD, LD

African Americans are twice as likely to be diagnosed with diabetes as non-Hispanic whites. Of the 23.6 million people diagnosed with diabetes in the U.S. over four million are African-Americans. Although African Americans have the same or lower rate of high cholesterol as their non-Hispanic white, they are more likely to have high blood pressure. More than 40% suffer from high blood pressure. They are more likely to suffer complications from diabetes. For example, they experience fatal strokes 1.8 times more often than white Americans with diabetes, are 1.5 times more likely to die from heart disease and six times more likely to develop hypertension-related kidney failure, and develop complications such as end-stage renal disease and lower extremity amputations. Recent consensus on treatment of hypertension in African Americans with diabetes suggest that a comprehensive lifestyle approach, including nutrition, and use of combination medication therapy is required to reach targeted goals.

Presentation Format(s) : MP4, MP3

$50.00

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W25a- Diabetes and Disparities Part 1 - A Study Exploring Hardiness and Health-Seeking Behavior of persons with diabetes in Rural Texas

Speaker(s) : Jean Herzog DNP, FNP-BC, RN, CDE

1.Describe the level of hardiness as manifested by the rural dweller with diabetes.2.Describe the level of health-seeking behavior the rural dweller with diabetes performs. 3.Identify the relationship among age, gender, and ethnicity when correlated to hardiness in the rural dweller with type 2 diabetes. 4.Identify the reciprocal relationship of health insurance coverage and utilization of health services when correlated with health-seeking behavior in rural dwellers with diabetes. This is part 1 of 3 of the Diabetes and Disparities series

Presentation Format(s) : MP4, MP3

$50.00

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W25b- Diabetes and Disparities Part 2 - Low Health Literacy as a Barrier to Rx Adherence in Diabetic Patients

Speaker(s) : Pamela A. Gray DNP, FNP, CDE

1)Understand the concept of low health literacy and its impact on healthcare. 2) Understand one method of assessment for health literacy.3) Understand how low literacy tools can make a difference in the understanding and comprehension of medication regimens for patients with diabetes. This is part 2 of 3 of the Diabetes and Disparities series.

Presentation Format(s) : MP4, MP3

$50.00

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W25c- Diabetes and Disparities Part 3 - Increasing Access to Diabetes Self-Management Education as a Means of Decreasing Health Disparities

Speaker(s) : Amparo Gonzalez RN,CDE,FAADE , Lana Vukovljak MA, MS, PhD Candidate

1.Explain the model implemented in the study.Describe social and demographic characteristics of the participants 3.Discuss clinical, behavioral and quality of life outcomes of the study This is part 3 of 3 of the Diabetes and Disparities series.

Presentation Format(s) : MP4, MP3

$50.00

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T01- Diabetes and Mindful Eating: Helping Patients Develop Maintainable Behaviors by Teaching in the NOW

Speaker(s) : Mergrette Fletcher M.Ed., CDE, R.D.

Mindful eating has the powerful potential to transform people’s relationship to food and eating, to improve overall health, body image, relationships and self-esteem.

Presentation Format(s) : MP4, MP3, SAV

$50.00

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T02- Blood Glucose Awareness Training (BGAT): Availability, Utilization and Research

Speaker(s) : Daniel Craig, Ph.D.

Blood Glucose Awareness Training (BGAT) is an 8-unit/8-week psycho-educational training program designed to help adults with Type 1 diabetes better anticipate and prevent extreme BGs, and better detect and treat extreme BG’s when they do occur. This is possibly one of the most thoroughly documented diabetes education programs that has been demonstrated to improve detection of hypo- and hyperglycemia, reduce occurrences of severe hypoglycemia, DKA and vehicular collisions/citations, reduce fear of hypoglycemia and depression, and truncate BG variability. While originally administered as a face-to-face intervention requiring trained instructors, BGAT was converted to an effective, interactive and personalized internet tutorial program to promote dissemination. BGATHome.com will be described and its use explained so it can be either a primary or adjunctive tool for diabetes educators. A parallel and more focused program, DiabetesDriving.com, will also be detailed.

Presentation Format(s) : MP4, MP3

$50.00

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T03- Building a Professional Network in the Web Age

Speaker(s) : Peggy Hoffman CAE

LinkedIn, Facebook, Twitter, Blogging and now the My AADE Network. How can you tap this new media to build a vibrant, strategic professional network without it taking over your life? And is it even worth the time? In this session, we¹ll look at the why’s and ways to use social media for professional networking, how to create and protect your on-line identity, and how to develop a strategy that works for you.

Presentation Format(s) : MP4, MP3

$50.00

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T04- Model Insulin Pump Program for Maximum Reimbursement and Optimal Clinical Outcomes

Speaker(s) : Mary Ellen Cooper MSN, RN , Justine Fierman FNP-BC,BC-ADM,MSN,CDE

Insulin pump therapy patients create specific challenges for providers of diabetes care and education. For the pump patient, education and medical management often occur in separate locations. There can be lack of continuity of care and issues with reimbursement of services. This lecture will present a model of care for insulin pump therapy patients utilizing an NP/CDE/RD model. We will discuss practice issues and patient flow through the program. Challenges and benefits of using this type of model will be discussed. At the conclusion of the discussion we will have an open question and answer session.

Presentation Format(s) : MP4, MP3

$50.00

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T05- Recent Advances in Diabetic Eye Disease for the Diabetes Educator

Speaker(s) : Lloyd Aiello, MD, PhD , Jennifer Sun, MD, MPH

Diabetes educators play an integral role in helping preserve vision in patients with diabetes. Often, they are a critical primary resource for raising patient awareness of diabetic eye disease, describing the benefits of appropriate eye care and emphasizing the need for timely and long-term follow-up with ophthalmic providers. Recent advances in clinical eye care have dramatically improved outcomes for many patients with diabetic eye disease. This session will provide a detailed review of the ocular complications of diabetes, risk factors for their development, and signs and symptoms of diabetic retinopathy and macular edema. Newly developed treatments for these conditions will be discussed as will the role of telemedicine in diagnosing and triaging patients with diabetic eye complications. Emphasis will be placed on key aspects of importance for the educator and patient allowing appropriate and timely referral and care of diabetic eye disease – knowledge critical for providing optimal, vision-preserving care.

Presentation Format(s) : MP4, MP3

$50.00

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T06- Type 1 Diabetes and Eating Disorders: Assembling the Treatment of This Complicated Dual Diagnosis

Speaker(s) : Marcia Meier BAN, RN, CDE

The interaction of Type 1 diabetes and an eating disorder often has the end result of poor metabolic control and diabetes related complications. Statistics suggest that 36% of females with Type 1 diabetes report intentionally reducing or omitting insulin to control weight. The supported treatment for diabetes includes cabohydrate counting, perfection of blood glucose numbers, perfection of A1c numbers, and weight monitoring at every appointment. The careful attention to numbers is promoted by the diabetes team as this results in better long term care, but is concerning to those who treat eating disorders as this strengthens the common personality characteristics of perfectionism and compulsive behaviors noted with eating disorders. Due to the complexity of this dual diagnosis, an aggressive and consistent multi-disciplinary treatment approach of diagnosis and treatment is essential for recovery. Diabetes educators are some of the best resources for identifying this diagnosis and getting help for the patient.

Presentation Format(s) : MP4, MP3

$50.00

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T07- Using Behavior Change Theories to Provide Effective Nutrition Education

Speaker(s) : Courtney Winston MPH, RD, CDE

Effective nutrition education skills are paramount to the success of any diabetes educator. This session will focus on evidence-based and scientifically-founded behavioral change approaches which are commonly applied in diabetes, weight management, and chronic disease prevention programs. Strategies for individual and community-level approaches will be discussed, and multiple resources will be recommended and explored.

Presentation Format(s) : MP4, MP3

$50.00

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T08- Implementation of the Group Lifestyle Balance Program: Post-Workshop Attendance Survey Results

Speaker(s) : Catherine Fickley BA , M.Kaye Kramer RN, DrPH, CCRC , Linda M. Siminerio RN, PhD, CDE

Purpose The Diabetes Prevention Support Center (DPSC) provides training and support for health professionals in delivery of the Group Lifestyle Balance (GLB) program, an adaptation of the DPP lifestyle intervention. The purpose of this project was to assess post-training GLB program implementation. Methods An online survey was created to gather information regarding GLB program implementation. An e-mail with a link to the survey was sent to previous workshop attendees (N=527). Results Of 498 attendees with working e-mail addresses, 117 (23.5%) completed the survey. Of that number, 88 (75.2%) reported that they have implemented the program, or are likely to implement within the next year. Conclusions Three-fourths of those who completed the survey reported that they have implemented the GLB program since attending the workshop, or plan to do so within the next year. These results provide encouraging information about the reach of the DPSC for diabetes prevention.

Presentation Format(s) : MP4, MP3

$50.00

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T09- When the Party's Over: Mississippi Health First Sustainability with AADE Resources

Speaker(s) : Amy Keywood RD, LD, CDE , Patricia W. Stuart BS, MPH, MS, CDE

The Mississippi Health First project was a collaborative effort of federal, state and local partners to improve the health of people with diabetes in the state of Mississippi. In a state where obesity and diabetes are first in the nation with only an 18-month window to educate persons in diabetes self-management and/or prevention, time became friend and foe. Time was the 'push' to not simply educate patients and let the party come to an end, but rather to be drive toward the need for new DSME business models that allowed creativity for unique environments and sustainability for a long lasting impact. Throughout the project’s implementation, AADE resources held the potential for solutions toward CMS-recognized DSME programs and the development of diabetes educators at all skill levels. This presentation shares the challenges and the solutions of building DSME sustainability.

Presentation Format(s) : MP4, MP3

$50.00

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T10a- Diabetes and Improving Care Part 1 - Evaluation of Diabetes Decision Support in Primary Care

Speaker(s) : Benjamin Littenberg MD

Recognize the barriers to quality care in ambulatory management of diabetesUnderstand the role of decision support for diabetes in primary careDescribe the impact of decision support on quality of care This is part 1 of 3 of the Diabetes and Improving Care series.

Presentation Format(s) : MP4, MP3

$50.00

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T10b- Diabetes and Improving Care Part 2 - Collaborative approach to implementing an adapted diabetes prevention program lifestyle intervention

Speaker(s) : Marcene K. Butcher RD, CDE , Lane A. Gusye MS, RD, LN , Beverly R. McHugh RD, LN, CNSD , Jane Fitch Meszaros RN,BSN, CDE

Identify ways that DSME programs implementing adapted DPP lifestyle interventions can successfully collaborate with other community organizations.Describe the roles and functions that the health care professionals from the DSME program and the staff from the community organization took to implement the adapted lifestyle interventions.Describe collaborative strategies to implement a successful adapted diabetes prevention program. This is part 2 of 3 of the Diabetes and Improving Care series.

Presentation Format(s) : MP4, MP3

$50.00

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T10c- Diabetes and Improving Care Part 3 - Randomized Clinical Trial: Technology In Diabetes Education To Improve T2 Diabetes SelfCare Behavior

Speaker(s) : Margaret R. Rukstalis MD

1) Understand barriers to and growing primary care gap for chronic disease management for Type 2 Diabetes2) Describe three technologies in diabetes education (TIDE) to improve access and information in homes and on schedules of Type 2 Diabetics to facilitate self-care behaviors. 3) Identify ways to use technologies in diabetes education (TIDE) to measure and assess knowledge and engagement in 7 self care behaviors in any practice settings. This is part 3 of 3 of the Diabetes and Improving Care series.

Presentation Format(s) : MP4, MP3

$50.00

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T16- Sex Secrets of People with Diabetes

Speaker(s) : David M. Spero BSN

Sex is important for most (not all) people's quality of life. It provides pleasure and comfort and creates stronger, more loving relationships. It reduces stress, motivates self-management, and provides mild exercise. But diabetes interferes with sex in five ways.* Primary sexual dysfunction – problems with erections, lubrication, or painful intercourse* Physical symptoms – fatigue, pain, loss of sensation* Psychological effects – depression, not feeling attractive, loss of self-confidence, anxiety* Medication effects * Low hormone levels Health care providers are frequently reluctant to talk about sex, leaving patients nowhere to turn. Learn to: * Teach skills to help patients communicate about sex and relationship issues* Manage physical symptoms and medication side effects that interfere with sex. * Offer ways of coping with sexual dysfunctions* Explore non-intercourse sexuality * Help couples work together as a team* Support patients seeking new partnersEmphasize the 3C's of sex - Courage, Creativity, and Communication

Presentation Format(s) : MP4, MP3

$50.00

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T17- Universal Design of Learning: Using Multi-Methods in Diabetes Patient Education

Speaker(s) : Heather L. Stuckey , DEd

Diabetes self-management is more than learning about numbers and how to take medications, eat well and exercise. We connect to patients through our interactions with them, and they learn about diabetes through us. The Universal Design of Learning (UDL) supports active participation through varied teaching and learning opportunities to promote engagement and meaningful participation. The UDL Guidelines are based on research from several different fields and researchers. That research, spanning a 10-year period, has been reviewed, compiled and organized by educators and researchers at CAST. The three guiding principles are to provide multiple means of: (1) representation; (2) action and expression; and (3) self-regulation and engagement. This session will apply these learning principles to patient education in diabetes self-management through personal experience, examples of questions to ask patients to assess learning, and ways to help people become engaged in expressing their needs and thoughts related to diabetes.

Presentation Format(s) : MP4, MP3

$50.00

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T18- An Academic Model for Improving Inpatient Glycemic Control

Speaker(s) : Beth Pfeffer RN, BSN, CDE

People with diabetes are more likely to be hospitalized and have longer length of stays. Studies indicate one out of every four patients in the hospital has a diagnosis of diabetes and another 12 percent have hyperglycemia. There is a strong association between hyperglycemia and negative outcomes. Hospitals are increasingly becoming interested in clinical quality improvement projects for inpatient glycemic control. The Nebraska Medical Center, a 450 bed academic hospital began this journey to excellence in 2004. This session will describe the model that was adopted to achieve improved glycemic control and Joint Commission Inpatient Diabetes Care certification. The role of the CDE has been, and continues to be, a critical component of the model adopted. Outcomes will show achievement in improving glycemic control and decreasing length of stay for patients with diabetes when compared to those without diabetes.

Presentation Format(s) : MP4, MP3

$50.00

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T19- Practical Application of an Instrument that Measures Behavior Change in DSMT

Speaker(s) : Karen Fitzner, PhD , Martha Price, DNSC, ARNP, CDE

The Behavior Score Instrument (BSI) was designed to support three major objectives: 1. Objectively assessing the patient's current self-care behaviors and progress over time. 2. Beginning conversation with patients to examine all areas of diabetes management that are key to their success. 3. A tool that provides the framework for how DSME/T are to be addressed in the practice setting. Instructing the patient to use the BSI has been designed to be colorful, interactive and provide “instant” information. The first step is to give the patient an opportunity to respond to the questions about the AADE7 Self-care behaviors. But, there are no ‘right’ or ‘wrong’ answers. The BSI is used by the educator to discuss the patient's answers, which appear as “scores” and use the scores to start building a customized education plan. The behavior scores can be used to set goals at the beginning of DSME/T and for comparison during follow-up.

Presentation Format(s) : MP3, MP4

$50.00

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T20- Eating to Lower High Blood Pressure

Speaker(s) : Paula M. Ackerman MS, RD, CDE

High blood pressure (hypertension) affects approximately 75% of those with diabetes. Like diabetes, it is a silent disease and it can be managed by making dietary changes. Attend this session to learn how weight loss, alcohol, sodium, fruits, vegetables and certain nutrients impact blood pressure.

Presentation Format(s) : MP4, MP3

$50.00

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T21- Healthy Mouth = Healthy Body: Exploring the Systemic Link of Periodontal Disease and Diabetes

Speaker(s) : Maria Emanuel Ryan DDS, PhD , Lauren Gueits RDH , Donna L. Jornsay BSN, RN, CPNP, CDE

Multidisciplinary medical/dental team approach to raise the awareness of the importance of oral health as it relates to systemic health. Review the pathogenesis of periodontal disease as an inflammatory process that has systemic consequences relating to diabetes,cardiovascular disease and other diseases. Present case studies of patients with diabetes and periodontitis where HBA1C levels were siginificantly reduced as a direct result of nonsurgical periodontal therapy. Cases will also be presented where glycemic control is difficult due to active uncontroled periodontitis. Discuss the affects of diabetes on peridontal tissues. Demonstrate oral diseases/conditions related to diabetes. Implement strategies for Diabetes Educators to assess risk factors and participate in the screening process of periodontal disease to reduce the recently published epidemic number of cases in the U.S.Ultimataley it is the patient who will truly benefit from good oral health which subsequently leads to improved overall health and well being.

Presentation Format(s) : MP4, MP3

$50.00

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T22- Food, Fat, Satiety & Diabetes: Exploration of the "New" Entero-Endocrine-Brain Axis

Speaker(s) : Christine Kessler RN, MN, CNS, ANP, BC-ADM

Satiety and weight loss has been the “holy grail” of metabolic medicine. As obesity and diabetes rise in this country, along with associated co-morbidities and health care costs, prevention and treatment of obesity have taken on a sense of urgency. This session will address the startling new findings in the area of satiety, nutrient/calorie absorption, food addiction, glycemic alterations, and fat deposition. The remarkable biochemical language of the gut, brain, and fat will be explored along with unique pharmacologic and nonpharmacologic interventions. It is a session for those interested in the new frontier of metabolic medicine. Attendees will the armed with life-changing strategies for them and their diabetic patients.

Presentation Format(s) : MP4, MP3

$50.00

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T23- Creative Elder Care: Best Practice and How It Can Benefit You

Speaker(s) : Elaine Doherty Sullivan MS RN , Joyce Lekarcyk RN,CDE , Mary Sonnenberg Bannon GNP-BC,CDE

Diabetes management in elders is challenging due to co-morbid conditions, poly-pharmacy and dietary intake. 26% of patients residing in nursing homes have diabetes, costing over $18.7 billion annually. Discharge from acute hospitalizations to Skilled Nursing Facilites accounts for 11% of Medicare spending. Very little is known about specific strategies to assure patient safety. Staff training in chronic care in skilled nursing homes is limited even though staff is responsible for diabetes assessment and management. Evidence suggests that poor glycemic control will accelerate diabetes complications and reduce the quality of life. Joslin Diabetes Center developed a program to improve diabetes management and staff training in nursing homes. This presentation will describe the program and outcomes of the project.

Presentation Format(s) : MP4, MP3

$50.00

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T24- AADE Guidelines and Competencies in Action: Coordinated Community Care

Speaker(s) : Debbie Dennis CNS, CDE, BC-ADM , Misty Jones MPH, RD, LD, CDE , Ellen Zignego Smith RN, MSN, CDE

No one would dispute that a multidisciplinary team approach will more likely result in more effective care and better outcomes for people with chronic disease. However, multiple team members can result in inefficiency, confusion and frustration if roles are not clearly defined and if care is not coordinated. The AADE Guidelines for the Practice of Diabetes Education and its companion document, Competencies for Diabetes Educators, were developed to clarify the roles and responsibilities of people involved in diabetes education and support in a variety of care settings. This session will describe how the guidelines and competencies were used to develop a multidisciplinary team model designed to increase access to quality care in a multifaceted health equity improvement and outreach model addressing diabetes.

Presentation Format(s) : MP4, MP3

$50.00

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T25- Using Storytelling to Promote Diabetes Prevention and Control in Vulnerable Populations

Speaker(s) : Betsy Rodriguez BSN, MSN, CDE , Marjorie Santos MPH, RN , Dawn Satterfield RN, PhD , Alexis Williams MPH, CHES

Storytelling is the heart of many cultures’ ways of sharing wisdom, and is perhaps humanity’s oldest form of teaching. Stories ignite the listener’s interest, creating vivid mental images that encourage thinking and aid understanding and recall. In diabetes education, storytelling can influence self-efficacy, outcome expectations, risk perceptions and problem solving, resulting in improved self care behaviors, particularly in vulnerable populations. Listening to patients’ stories can build trust and understanding, and enhance communication, especially when the patient and the diabetes educator have different backgrounds and life experiences. This presentation will address principles of good storytelling, provide suggestions for developing stories and encouraging patients to tell stories, and identify storytelling resources from the National Diabetes Education Program and the Native Wellness Program that can be used in ethnic minority and other vulnerable populations. Presenters will demonstrate how telling and listening to stories can enhance communication and improve the impact of diabetes education.

Presentation Format(s) : MP4, MP3

$50.00

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F01- Diabetes in the African-American Population: Shortening the Cultural Distance and Improving Outcomes

Speaker(s) : Constance Brown-Riggs MSEd, RD, CDE, CDN

Of the 25.8 million people who have been diagnosed with diabetes in the U.S., almost five million are African-Americans. A full quarter of African-Americans between the ages of 65 and 74 have it; one quarter of all Black American women over 55 have it. And Black people suffer greater consequences from the complications of diabetes. They experience kidney failure four times more often than white Americans with diabetes. They’re twice as likely to suffer from diabetes-related blindness, and more likely to experience amputation as well. Diabetes not only affects African-American people in genetically or physiologically different ways, but African-Americans also cope with the disease within a particular cultural context. Their approach to diet and exercise, their eating habits, their relationships with care givers, even their spirituality and behavior patterns are unique—and all of that has an impact on how they approach their disease diagnosis and manage their health.

Presentation Format(s) : MP4, MP3

$50.00

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F02- Transitioning Points in Students

Speaker(s) : Jean Betschart-Roemer , Amy Fischl , Nicole Johnson MPH, MA

There is a great need for better and more structured transition programs to help older adolescents successfully move into the adult setting. This presentation will include case-based situations, explore the current issues facing teens and young adults with diabetes, and suggest ways to collaborate with and empower them to take a more active role in their care.

Presentation Format(s) : MP4, MP3

$50.00

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F03- Gambling on DSMT/MNT Reimbursement

Speaker(s) : Peggy B. Bourgeois APRN, MN, CNS, CDE, CEC

In today's health care environment, coding and reimbursement continue to be an issue for health care providers and diabetes educators. Hospital programs continue to close at an alarming rate. As healthcare evolves in 2011, developing different perspectives in managing the business of diabetes is essential to the survival of diabetes programs. More and more, DSMT programs are being established in primary care practices, pharmacies and other non-traditional settings, each with their own unique challenges. This program will address the expanding role of diabetes educators. Diabetes educators are re-evaluating their role and articulating the value of their program to administration, financial officers, as well as, executives in industry and legislators. It is crucial that CDEs become providers for DSME through legislative action being pursued by AADE.

Presentation Format(s) : MP4, MP3

$50.00

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F04- Integration of Creative Teaching Techniques With Emerging Technology

Speaker(s) : Marcia D. Draheim RN, CDE , Ginger Kanzer-Lewis, RN, BC-ADM, CDE, FAADE RN, BC-ADM, CDE, FAADE

New Dimensions for Diabetes Education & Management.As the horizon of health care dramatically changes, so will we also need to focus more on leveraging entrepreneurial approaches providing diabetes education, diabetes management and ongoing patient support. We tend to gravitate toward what has been familiar to us and we become 'stuck in the here and now'. This often limits our capability of being futurists. The purpose of this presentation is to assist participants to more fully focus on their investigation of a variety of resource options that are enhanced by a variety of creative teaching techniques, computer technologies and software that are applicable through a number of devices currently available on the market and those that are soon to be launched. Communication, connectivity, sustainable support for our patients and their families has been, andwill become even greater as we progress in providing health care.

Presentation Format(s) : MP4, MP3, SAV

$50.00

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F05- One-on-One vs. Group Medical Visits: Best of All Worlds?

Speaker(s) : Elaine Massaro MS,RN,CDE

Despite current efforts within the medical community, national outcomes of diabetes care remain suboptimal with only 48% at HbA1C goal, 33% at LDL and BP goals and only 7% at goal for all three combined. Diabetes has become an epidemic and diabetes care increasingly has become the target of pay-for-performance. Although diabetes self-management skills may improve glycemic control, diabetes self-management education is underutilized and associated with reimbursement issues. It has become clear that alternative approaches to diabetes care need to be explored. The Group Medical Visit model may be a salient avenue for improving diabetes self-management. The diabetes educator can play a key role in the multidisciplinary team during group medical visits. The model is an example of system redesign and chronic disease management strategy that may provide a more efficient, cost effective option for patients and health care providers, with the protential to improve clincial and health status outcomes.

Presentation Format(s) : MP4, MP3

$50.00

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F06- 'Ready, View, Go': Real Life Diabetes Training in the Camp Setting

Speaker(s) : Shelley D. Yeager MA, LCSW

This presentation will demonstrate the impact that diabetes camp has, not only on youth with diabetes, but on the health care professionals who render care in the setting. Diabetes camps offer professionals the opportunity to engage in “real-life” diabetes management. Preparation and training for the arduous regimen of managing diabetes 24/7 in the camp setting is daunting. This session will not only prepare professionals for their role in diabetes camp, but will inspire them to do a better job in their role as clinicians in their work settings and will help them to empower their patients to assimilate the strategies they learn at diabetes camp to life in general.

Presentation Format(s) : MP4, MP3

$50.00

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F07- How to Construct a Realistic Pre-Diabetes Education Class

Speaker(s) : Kathleen E. Stanley CDE, RD, CN, LD, MSEd, BC-ADM

In 2000, the CDC reported one-fourth of overweight US adults had prediabetes. Currently, ADA estimates 57 million have prediabetes, and this number is expected to grow. Diabetes educators help patients learn about diabetes management through classes and training sessions. Educators need guidance on how to set up effective classes to meet the needs of the growing prediabetes population. The DPP had a series of 16 classes, which was effective, but impractical for most settings. Therefore, this session will provide tips and resources on how to construct prediabetes education classes. A review of existing curriculum resources and resources for special populations will be emphasized. A discussion on specific challenging program issues such as costs, reimbursement, lifestyle and motivational issues, and on-going support will be part of the presentation. The attendee will be able to use the provided resources to help construct a realistic prediabetes class in their own practice setting.

Presentation Format(s) : MP4, MP3

$50.00

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F08- Survey Monkey: The use of a popular internet tool to provide and track staff education

Speaker(s) : Cynthia Rae Mathiasen RN,CDE

It is a challenge to educate, engage, and empower the bedside staff nurse to deliver evidenced based diabetes management care. Using the Survey Monkey internet tool provides an opportunity for nursing staff to participate in an easily accessible education program that tracks learning needs, outcomes, and provide a little fun all at the same time.

Presentation Format(s) : MP4, MP3

$50.00

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F09- State Diabetes Public Health System Assessments: Help or Hindrance?

Speaker(s) : Magon M. Saunders MS, RD, LD

BackgroundThe Essential Public Health Services (EPHS) provide the fundamental framework for the National Public Health Performance Standards Program (NPHPSP). The EPHS describes the public health activities needed for continuous quality improvement in all communities. In 2002, the Division of Diabetes Translation (DDT) recommended that state Diabetes Prevention and Control Program (DPCPs) complete EPHS assessments and use the findings to develop state Performance Improvement Plans (PIP) and Diabetes Strategic Plans. MethodsWe reviewed the Management Information System (MIS) to ascertain DPCP’s compliance with the DDT recommendations. Later, the DDT funded the National Association of Chronic Disease Directors to conduct key informant interviews to determine the impact of the EPHS assessment on the DPCPs work. Results/ Conclusions MIS searches revealed that 97% of DPCPs completed an EPHS assessment. The results of the nine key informant interviews indicated that DPCPs and partners improved their understanding of the State Diabetes Public Health System.

Presentation Format(s) : MP4, MP3

$50.00

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F10a- Short-term Results of the IDEA Study – A Randomized Controlled Trial

Speaker(s) : Jodi M. Lavin-Tompkins RN, CNP, CDE, BC-ADM , JoAnn M. Sperl-Hillen MD

Diabetes self-management education (DSME) and behavior change are described as the cornerstones of care for patients with diabetes. However, published systematic reviews of both group and individual diabetes education have rated the quality of studies as moderate to poor. Despite a lack of solid evidence, the need for DSME is well accepted and it is reimbursed by the Center for Medicare and Medicaid (CMS). However, reimbursement for follow-up DSME after the first year of diagnosis is currently limited and often provided using an individualized approach. Group diabetes education for patients is cost-efficient and could improve outcomes over an individual approach. One new model for diabetes education called the U.S. Diabetes Conversation Map® (CM) education program is being used widely in the U.S. and internationally, but to date its effectiveness has not been rigorously evaluated. The objectives of this study are to determine: (1) whether group education using CMs and individual education result in improved clinical, psychosocial, and behavioral outcomes compared to usual care, and (2) whether outcomes of group education are comparable to individual education. This is part 1 of 3 of the Diabetes and Study Results series.

Presentation Format(s) : MP4, MP3

$50.00

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F10b- ASSESSMENT OF THE CLINICAL OUTCOME OF A SYMPTOM-BASED OUTPATIENT HYPERGLYCEMIA PROTOCOL

Speaker(s) : Becky Armor PharmD, CDE

1. Explain why a treatment protocol for high glucose is needed 2. Review the rationale for outpatient treatment of high glucose 3. Review implementation of the protocol 4. Review results of using an outpatient hyperglycemia protocol 5.Interpret results applicable to primary care delivery of diabetes management including study limitations 6.Describe real world barriers to the use of the protocol This is part 2 of 3 of the Diabetes and Study Results series.

Presentation Format(s) : MP4, MP3

$50.00

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F10c- Quality of Life is Improved with Controlled-Release Phentermine/Topiramate in Overweight Subjects

Speaker(s) : Ronette L. Kolotkin PhD

1. Discuss weight loss resulting from low-dose, controlled-release phentermine/topiramate (PHEN/TPM CR) vs placebo2. Assess the potential effects of weight loss on Impact of Weight on Quality of Life (IWQOL)-Lite domains3. Evaluate the potential effects of weight loss on the Medical Outcomes Study Short-Form (SF-36) domains This is part 3 of 3 of the Diabetes and Study Results series.

Presentation Format(s) : MP4, MP3

$50.00

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F16- Current Best Evidence for Education in the Type 2 Pediatric Population

Speaker(s) : Doreen Radjenovic PhD ARNP CDE

Pediatric educators must tailor materials and methods for youth with type 2 diabetes; an increasing epidemic. High level evidence in the form of meta-analyses or systematic reviews of educational interventions exists for adults with type 2 diabetes but few studies are available to substantively inform pediatric practice. The purpose of this session is to present an overview of the current, albeit limited, scientific evidence for self-management education practice in pediatric type 2 diabetes. A framework for education will be suggested with an emphasis on recent intervention research and practice guidelines to substantiate content in nine areas for instruction. Web-based and print materials designed for this population will be highlighted.

Presentation Format(s) : MP4, MP3

$50.00

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F17- SystemCHANGE: A New Model of Health Behavior Change

Speaker(s) : Shirley M. Moore, RN, PhD

This session will present a new model of health behavior change, SystemCHANGE, that is based on system redesign (choice architecture, nudge theory)and process improvement theories. An individual's daily routine (habits) is the system focus. An overview of this new model of health behavior change, how it differs from the traditional cognitive-behavioral approaches to behavior change,and the tools and strategies associated with the SystemCHANGE intervention will be discussed. Results of a large randomized trial illustrating the success of this model of health behavior change will be discussed.

Presentation Format(s) : MP4, MP3

$50.00

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F18- Coordinating Care: How to apply the Patient-Centered Medical Home to your practice

Speaker(s) : Kim Coy DeCoste RN, MSN, CDE , Toni Melancon RN, BSN, CDE , Jan Norman RD, CDE , Jan Pearson RN, CDE , Jennifer M. Polello MHPA, CHES

The Chronic Care Model and the Patient-Centered Medical Home Model transform office flow and care systems in primary care. Coordinated care, an essential element of the patient-centered medical home model, drives the improved outcomes and potential reduced costs when patients access the system appropriately. This session provides current examples of how diabetes educators use the patient-centered medical home in their practice in a primary care setting.

Presentation Format(s) : MP4, MP3, SAV

$50.00

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F19- Complications Clinic: Your Patient with Chronic Kidney Disease

Speaker(s) : Debbie Hinnen ARNP, BC-ADM, CDE, FAAN, FAADE , Virginia Valentine APRN-CNS, BC-ADM, CDE, FAADE

Nephropathy continues to be an insidious and devastating complication and diabetes continues as the most common cause of chronic kidney failure. People with both Type 1 and Type 2 diabetes are at risk especially when poorly controlled. Further, elevated blood pressure increases the progression to end stages of CKD. In all levels of CKD, the role of the diabetes educator is critical in supporting the patient with self-management skills and management of this complex condition. ESRD is confusing and mysterious for many health professionals who care for people with diabetes. This session will address the most common issues and questions that practicing diabetes educators and practitioners have about preventing, identifying and managing the patient with kidney disease. Participants will receive materials to support their practice and will work with cases to develop skills in managing the complex issues facing patients with early to late stage chronic kidney disease.

Presentation Format(s) : MP4, MP3

$50.00

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F20- The Diabetes Education Accreditation Program (DEAP) - Everything You Need to Know and More!

Speaker(s) : Leslie Kolb RN, BSN, MBA

On February 27, 2009 AADE became one of two Nationally Approved Accrediting Organizations (NAO) for Diabetes Self-Management Education/Training (DSME/T). The demand for quality DSME/T programs continues to rise as the number of patients diagnosed with Diabetes also continues to rise. AADE's Diabetes Education Accreditation Program (DEAP) provides a streamlined approach to healthcare professionals seeking to meet the needs of the diabetes population in their community. Join us in learning how to become and develop your program into a high quality accredited program and become eligible for Medicare reimbursement.

Presentation Format(s) : MP4, MP3

$50.00

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F21- DiabetesLocal: Connecting Diabetes Stakeholders with Quality, Available Services and Programs

Speaker(s) : Kathleen A. Gold RN, MSN, CDE

As the incidence of diabetes and other chronic disease grow, how do we connect the growing number of individuals impacted by chronic conditions with the growing number of readily accessible quality services and products in the information age? Diabetes Research and Wellness Foundation is working to provide an effective tool to address these challenges. DiabetesLocal.org is a non-commercial, unbiased living diabetes yellow pages of locally accessible, reviewed resources. The AADE7™ Self-Care Behaviors provides the framework and reinforces the self-care behavior for patients on the path to finding the needed resource. Resources are self-submitted, reviewed by healthcare professionals using pre-determined criteria, kept current by the owners through automatic reminders.Be part of the solution. Join AK, DC, VA, and WI. Populate the site with your community’s resources; place the responsibility on the resource; ensure quality resources for your clients. Share this tool with your patients, health systems, coalitions, healthcare professionals and community.

Presentation Format(s) : MP4, MP3

$50.00

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F22- Helping Patients Connect the Dots: Plain Talk about Diabetic Kidney Disease

Speaker(s) : Katherine Skinker CHES , Jennifer St. Clair Russell MSEd, CHES

Diabetes is the leading cause of kidney failure in the US. Proper disease management and self care are critical for preventing diabetic kidney disease, but many patients have a difficult time following their treatment plans. Poor health literacy may be among the biggest factors to blame. Nearly half of US adults have basic or below basic health literacy skills. Research shows that this increases the risk of hospitalizations, chronic diseases and complications. The American Kidney Fund strives to address this problem via plain-language educational materials for patients and education about clear communication strategies for healthcare providers. This session will increase participants' awareness about health literacy and the impact it has on health, as well as provide communication strategies to help combat this barrier.

Presentation Format(s) : MP4, MP3

$50.00

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F23- Diabetes Management in Long Term Care Facilities: A New Frontier for the DE?

Speaker(s) : Patricia A. Haldi MN, CRRN, CDE

Prevalence of diabetes in long term care (LTC) is currently 26.4%. This number is expected to grow rapidly. Diabetes has been shown an independent factor in long-term care placement. In LTC diabetes care costs increased from $13.9 billion in 2002 to $18.5 billion in 2007. Studies show nursing home residents with diabetes have higher rates of cardiac complications, dehydration, impaired physical and cognitive abilities, depression, pain, infection, and falls. Despite efforts by the American Medical Directors Association (AMDA), American Diabetes Association, American Association of Diabetes Educators (AADE) and the American Dietetics Association, diabetes education and management in LTC is not within current standards of care. This presentation highlights problems with diabetes management suggesting ways to improve care. Case studies demonstrate differences in standards of diabetes care between skilled nursing facilities (SNFs) assisted living facilities (ALF) and acute rehabilitation (AR). Participants will be challenged to consider LTC facilities, a new frontier.

Presentation Format(s) : MP4, MP3

$50.00

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F24- Fall Risk Assessment and Management for the Patient with Diabetes--Not a Wild Card

Speaker(s) : Cordell Atkins PT, DPT, CWS, CDE, CPed , Dennis Janissee CPed

Diabetes falls, and fractures are a major health concerns among older adults. More than one third of older adults fall each year and the rates increase with advancing age and progression of diabetic complications. Twenty five percent of all older adults who fracture a hip die within a year. The cost for non fatal fall-related injuries in 2000 was $19 billion. Factors that influence falls in the patient with diabetes may include but not limited to autonomic dysfunction, postural hypotension, gait abnormalities, hypoglycemia, medications and the environment. Different tests may be needed to assess the multiple factors that may contribute to the individuals fall risk. Intervention strategies may include balance retraining, proper exercise programs, motor control, and improvement of postural faults. Additional strategies may include modification of footwear, removal of environmental hazards, and the use assistive ambulation devices.

Presentation Format(s) : MP4, MP3

$50.00

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F25- Disparities in Diabetes Self-Management: Tips to Address the Challenge of Low Health Literacy

Speaker(s) : Lillie Clay Larsen MS, RD, LD, CDE , Luisa M. Ylagan MEd, BSN, RN, RD, LD, CDE

Health disparities continue to beleaguer the US health care system. Low health literacy (LHL) contributes significantly to these health inequalities. The inability to obtain, process, and apply diabetes self care information increases the likelihood of poor health outcomes. Therefore, diabetes educators need to be aware of, be sensitive to, and be creative about ways to meet self-care education needs of those with LHL. The presentation will focus on:-Ways to assess literacy level of teaching tools-Tips to modify materials for low literacy-Opportunity to see a low literacy material 'make-over'-Chance to hear about a low literacy-sensitive modular approach to diabetes education -Tools to evaluate patient comprehension-Resources to address low literacy

Presentation Format(s) : MP4, MP3

$50.00

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F31- Self-Management Support: Internet/Cellphones Make Diabetes Prevenetion/Treatment Affordable, Scalable

Speaker(s) : Neal Kaufman MD, MPH , Malinda Peeples , Linda M. Siminerio RN, PhD, CDE

With increasing sophistication of treatment protocols, patients need a complex set of services, education and support. Integrating education and supports into a busy clinical practice and into a patient's therapeutic regimen presents challenges that need to be addressed through a variety of strategies. Information technology helps clinicians provide robust and affordable education/support to large numbers of patients to improve their outcomes through enhanced self-management of the complex behaviors essential for good outcomes.

Presentation Format(s) : MP4, MP3

$50.00

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F32- Physical Activity and Type 2 Diabetes

Speaker(s) : Sherrie K. Evenson MS, ACSM-RCEP/CET

Physical activity is a key element in preventing and managing Type 2 diabetes. Chronic levels of inactivity have increased the risk of diabetes and obesity. Physical activity has profound acute and chronic effects on blood glucose control, diabetes prevention and diabetes management. This presentation will present the effects of exercise on diabetes, and offer guidelines for safe, effective exercise while accommodating potential diabetes-related complications. Strategies for exercise motivation and compliance will be addressed.

Presentation Format(s) : MP4, MP3

$50.00

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F33- Impacting Glycemic Control and Care Management for the Surgical Inpatient

Speaker(s) : Nina Clark RN, BSN, CDE

Despite evidence of need for glycemic control for surgical cases, including adoption of glycemic component in SCIP Core Measures, surgeons remain resistant to diabetes management focus. The Diabetes Center and the Glycemic Control QIT adopted a comprehensive care management model that begins with the pre-op surgical visit and is completed at the last surgical follow-up visit.

Presentation Format(s) : MP4, MP3

$50.00

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F34- Infusion Device Strategies for Optimizing Insulin Pump Therapy

Speaker(s) : Carol S. Manchester MSN, ACNS, BC-ADM, CDE , Gary Scheiner MS, CDE

Insulin pump therapy is utlized by hundreds of thousands of individuals with diabetes. However, the benefits of pump therapy are often limited by incorrect selection or improper use of the pump infusion device. In the spring of 2011, AADE held an independent summit meeting of experts in pump therapy to develop a set of 'best practices' regarding insulin pump infusion devices. This program summarizes the key findings and recommendations from this meeting. Focus will be placed on practical steps for helping patients to select an infusion device that will best meet their needs and use it in the safest, most effective manner possible.

Presentation Format(s) : MP4, MP3

$50.00

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F35- Diabetes and Mental Illness: It's Time to Learn Psychopharmacology to Improve Diabetes Care

Speaker(s) : Miriam Chan PharmD, CDE

Diabetes and mental illness are inextricably linked. People who have diabetes have high rates of mental illness, particularly depression. Adequate treatment of depression has been shown to improve glycemic control and improvements in glycemic control decrease depressive symptoms. People with mental illness are at increased risk for type 2 diabetes. Antipsychotic medications are the mainstay of treatment for psychotic illness. Many of these drugs may cause or exacerbate diabetes and confound effective management. This presentation will build your knowledge about mental illness and psychotropic drugs. The risks and benefits of psychotropic drugs, as well as strategies in preventing serious adverse effects will be discussed. Using case studies, participants will learn how to manage diabetes in patients with comorbid mental illness.

Presentation Format(s) : MP4, MP3

$50.00

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F36- Lets Get Physical Online

Speaker(s) : Susan McGhee Pierce MPT, CDE

As diabetes educators, we need to be able to empower people with diabetes to consider, start or maintain physical activity behaviors. While we cannot tailor an activity program for each and every one of our patients, help them with goal setting whenever they need it, email them daily to remind them to work toward their goal, etc., there are some websites which can do just that!!! This lively and interactive session will empower you to say to your patients, “I have a great website just for you!” The websites highlighted will be reviewed, rated on criteria, and then used in case studies. Videos of what patients have to say about these websites will also be included. We all agree that physical activity is one of the cornerstones of diabetes management; let’s make it a reality.

Presentation Format(s) : MP4, MP3

$50.00

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F37- Diabetes Distress in Parents: A Review of Innovative Methods for Assessment and Intervention

Speaker(s) : Nicole Johnson , William H. Polonsky PhD, CDE

Parents of children with diabetes are a group who are often ignored in diabetes care, yet they are often in dire need of support and guidance. Parents’ distress, their sense of perceived burden and responsibility, and their innate abilities to cope can influence their child’s attitudes toward diabetes as well as their child’s self-care behavior as an adult and, consequently, long-term glycemic control. By helping parents, we can help children and teens to succeed with diabetes. This presentation will review the methods for assessing diabetes-related parent distress, focusing on the self-report questionnaires that are now available. Also, innovative strategies for addressing parent distress will be introduced. We strongly believe that for diabetes care in children and teens to be truly successful, more effective methods for addressing parents’ concerns and needs is critical.

Presentation Format(s) : MP4, MP3

$50.00

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F38- NC Making A Difference: Diabetes Self-Management Education: Real People, Real Stories, Real Results

Speaker(s) : Joanne K. Rinker MD, RD, CDE, LDN

The North Carolina Diabetes Education Recognition Program is make a difference in the lives of over 2,200 patients in local health departments since it started in 2007. Programs have been started in areas of the state that other wise did not have access to diabetes care. This program has shown that those who complete the program have decreased A1c values and many of them reach the suggested value of 7.0% or less. This program can be duplicated in other states who wish to work with health departments or those who wish to have a DSME program that will have multiple locations for point of service. We will showcase real stories from patients around the state who have seen the results. The program data will show improved outcomes and decrease health disparities.

Presentation Format(s) : MP4, MP3

$50.00

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F39- Preventive Foot Health: Impacting and Improving Patient Quality of Life

Speaker(s) : Robert P. Thompson C.Ped., BOC Pedorthist

IPFH’s ongoing National Foot Health Assessment research continues to identify foot problems, especially those experienced by diabetic patients, which burden our population. Such problems are rarely openly discussed, are actually frequently disregarded and may even go dangerously unrecognized by diabetic patients. Avoiding foot problems and restoring problem feet to productive capabilities must be achieved before patients can enthusiastically participate in work, leisure time involvements and activities of daily living. This presentation (1) creates awareness concerning the current intensity and pervasiveness of foot problems in America, (2) explains the genesis and progression of many foot maladies, especially those associated with diabetes, and (3) provides a simple, elegant, yet inexpensive, preventive foot health solution (specifically, foot protection and foot soft tissue injury prevention method) that can be immediately introduced to and used by patients (and conference attendees themselves, as well!) to improve the quality of their lives.

Presentation Format(s) : MP4, MP3

$50.00

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F40- Providing Culturally Sensitive Diabetes Edu

Speaker(s) : Theresa Garnero APRN, BC-ADM, MSN, CDE

Members of the lesbian, gay, bisexual, and transgender (LGBT) community have unique health disparities and worse health outcomes than their heterosexual counterparts, which has clinical relevance in the delivery of diabetes care and education. The cornerstone of quality care starts with the assessment. If critical cultural and family support information is missed because of an environment that assumes heterosexuality, wherein providers may provide substandard care based on presumed sexual orientation, and patients fear disclosure could trigger provider homophobia, then the diabetes care plan will lack completeness and potentially alienate these patients from seeking care. The LGBT community is large, as numerous as the Type I or gestational population. People from every race, nationality, gender, class, and political/religious affiliation are represented in the LGBT community, which is present in 99.3% of all counties in the U.S. and in your practice setting. Learn how to best care for this special population.

Presentation Format(s) : MP4, MP3

$50.00

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S01- Goal Setting and Motivational Interviewing: Helping Patients Plan to Achieve Change

Speaker(s) : Jan Kavookjian

Self-management behaviors remain among the greatest challenges for persons with diabetes. Setting appropriate goals and monitoring their progress has been associated with positive outcomes in diabetes self-management. This session will incorporate an ongoing applied goal-setting activity to illustrate the art and science regarding general goal setting concepts, motivational interviewing (MI) as a way of being and communicating with persons in the goal setting process, SMARTA goals, monitoring and feedback and potential tools for gaining commitment, and finally, how to deal with challenges to goal setting, goal achievement, and relapse counseling using an MI approach.

Presentation Format(s) : MP4, MP3

$50.00

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S02- Measuring Quality of Diabetes Care: Problems and Prospects in an Era of Pay for Performance (P4P)

Speaker(s) : David C. Aron, MD, MS

Performance measurement has become ubiquitous and is a favored management tool to shape care delivery. However, its use depends on good measures as well as good intentions. Limitations of the measures themselves as well as their use has been associated with unintended (negative) consequences.

Presentation Format(s) : MP4, MP3

$50.00

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S03- Diabetic Nephropathy: The Role of the Diabetes Educator

Speaker(s) : Katherine Skinker CHES , Jennifer St. Clair Russell MSEd, CHES

Diabetes is the leading cause of kidney failure, responsible for nearly 40% of cases. Early treatment of both diabetes and kidney disease is critical in preventing kidney failure. Many diabetic kidney patients will have contact with a diabetes educator long before they meet a nephrologist or social worker, and it is at this point when treatment matters most. The diabetes educator has a unique opportunity to offer early guidance and be among the most impactful resources to diabetic kidney disease patients. This session will explore the ways in which diabetes educators can be a resource for patients as they work to slow the progression of their kidney disease or, when needed, prepare for renal replacement therapies.

Presentation Format(s) : MP4, MP3

$50.00

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S04- Inpatient Hypoglycemia Prevention And Recovery: Nothing To Gamble With!

Speaker(s) : Joan Carroll RN, MSN, CDE , Mary Ellen Leppert RN, BSN, CDE

Management of hypoglycemia in the hospital setting presents unique challenges. Often, up to half of the patient populations at our two downtown academic medical centers with a combined bed capacity of 1,000+ are being treated with insulin. We identified a lack of understanding in our bedside nurses and hospital physicians for appropriate hypoglycemia treatment and follow up. By providing our physicians and nurses with education we were able to increase awareness and a greater understanding of safe and effective hypoglycemia treatment. With this, along with providing standardized tools, we were able to effectively implement Dextrose 50% IV push as our first line treatment choice for hypoglycemia.Reduced rates of hypoglycemia are major goals for any health care setting. Through standardized treatment, resources, and tools for implementation of Dextrose 50% IV push as a first line treatment choice, we were able to show a fast recovery and reduced rates of dangerous hypoglycemia.

Presentation Format(s) : MP4, MP3

$50.00

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S05- Battle Zone Carbohydrate: Applying Research Evidence to Answer the Complex Questions

Speaker(s) : Marion Franz MS, RD, LD, CDE , Hope Warshaw MMSc, RD, CDE, BC-ADM

The research evidence for recommending a moderate carbohydrate intake to achieve a healthy eating pattern and glycemic and weight control is strong for diabetes. Yet some clients, healthcare providers, and self-claimed experts, continue to promote a “low carb” approach for diabetes. This approach for diabetes also garners continued media attention and online dialogue. Added up this creates carbohydrate confusion for educators and consumers. This session will apply a research-based approach to exploring the evidence for optimal carbohydrate intake for diabetes (Type 1 and 2) in relation to insulin resistance/improving insulin sensitivity, glycemic control and weight loss/management. Research from large NIH trials along with trials conducted worldwide will be explored. The speakers will then apply this evidence to prioritizing teaching principles for healthy eating, glycemic control and weight management. Practical approaches will help clinicians in practice when counseling clients who follow or work with colleagues who promote “low carbohydrate diets.”

Presentation Format(s) : MP4, MP3

$50.00

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S06- Powerful presentations: The journey from story to storyboard to slides

Speaker(s) : Susan LaRue RD, CDE , Barb Schreiner PhD, RN, CDE, BC-ADM

Tired of the same old way of presenting your topic? How many times can you teach the same topic without getting bored? How can you get the committee to buy into your ideas? Does your slide show confuse or amuse your audience? As an educator, you have important messages to share. You have a great story to tell. How do you keep your audience interested, engaged, and ready to take action? This session will explore the elements of moving key messages to visually appealing slides. Participants will create a storyboard in preparation for creating a slide presentation beyond bullet points. This highly interactive session will provide participants with tips and tools for addressing how people learn in a visually rich environment.Join us on the journey from story to storyboard to slide.

Presentation Format(s) : MP4, MP3

$50.00

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S07- Inpatient glucose management service: challenges of diabetes care in a clinical research center

Speaker(s) : Christine Chamberlain PharmD, BCPS, CDE , Elaine K. Cochran MSN, CRNP, BC-ADM , Kathryn Feigenbaum MSN, CDE

Effective blood glucose management in the inpatient setting has been shown to be crucial for patient outcomes. The Clinical Center at the National Institutes of Health hosts a unique challenge for inpatient glycemic management. Patients are participating in clinical research protocols of investigational drugs, surgical procedures, and therapies for rare or relapsed diseases with no standard treatment. Inpatient events of extreme hyper and hypoglycemia are not only undesirable in conventional terms, but are under additional scrutiny in the clinical research protocol. In this environment we have developed an inpatient blood glucose management service to merge specialized expertise throughout the Clinical Center, for patients of all ages, and forms of diabetes. We will describe the formation of the service, the use of informatics to devise flowsheets for documentation, insulin order sets, and diabetes care order sets, and how insulin regimens are formulated and administered for both U-100 and U-500 insulin.

Presentation Format(s) : MP4, MP3

$50.00

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S08- Variety is the Spice of Diabetes Education Programs: Your Options May be Greater Than You Think

Speaker(s) : Sandra Bollinger , Leslie Kolb RN, BSN, MBA , Jodi Lavin-Tompkins , Jodi M. Lavin-Tompkins RN, CNP, CDE, BC-ADM , Kathryn McKinney RD, LD, , Jerry Meece PharmD , Douglas H. Miller, RN, BSN, MPH, CDE , Ellen Zignego Smith RN, MSN, CDE

AADE has been accrediting Diabetes Self-Managment Education Programs for over two years and would like to share with you successes and barriers from programs in very different settings. The demand for high-quality programs continues to rise. We will share stories from the following tradtional and non-traditional settings: Solo Practitioner RD in a rural setting; Community Pharmacy; Multi-Setting Health Clinics; and Non-Dispensing Pharmacist working with physician offices. Come and be prepared with your questions because very successful practitioners will be there to review their programs--and provide answers to all your burning questions!

Presentation Format(s) : MP4, MP3

$50.00

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S09- Shifting the CDE Paradigm: The NP-CDE Collaborative Model

Speaker(s) : Jamie Dillinger CRNP, CDE , Marianne McAndrew RN,MSN,CDE

Improving patient outcomes takes a collaborative effort between team members: physician, nurse practitioner, CDE, and patient. A patient must take an active role in their diabetes management(an engaged consumer in their health). The Chronic Care Model serves as a framework for this Nurse Practitioner-CDE collaborative model in an endocrinology practice. Studies have shown that when diabetes educators are utilized in physician practices, there is cost savings and improved clinical quality.A private endocrinology practice in a suburb of Philadelphia integrated the team approach. An endocrinology NP, CDE and a Clinical Nurse Specialist developed a model for improving patient outcomes and generating increased revenue for the practice.

Presentation Format(s) : MP4, MP3

$50.00

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S10a- Preparing for Pregnancy: Use of Preconception Counseling Among Providers Treating Diabetic Women

Speaker(s) : Brenda Ralls PhD , David B. Winmill DNP, CDE, BC-ADM

1. Have an increased awareness and understanding of barriers to pre-conception planning experienced by providers who treat women with diabetes2. Identify which characteristics among health care professionals are most closely associated with delivery of preconception counseling3. Demonstrate effective preconception planning educational materials that are available for female patients with diabetes of child-bearing age. This is part 1 of 3 of the Diabetes and Special Care Situation series.

Presentation Format(s) : MP4

$50.00

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S10b- Diabetes Education and Supervised Physical Aactivities: Better Glycemic Control in Type 1 DM People

Speaker(s) : Jane Dullius PhD , Guilherme Falcão Mendes Ms

Diabetes education is fundamental. Physical activities are a necessary part of a healthy life. But regular physical exercises (PhEx) like part of DM treatment need specific orientation to reach the benefits and avoid risks. Their changes and effects affect whole metabolism, interfere-on and depend-of other therapeutically areas (diet, insulin, self-care, psychosocial, complications). There aren’t plenty consensus about this to subjects with Type 1 diabetes and so PhEx practice needs adequate orientation to manage diabetes conditions in their evaluation, prescription and escort. Because it’s indicated/desirable be performed several times by week and should be a regular, continuous and monitored activity we understand that a supervised PhEx program can be a good way to offer, go along and carry a diabetes education program. For make it safe and effective, the person with diabetes, the health providers and the peers need to know about the aspects involved and how to manage these. The aim was to verify the variation (acute and long term) of the capillary blood glucose after PhEx under adjustment orientations in a interdisciplinary diabetes education program with DM1 people. It’s believed it will be resulted from better understanding and competence in evaluate and choose the adequate procedures to manage the blood glucose This is part 2 of 3 of the Diabetes and Special Care Situation series.

Presentation Format(s) : MP4

$50.00

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S10c- Education Needs for Improving Self-care in Heart Failure Patients with Diabetes

Speaker(s) : Sandra B. Dunbar RN, DSN, FAAN, FAHA , Melinda Higgins PhD , Eun Seok Cha PhD, MPH, MSN. RN

Patients with Heart Failure (HF) require continuous and demanding self-care to manage their chronic health condition. When they have co-morbidity such as diabetes (DM), their health care and education needs are synergistically escalated to manage two self care regimens which may be overlapped and/or conflicted. However, very limited research has been conducted to explore the patient education needs for improving self-care in HF-DM patients. This study explored education needs on self-management behavior in HF-DM patients. Specifically, we: 1) explored the differences on socio-demographics between HF patients with and without DM; and 2) examined the mean differences on measures of socio-cognitive factors influencing self-management behavior (anxiety, depression, relationships with health care provider, self-efficacy) and self-management behaviors with regard to medication and dietary regimens. This is part 3 of 3 of the Diabetes and Special Care Situation series.

Presentation Format(s) : MP4, MP3

$50.00

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S16- Emerging Therapies and Concepts for the Treatment of Diabetes Mellitus: Vacillations & Victories

Speaker(s) : Curtis Triplett PharmD, CDE

The world of diabetes therapeutics is a squeaky cog, with many changes not easily predicted from available data. Drugs that we think will quickly be approved, are delayed or fade away, but once approved, the "cog" can slip quickly, putting us as educators behind in our knowledge. Dr. Triplitt will address new and old therapeutics for new, old, and potential issues within diabetes mellitus therapeutics.

Presentation Format(s) : MP4, MP3

$50.00

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S17- Pregnant with Diabetes: Using the Insulin Pump to Achieve Pregnancy Success

Speaker(s) : Thomas Moore, MD

This session will begin by developing an understanding of the unique changes in maternal insulin resistance and glucose dynamics during pregnancy with an emphasis on the biorhythms within the 24 hour day. The differences in insulin pump management, especially basal rate adjustments, between pregnant and non-pregnant will be presented. We will incorporate challenging case studies of diabetes management in pregnancy to help the participant learn techniques to avoid excessive surges in glucose and episodes of hypoglycemia. Transfer of these principles into a Preconceptional Glycemic Control Program will be covered.

Presentation Format(s) : MP4, MP3

$50.00

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S18- Insulin Resistance Syndrome and Chronic Liver Disease: A Patient Case Evaluation

Speaker(s) : Karen H. McGee Pharm.D., CDE , Cynthia M. Phillips Pharm.D., CDE

Insulin resistance syndrome is associated with nonalcoholic fatty liver disease (NAFLD), one of the most common causes of chronic liver disease. This seminar will review the etiology, pathophysiology and patient characteristics of insulin resistance syndrome and chronic liver disease. We will discuss how current pharmacotherapy guidelines need to be adjusted for patients with chronic liver disease. We will discuss primary medical literature that explains the role of metformin, thiazolidinediones and incretin mimetics in this unique patient population. Finally, we will present a patient case to illustrate the key learning points of the presentation. We will facilitate discussion, utilizing a computerized audience response system to identify appropriate pharmacotherapy options for the patient case

Presentation Format(s) : MP4, MP3

$50.00

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S19- Dietary Supplements for the

Speaker(s) : Laura Shane-McWhorter PharmD, BCPS, BC-ADM, CDE, FASCP, FAADE

Diabetes is a complex disease that may result in microvascular complications. Many patients with diabetes use dietary supplements for a variety of reasons, including the hope of treating neuropathy, retinopathy, and nephropathy. Some supplements used include alpha lipoic acid, benfotiamine, bilberry, gamma linolenic acid, ginkgo biloba, hibiscus, pycnogenol, resveratrol, and Vitamin C. Diabetes educators will learn about these products and review the evidence available to provide information and education to their patients.

Presentation Format(s) : MP4, MP3

$50.00

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S20- Implementing Group Medical Visits for Diabetes Care in Rural Health Practices

Speaker(s) : Melissa Herman CDE, RD , Roxanne Leopper MS

FirstHealth of the Carolinas is a health care system in rural North Carolina that recently implemented Group Medical Visits (GMVs) for diabetic patients in provider practices and free care clinics. A GMV, also known as a Shared Medical Appointment, is conducted by a health care team to facilitate an interactive process of care delivery in a periodic group environment. FirstHealth has seen an increase in patient compliance with medications, improved nutrition habits, lowered A1cs and weight loss. FirstHealth will share their lessons learned on practice selection, steps for implementation, patient outcomes and steps for reimbursement for GMVs.

Presentation Format(s) : MP4, MP3

$50.00

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S21- Practical Applications of CGM: A Pivotal Tool To Improve Your Practice and Patient Outcomes

Speaker(s) : Keri L. Weindel MS,RD,CDE , Heather L. Lamar RD,CDE

CGM is now a well-established technology and is covered by most major commercial payers.Published studies have shown the benefit of CGM in many patient populations –hypoglycemia, labile glucose, intensive insulin management, pregnancy and Type 2 – with clinical improvement in the reduction of hypoglycemia and hyperglycemia, glycemic variability, A1c without increasing hypoglycemia and increased time in target. CGM is looking to be simplified and allow for more patient anonymity for initial device training. The importance of follow-up diabetes education for all CGM users should not be minimized. The role of the CDE is pivotal to continue to educate patients on the use of CGM and its features appropriately to support self-management and identify glucose patterns. A focus on CGM trend information for assessment of glycemic control and patterns can help clinicians surface problematic areas and make insulin therapy adjustments in a more quick and comprehensive manner than with SMBG alone.

Presentation Format(s) : MP4, MP3

$50.00

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S22- Fructose & Cardiovascular Disease: A Not So Sweet Connection

Speaker(s) : Cindy Brinn MPH, RD, CD, CDE, BC-ADM

Much has been learned about the simple sugar fructose during the past several years. This sweet molecule was once thought to be an excellent sweetener choice for persons with diabetes because it does not raise blood glucose. For years the only health condition associated with fructose/sucrose was dental carries. However, we now know that while it may not elevate blood glucose, fructose has a strong association with elevated triglycerides and cardiovascular disease and other chronic diseases. Americans have a love affair with sweet and “natural” and need timely information on the health concerns associated with fructose and recommended dietary intake amounts.

Presentation Format(s) : MP4, MP3

$50.00

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S23- Rich Eating with a Poor Income: Can the poor afford to eat a healthy diabetes diet?

Speaker(s) : Anita King DNP, MA, FNP-BC, CDE, FAADE

The historical downturn of the United State economy has presented serious concerns to many of those with diabetes. Diabetes can be a very expensive disease, and much of the low-income population have the misconception that healthy eating is unaffordable. The speaker will discuss who the low income are and who are the 'new poor,' community resources, the criteria and drawbacks of food stamps, and survival tactics for healthy eating for diabetes management even on a shoestring budget. The speaker will also discuss the 'train the trainer' concept of providing nutritional education and meal planning to the low-income population. The speaker will conclude with case scenerios and interactive audience participation.

Presentation Format(s) : MP4, MP3

$50.00

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S24- Expanding Diabetes Self-Management Opportunities With Rural Hospitals Through Urban Partnerships

Speaker(s) : Roxanne Butler RN, MS, CDE , Shannon Calhoun , Tara Dilley , Donna Zazworsky RN, MS, CCM, FAAN

The Diabetes Outpatient Training Sites (DOTS) program was created to address the growing need for diabetes self management training among 8 rural and/or critical access hospitals on the Texas Gulf Coast. Southeast Texas Health System, a hospital/member owned organization who leverages its collaboration to build and support infrastructure for new services has partnered with Carondelet Diabetes Care Centers to capitalize on the many opportunities this urban program has to offer. ADA recognized for over 20 years, the partnership with Carondelet has enabled the Texas educators the opportunity to receive first-class training, support of an established curriculum and knowledge from 'lessons learned'. This modern business approach has allowed rural Texas hospitals the opportunity to have an accredited diabetes self management training program that will now create additional revenue while cost-sharing the expense of the entire DOTS program with fellow member facilities.

Presentation Format(s) : MP4, MP3

$50.00

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S25- The American Diabetes Association's Resources for Latino Youth

Speaker(s) : Christina McGeough MPH, RD

In this session, participants will learn about the challenges health care providers face when a Latino child is diagnosed with Type 1 diabetes. They will learn how to help families cope with the diagnosis and dispel misconceptions they may have about diabetes and insulin.In addition, participants will be introduced to the Family Health Pack (FHP) for Latino families. The FHP promotes healthy eating and physical activity focusing on children serving as the change agent in the home. The FHP includes a calendar and stickers for kids to reward themselves for their accomplishments. Also included are healthy recipes that kids can make on their own or with their parents and physical games and activities that families can do together. A qualitative study was conducted to understand recipients’ perspectives on the FHP’s general utility, content and impact on behavior change. The results will be presented during this session.

Presentation Format(s) : MP4, MP3

$50.00

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S31- Unique Pump Populations: Clinical Challenges and Opportunities for Improved Patient Care

Speaker(s) : Mary Ellen Cooper MSN, RN , Justine Fierman FNP-BC,BC-ADM,MSN,CDE

As the number of patients choosing insulin pump therapy for management of diabetes continues to rise, the diabetes clinician will encounter an array of co-morbidities and complex medical issues that impact on pump education and management. Our definition of the optimal 'pump candidate' continues to evolve as well. This lecture will present information on unique pump populations and the challenges they pose, as well as tips for care of these patients. With rates of Type 2 diabetes on the rise, clinicians must be skilled at placing these patients on pump therapy. Pancreatic insufficiency, post-pancreatectomy and cancer will be discussed in terms of insulin pump education and management challenges. Conditions that affect pump self management such as adrenal insufficiency, gastric issues, chronic renal failure and dialysis will be discussed and tips offered. At the conclusion of the lecture, a question and answer period will be offered.

Presentation Format(s) : MP4, MP3

$50.00

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S32- Driving Inpatient Performance Improvement by Delivering Glucometrics to the Front Line

Speaker(s) : Kalman E. Holdy MD ABPNS , Bret MacLaren MBA , Jacqueline S. Thompson MAS, RN, CDE

Glucometrics is the measure of institutional glycemic management. We developed a group of metrics to drive operational performance by providing timely, monthly, hospital unit level reports to front-line staff and physicians to identify specific performance improvement opportunities. A key element was the use of our metrics with our interdisciplinary “hyperglycemia task force” to explore glycemic variances. Based on feedback from the front-line staff indicating that they preferred fewer, more concise metrics, we developed our current three color coded reports based on the “diabetic day”: the perfect day (all BGs 70-180 mg/l); high (> 300 mg/dl); and low (< 60 mg/dl) extreme days. Over seven years, perfect days increased by 40% and the extreme high and low days improved by 30%. Therefore, employing glucometrics specific to front-line staff is a successful approach to improve glycemic management.

Presentation Format(s) : MP4, MP3

$50.00

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S33- Moving Beyond Basal Insulin in Patients with Type 2 Diabetes

Speaker(s) : Mary J. Starry RPh, CDE (PharmD as of 12/18/2010)

As oral therapy fails for Type 2 patients, providers often add only basal insulin to the regimen as a first step towards basal plus bolus insulin. This allows the patient to become used to injections and more frequent glucose monitoring, while often achieving goal A1c for a period of time. However, as the disease progresses these patients will need to be advanced to a basal plus bolus regimen. This presentation will help you identify when to stop increasing the basal insulin and begin focusing on bolus insulin needs, and how to effectively move the patient to a basal plus bolus regimen while minimizing the risk of hypoglycemia and fluctuations in glucose control.

Presentation Format(s) : MP4, MP3

$50.00

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S34- Medication Nonadherence: A High Stake Health Gamble

Speaker(s) : Miriam Chan PharmD, CDE

Drugs don't work in patients who don't take them. According to the American Heart Association, only 25% of patients are taking their medication as prescribed. Medication nonadherence accounts for more than 10% of all hospitalizations and 23% of all nursing home admissions each year. This presentation will review factors affecting medication adherence. Using case studies, diabetes educators will learn about assessment tools and strategies to improve medication adherence. They will be proactive in promoting adherence behavior of their patients and thereby improve quality of patient centered care.

Presentation Format(s) : MP4, MP3

$50.00

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S35- Early Intervention for GDM: Improving Outcomes and Preventing Type 2 Diabetes in Future Generations

Speaker(s) : Lynne S. Raphael MMSc, RD, LD, CDE , Cathy J. Wieglus MSN, BSN, RN, CDE

If you are interested in decreasing the risk of childhood obesity and the development of Type 2 diabetes through the early intervention of women with gestational diabetes, you will definitely want to attend this thought-provoking session. The presenters will provide the latest research findings and how this information can lead to reduced maternal and fetal complications, as well as improve outcomes in the near term and for future generations. The prevalence of GDM is on the rise with the incidence between 4-10%, an alarming increase of 10-130% over the past 20 years. Recent studies have shown that excess weight gain in pregnancy may increase the risk for development of obesity and Type 1 diabetes. Join us as we discuss early identification and optimization of the gestational diabetes self-management program as a pathway to decrease the risk of obesity and Type 2 diabetes. The benefit does not end with the pregnancy!

Presentation Format(s) : MP4, MP3

$50.00

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S36- Building Skills for Internet and Community Based Diabetes Self-Management
UNDER REVIEW

Speaker(s) : Kate Lorig DrPh, RN

The first part will consist of a description or the Stanford small group and Internet based diabetes programs along with a discussion of their evaluation and outcomes. These will serve as examples of programs designed to serve large populations. Following this we conduct a short needs assessment of attendees and the rest of the session will be a discussion of the main points identified. Possible topics include designing “empowering” education for both small groups and the Internet, designing Internet based education,Collecting outcome data, reaching “hard to reach populations”, recruiting for Internet based programs. Maintaining program fidelity, how small group and Internet based programs compliment each other and can complement more traditional diabetes education programs, how to spread programs into wide practice.

NO FILES ATTACHED TO SESSION

$50.00

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S37- Diabetes Care and Management: The Patient

Speaker(s) : David Y. Jacobson PhD

The Roper Diabetes Program conducts an annual, nationally-representative survey of U.S. diagnosed diabetes patients that is widely used by companies in the diabetes market. I will give you the patient perspective on how well they manage their diabetes and overall health. I will compare patients who see a CDE to those who do not so you can understand who is most in need of diabetes education and key barriers to better diabetes care.

Presentation Format(s) : MP4, MP3

$50.00

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S38- Medical Nutrition Therapy for Pregnancy for Post-Bariatric Surgery Patients with Diabetes.

Speaker(s) : Geetha Rao MS, RD, CDE

Gestational diabetes mellitus (GDM) affects atleast 7% of all pregnancies in the United States with rates up to 14% among certain populations. Its prevalence is increasing rates of obesity and Type 2 diabetes. Bariatric surgery is the only intervention shown to produce sustained weight reduction in the vast majority of people. Does pregnancy post bariatric surgery pose a higher risk? Does this population need a oral glucose tolerance test to screen for diabetes? Standardized testing for gestational diabetes can become problematic for most pregnant women after bariatric surgery as it can bring about symptoms of dumping. There is a significant degree of reduction in absorption of important protein and vitamins with reduction in volume of food. Appropriate meal planning/vitamin supplementation for this population can be challenging but when planned and managed well, can result in better outcomes.

Presentation Format(s) : MP4, MP3

$50.00

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S39- Supermarket Safari: Interpreting Food Labels

Speaker(s) : Elizabeth L. Quintana

It's a jungle out there! Navigating the aisles of supermarkets can be challenging for consumers. The food labels claim health benefits of beverages, bars, and other foods targeted for people with diabetes. The presentation will highlight strategies and resources that diabetes educators can use to help their clients accurately translate the information promoted on the food labels.

Presentation Format(s) : MP4, MP3

$50.00

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S40- Preventing Blindness in your Patients with Diabetes or Pre-diabetes

Speaker(s) : Roger H. Phelps OD, FAAO, CDE

One of the most feared complications in our patients with diabetes is blindness. This session will help diabetes educators gain a deeper understanding of the eye disease process in a fun and memorable way using many pictures and even a real YMCA dance contest. Specific steps will be discussed in establishing individual team partnerships with local eye doctors. Effective communication between the patient’s educator and eye doctor will benefit our patients not only in understanding their risk of blindness, but will serve as a strong motivational factor for them to take the next right step in their control. This is a level 3 session as I will be assuming some proficiency with diabetes education, but you will not need prior knowledge about eye diseases.

Presentation Format(s) : MP4, MP3

$50.00

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