American Association of Diabetes Educators

Session : AADE1002
W01 - When Knowledge is Not Enough: Instructor Lead, Participant-Centered Learning Concepts
Track: Teaching and Learning
Conference : AADE 2010 Annual Meeting
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Presenters: Mary M. Austin, MA, RD, CDE; Paige Redden

Program Objective: Describe new methodologies used to support and enhance the quality of patient centered care

Learning Objectives: 1.Identify the components of participant-centered adult learning strategies 2.Discuss the four critical elements of adult learning 3.Experience tools that stimulate retention of information

Abstract Text: In order to help adults retain the information given through diabetes education we must move from a provider/content centered model (sage on the stage) to a participant-centered environment. The emerging model of effective healthcare delivery supports this participant-centered approach. Providing adult diabetes education within this new model requires that diabetes educators adapt their current teaching style to incorporate tools and techniques which stimulate adult learning and retention. A learning environment that is participant-centered allows the learner to find their own answers and work through their own problems. This presentation will include audience participation which will help to demonstrate tools and techniques that facilitate this process.

Financial Disclosure: Johnson & Johnson Diabetes Institute (JJDI), faculty Animas/Lifescan, Advisory board member

Session : AADE1003
W02 - Impact of New Cholesterol Guidelines on Current Practice
Track: Pathophysiology, Epidemiology, and Clinical Guidelines
Conference : AADE 2010 Annual Meeting
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Presenter: Evan M Sisson, Pharm.D., MHA, CDE

Program Objective: Describe new methodologies used to support and enhance the quality of patient centered care

Learning Objectives: 1) Discuss the similarities and differences between previous consensus statements and the 2010 NHLBI guidelines related to cardiometabolic risk 2) Describe the clinical importance of relative lipoprotein parameters 3) Discuss optimal therapeutic regimens for patients with diabetes to achieve individualized cardiometabolic goals

Abstract Text: Patients with diabetes are at significantly increased risk of cardiovascular disease compared with others their age. Although the American Diabetes Association (ADA) updates its standards of medical care in diabetes each year, it has been several years since general guidelines for treatment of cardiovascular disease were updated. The new 2010 integrated guideline from the National Heart Lung and Blood Institute (NHLBI) provides updates on the treatment of hypercholesterolemia (NCEP ATP-III), hypertension (JNC-7), and overweight/obesity. Rather than three separate consensus statements, the decision to create one integrated guideline comes in part from the interrelated nature of cardiometabolic risk factors and the need to address multiple elements in every patient. This presentation will review the concept of global cardiometabolic risk and its relationship to patients with diabetes. The new integrated NHLBI guideline will be compared to previous standards of care with a focus on management of dyslipidemia.

Session : AADE1004
W03 - Implementing the DPP in the Real World: The Montana Prevention Program Experience
Track: Self-Management
Conference : AADE 2010 Annual Meeting
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Presenters: Karl Vanderwood; Marcene K Butcher, RD, CDE

Program Objective: Implement effective community models of self management that facilitate lifestyle modification,Establish innovative partnerships that promote chronic disease management through measurable outcomes

Learning Objectives: 1. Describe the Montana Cardiovascular Disease and Diabetes Prevention Program, a translation project of the national DPP 2. Describe elements that are important to consider when implementing a prevention program as well as the key role diabetes educators can plan in primary prevention. 3. Describe a variety of partnerships that our appropriate for the primary prevention of diabetes.

Abstract Text: In 2007, the Montana Diabetes Prevention and Control Program secured state funding to pilot a statewide Diabetes Prevention Program (DPP) translation project. Sites were affiliated with recognized diabetes education programs, included Certified Diabetes Educators (CDEs), and used an adapted DPP curriculum for group settings. Participants were overweight with risk factors for diabetes and cardiovascular disease, and were referred by primary care providers. A total of 355 participants were enrolled and 293 (83%) completed the 16 week curriculum. Weight loss and physical activity outcomes were similar to those found in the DPP. Four additional sites were added in 2009, and have achieved the same weight loss outcomes as the original sites. To date, 1038 participants have been enrolled, 829 have completed the curriculum, and data indicates the results are replicable across all sites. Our results suggest that the DPP can be rolled out using CDEs to deliver the DPP curriculum.

Session : AADE1005
W04 - Managing Glycemia During Sports and Fitness Activities
Track: Self-Management
Conference : AADE 2010 Annual Meeting
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Presenter: Gary Scheiner, MS, CDE

Program Objective: Describe new methodologies used to support and enhance the quality of patient centered care

Learning Objectives: 1. Describe the metabolic challenges to euglycemia during exercise 2. Differentiate between the physiologic responses to exercise in type 1 and type 2 diabetes. 3. Offer practical recommendations for the prevention of hypoglycemia during and after exercise 4. Offer practical recommendations for the prevention of hyperglycemia and ketosis during and after exercise

Abstract Text: Research has shown that glucose control problems represent one of the greatest hindrances to exercise in people with diabetes. In particular, fear of hypoglycemia may be the single greatest obstacle to starting and maintaining an exercise program. Considering the safety, performance, and motivational implications, it is imperative that we counsel our clients appropriately. This program focuses on effective strategies for optimizing glycemic control during sports, exercise and recreational activities in patients susceptible to hypoglycemia and hyperglycemia, most notably those who use insulin and/or oral hypoglycemic agents. Attention will be given to all levels of exercise, from general daily activity to competitive sports. Principles of glucose regulation and exercise physiology will be applied to develop strategic recommendations for a series of real-life case studies.

Session : AADE1006
W05 - Sex and Diabetes and Much, Much, More!
Track: Teaching and Learning
Conference : AADE 2010 Annual Meeting
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Presenter: Janis Roszler, RD, CDE, LDN

Program Objective: Describe new methodologies used to support and enhance the quality of patient centered care

Learning Objectives: 1. List at least 2 ways diabetes can negatively affect a patient's intimate life. 2. List at least 2 treatment options that can help patients deal with diabetes-related sexual complications. 3. Identify at least 2 ways educators can help their patients with diabetes-related sexual issues.

Abstract Text: Be a resource for your patients! Learn the newest information about diabetes-related sexual complications and treatments, how diabetes may affect fertility, the effect of menopause on diabetes control, and more!

Financial Disclosure: Medical consultant to dLife.com. Spokesperson for Johnson & Johnson's diabetes wound care campaign.

Off-Label Usage: Anti-depressant usage for sexual dysfunction.

Session : AADE1007
W06 - Coaching of Low-Performing Physicians by RN Certified Diabetes Educators, or CPR for Diabetes Care
Track: Pathophysiology, Epidemiology, and Clinical Guidelines
Conference : AADE 2010 Annual Meeting
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Presenters: Julie L Emerson, RN, CDE; Janelle M Duffee

Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes,Describe new methodologies used to support and enhance the quality of patient centered care

Learning Objectives: List at least 3 trends identified as common to low-performing physicians. Describe the interventions employed by the RN CDE to improve diabetes care provided by primary care physicians. Discuss the impact on patient care of the interventions.

Abstract Text: As diabetes care was studied within our system, we found considerable variation in the ability among our 600 physicians to manage diabetes. We identified common trends within the group of low-performing physicians from chart reviews and interviews with RN Certified Diabetic Educators (CDEs). A bundle of interventions was designed to address the identified barriers that would be effective in improving care and viewed as positive and supportive by physicians and their teams. Mandatory Continuing Medical Education (CME) programs and a coaching process by expert RN CDEs were key components. Success was measured by: 1) physician evaluation of CME opportunities; 2) pre-and post-intervention percentage of patients in optimal diabetes control; and 3) physician satisfaction with the intervention. Results: Optimal diabetes control increased by 63% for participants, resulting in better care for 87% more patients. 92% of physicians were satisfied with the process and would recommend it.

Session : AADE1008
W07 - The Treatment of Hypertension in Patients with Diabetes: Lowering of Pressure Through Sound Practice
Track: Pathophysiology, Epidemiology, and Clinical Guidelines
Conference : AADE 2010 Annual Meeting
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Presenter: Curtis Triplitt, PharmD, CDE

Program Objective: Describe new methodologies used to support and enhance the quality of patient centered care

Learning Objectives: 1. Discuss current HTN guidelines and studies that impact how to treat hypertension 2. Differentiate treatment agents and how they may affect clinical practice 3. Understand current algorithms for the treatment of hypertension 4. Identify a co-morbidity and patient center approach to treatment of hypertension

Abstract Text: Hypertension is a co-morbidity that will be seen in the majority of type 2 DM patients, and likely in type 1 DM patients with a family history of renal disease. The control of blood pressure in people with diabetes has been shown to not only reduce the risk of macrovascular disease (MI and stroke) but also microvascular events (retinopathy and nephropathy). This makes managing hypertension a very important factor for reducing global risk for a person with diabetes. Current guidelines ask us to treat hypertension aggressively, but what is the basis for the current guidelines? How good is "good enough" where blood pressure is concerned? Medications are used universally to treat hypertension in diabetes. Angiotensin converting enzyme inhibitors or angiotensin receptor blockers are usually the first line therapy. Participants will be provided with common hypertension medication handouts and answers to many common questions.

Financial Disclosure: Amylin/Lilly-Speaker's bureau Novartis-Speaker's bureau

Off-Label Usage: Use of antihypertensive agents for microvascular (including eye, renal protect)

Session : AADE1009
W08 - Bienestar School-based Diabetes Prevention Program: A Cluster Randomized Control Study
Track: Teaching and Learning
Conference : AADE 2010 Annual Meeting
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Presenter: Roberto P Trevino, M.D.

Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes

Learning Objectives: I. Explain why type 2 diabetes and obesity is increasing in youth II. Describe a coordinated school-based diabetes prevention program III. Discuss results of the Bienestar from a cluster randomized control trial.

Abstract Text: This study will show that obesity and type 2 diabetes is being programmed developmentally in children. Specifically, it will show how the environment in which the children are born or raised predisposes children to or protects them from obesity and type 2 diabetes. Lastly, an evidence-based program will be presented that has shown to reduce diabetes risk factors in children.

Session : AADE1010
W09 - The Diabetes Education Accreditation Program - Everything You Need to Know!
Track: Program and Business Management
Conference : AADE 2010 Annual Meeting
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Presenter: Leslie E Kolb, RN, BSN, MBA

Learning Objectives: 1. List the benefits of having an accredited program 2. Identify the CMS-approved national accredited Outpatient Diabetes Self-Management Trainign Organization 3. Explain the requirements and process for applying to the AADE's Diabetes Accreditation Program (DEAP) 4. Recongize whether or not AADE's Diabetes Education Accreditation Program (DEAP) is the right fit for your program 5. Identify what is needed to apply for accreditation 6. List resources and locate contact information for AADE DEAP program requirements and staff

Abstract Text: On February 27, 2009 AADE became one of three CMS-approved accrediting organizations for outpatient Diabetes Self-Management Education/Training (DSME/T) Programs. 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 DSME/T accreditation option to healthcare professionals seeking to meet the needs of the diabetes population in their community.

Session : AADE1011
W10 - Center for Medicare and Medicaid Services (CMS) Health Disparities Program
Track: Culturally-Competent Supportive Care Across the Lifespan
Conference : AADE 2010 Annual Meeting
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Presenter: Terris King

Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes

Learning Objectives: Discuss CMS quality initiatives (value-based purchasing or pay-for-performance) and its relevance to reducing health disparities. Describe Section 185 of Medicare Improvements for Patients and Providers Act (MIPPA). Discuss the future of the CMS health disparities program.

Abstract Text: Although these are two distinct programs, they both share the same target population of diabetes or the diabetic. Mr. King will discuss the lessons learned from each program. Primarily, Mr. King will explain that the EDC program is aimed at improving the practice of clinicians serving the underserved Medicare beneficiaries by increasing adherence to nationally endorsed American Diabetes Associations (ADA) practice guidelines. Mr. Kings discussion will also explain that the Mississippi Health First program