American Association of Diabetes Educators

Session : AADE1201
WKSHP01 Worksite Wellness Initiatives
Conference : AADE 2012 Annual Meeting & Exhibition
Speaker(s) :

Download Format(s) :
MP3

$15.00

Pamella Thomas, MD, MPH, FACOEM; Pamela Allweiss, MD, MPH; Rebecca K. Kelly, PhD, 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 Objective: Discuss the landscape of employer health. Describe the benefits and framework of a workplace diabetes management program. State two workplace initiatives. Recognize partnerships and resources related to diabetes management at the workplace. Identify steps to begin a workplace initiative program.

Diabetes impacts over 8% of the adult working population and also creates employer productivity losses. In addition, diabetes and its complications account for 10% of all healthcare dollars spent. This problem will continue to escalate as the demographics of the U.S. workforce changes with more significant burdens of poor health and increases in prevalence diabetes with 35% of adult Americans aged 20 or older have pre-diabetes and a prediction that 1 in 3 Americans will have diabetes by 2050. The good news is that evidence has shown that formal intervention programs can decrease the progression to diabetes by almost 60%. Employers are in an unique position to provide workplace initiatives to prevent the devastating effect of this epidemic. Through screening, education, policy changes, environmental changes, and a healthy organizational culture, employees can be empowered to make behavior changes to behavior changes to decrease the progression.

Session : AADE1202
WKSHP02 Kaiser's Integrated Approach to Prevent Diabetes Complications Management
Conference : AADE 2012 Annual Meeting & Exhibition
Speaker(s) :

Download Format(s) :
MP3

$15.00

Cecilia Sauter, MS, RD, CDE; William H. Herman, MD, MPH; Jim Dudl, MD

Program Objective: "Establish innovative partnerships that promote chronic disease management through measurable outcomes", "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

Learning Objective: Understand the tools available for use as accountable care organizations or managed care becomes available to them recognize the value of focus on patients at highest risk for complications with evidence based treatments and the titration, initiation and adherence barriers that can exist implement a script that will help patients uncover and problem solve their barriers to the treatments

This session will discuss the various health system approaches of the University of Michigan Health System, Kaiser Permanente, and the VA. This session will discuss the fee for systems potential barriers to testing and treating due to lack of integrated pharmacy lab and diagnostic data, and the fact that it does not financially incentivize what it takes to improve care. We will describe how integrated systems like the VA and Kaiser can overcome those barriers. One part of the talk will address how Kaiser Permanente began to overcome barriers to screening and treating for complication prevention by combining a diabetic patients in-and out-patient diagnoses, laboratory test results and pharmacy data. It then discusses how it focuses first on what is most important to prevent morbidity and mortality for the patient. The next focus is on evidence based treatments proven to be preventative of the complication. Further, it focuses on barriers to Titration, Initiation or Adherence [the TIAs] with systematic actions which cascades from inexpensive electronic reminders or medical assistants for proactive care, and outreach letters/calls.

Session : AADE1203
SP03 Updated National Standards
Conference : AADE 2012 Annual Meeting & Exhibition
Speaker(s) :

Download Format(s) :
MP3

$15.00

Donna Tomky, MSN, RN, C-NP, CDE; Melinda Maryniuk, RD, CDE

Program Objective: "Implement effective community models of self management that facilitate lifestyle modification"

Learning Objective: 1. Discuss the purpose of the National Standards 2. Describe the process of updating the Standards 3. Discuss each standard, including the evidence supporting each and changes made from the 2007 version 4. Summarize findings from the open comment period 5. Discuss how each revision might be interpreted for an AADE Accredited or an ADA Recognized program.

Abstract: The National Standards for Diabetes Self-Management Education (NSDSME)serve as the accepted guide for ensuring quality and consistency in the development and delivery of diabetes education. The Standards have recently been updated based on available scientific evidence over the past five years. A Task Force was jointly convened by the American Association of Diabetes Educators and the American Diabetes Association charged with reviewing the current Standards for their appropriateness, relevance, and scientific bases and updating them based on the available evidence and expert consensus. This presentation will review and discuss the significant revisions made based on current evidence supporting patient centered training, support and self-management in the diabetes education and care continuum. Presentation will clarify misunderstandings and differentiating between what they ARE and what they are NOT!

Session : AADE1204
WKSHP03 Minority Populations: Reducing Disparities in Diabetes
Conference : AADE 2012 Annual Meeting & Exhibition
Speaker(s) :

Download Format(s) :
MP3

$15.00

Betsy J. Rodriguez, BSN, MSN; Julia Dodge, MS, RN

Program Objective: "Implement effective community models of self management that facilitate lifestyle modification", "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

Learning Objective: 1.Discuss challenges working in diabetes prevention and control with minority populations, with an emphasis on Latinos 2.Explain what a fotonovela is and how it is created; 3.List 3 ways that promotores de salud and diabetes educators can effectively use fotonovelas in their diabetes prevention outreach work; 4.Discuss the pros and cons of using fotonovelas; and, 5.Explain how fotonovelas can be adapted to particular communities

Diabetes is very prevalent in Latino populations. Acculturation of the general population of Latinos has been associated with suboptimal lifestyle choices, including a low intake of fruits and vegetables, a higher consumption of fats, and smoking; risk factors that are strongly linked to type 2 diabetes. Optimal lifestyle choices, as mentioned above, are associated with a substantial reduction in risk for diabetes. One key to improving Latinos knowledge, skills, and practices lies in implementing culturally appropriate health communication efforts. Another is to address issues of health literacy, which impacts diabetes complications by affecting health knowledge, health status, and access to health services. This presentation will discuss challenges of diabetes prevention and control among Latinos and effective culturally-appropriate ways to use educational approaches to addressing diabetes. It will use as an example, the fotonovela -- Do it for them! But for you too. developed by the National Diabetes Education Program.

Session : AADE1205
WKSHP04 Health Information Technology (IT)
Conference : AADE 2012 Annual Meeting & Exhibition
Speaker(s) :

Download Format(s) :
MP3

$15.00

Andrew VanZee, MHA, FACHE; Jeff Donnell

Learning Objective: Describe the current state of health information exchange activities. Demonstrate the value that Personal Health Records bring to diabetic care. Discuss possible strategies for engaging consumers for managing their diabetic care.

This session will give an overview of state and federal initiatives that are current progressing with respect to technology and health information exchange. The speakers will illustrate the parallels where patients with diabetes and caregivers fit within the emerging model. Once a base understanding of the market is established, the speakers will demonstrate the use of a personal health record to engage patients and their caregivers to improve diabetic outcomes. Multiple diabetic use cases and pilot projects will be showcased.

Session : AADE1206
W01 From Literature to Practice: Updates on Medication Taking and Monitoring
Conference : AADE 2012 Annual Meeting & Exhibition
Speaker(s) :

Download Format(s) :
MP3

$15.00

Kam L. Capoccia, PharmD, BCPS; Peggy Odegard, PharmD, CDE; Nancy Letassy, PharmD, CDE; Lisa McAndrew, PhD

Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

Learning Objective: 1. Identify outcomes associated with various interventions aimed at increasing medication adherence. 2. Describe the strategies proven in the recent literature to improve medication adherence. 3. Discuss the recent literature as it relates to blood glucose monitoring and HbA1c levels. 4. Translate evidence in the literature to specific patient populations as it relates to blood glucose monitoring.

This session provides an update and explanation of recent systematic literature reviews on medication taking and blood glucose monitoring. Each topic (medication taking and monitoring) will have a 30-minute slide presentation detailing the evidence found in the reviews. Following these presentations there will be a 20-minute session on the applications of these data and how it relates to the best practices of the presenters as well as the audience. The remaining 10 minutes will be available for questions and answers.

Session : AADE1207
W02 New Frontiers in the Prevention of Type 1 and Type 2: Diabetes Educators Needed
Conference : AADE 2012 Annual Meeting & Exhibition
Speaker(s) :

Download Format(s) :
MP3

$15.00

Beverly Dyck Thomassian, MPH, RN, CDE, BC-ADM

Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

Learning Objective: 1. Identify strategies that promote healthy communities and decrease risk of type 2 diabetes. 2. Describe the role of gut hormones and gut bacteria in the expression of type 1 and type 2 diabetes. 3. Discuss the current research on the prevention and cure of type 1 diabetes.

Diabetes educators clinical knowledge, combined with behavior change and teaching skills, perfectly position us to advocate for diabetes prevention into the future. To slow the diabetes epidemic, educators can promote change within a structured education program in their communities and by supporting legislation that promotes health. In addition, educators can keep clients and the community abreast on the latest research in diabetes prevention. This course highlights the current trends in diabetes prevention from the community to the laboratory. Topics include strategies to prevent not only Type 2 diabetes but the latest research on Type 1 prevention. An exploration of the emerging role of gut bacteria in the expression of Type 1 and Type 2 diabetes and an update on the role of gut hormones will be discussed. We will also take a glimpse at progress in discovering a cure for Type 1 along with a look into the future.

Session : AADE1208
W03a Research (A): Pharmacist-Managed Diabetes Service in a Rural Free Clinic
Conference : AADE 2012 Annual Meeting & Exhibition
Speaker(s) :

Download Format(s) :
MP3

$15.00

Julie M. Sease, PharmD, BCPS, 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 Objective: Discuss the potential role of the pharmacist in diabetes education highlighting the need for such a service for rural, indigent populations. Demonstrate the importance of collaborative practice agreements that allow pharmacists and other qualified healthcare providers to institute medication changes in diabetes patients when needed. Restate the most pertinent findings of one pharmacist clinic serving rural, indigent diabetes patients that utilized AADE7 behavior change principles for diabetes education and collaborative agreements to institute change.

This session looks at the impact of pharmacist education, monitoring and management of patients with Type 2 diabetes mellitus (T2DM) enrolled in a free clinic that serves a rural indigent population.

Session : AADE1209
W03b Research (B): Finding Our "Footing": A Collaborative Practice Project for Foot Care
Conference : AADE 2012 Annual Meeting & Exhibition
Speaker(s) :

Download Format(s) :
MP3

$15.00

Bo Fusek, MEd, RN, BA, BEd, CDE; Gaya Amirthavasar, B. Kin, MSc Candidate

Learning Objective: 1. Describe the process for implementation of this foot care project including the literature review results, challenges, lessons learned and outputs. 2. Identify the purpose, participants and background of this project. 3. Describe the tools that were developed for patient self care and provider education. 4. Demonstrate awareness of how to access the tools that were developed. 5. Describe the evaluation results that were used to direct decisions with regards to next steps with the project. 6. Describe the dissemination strategies that were used for this project. 7. Describe the current status of this project. 8. Identify possible ways in which these strategies and tools might be used to impact their practice.

The objective of this project was to provide a standardized and practical foot assessment tool that promotes self-care and prevention of foot ulcers as well as knowledge translation strategies to support care providers in the use of these tools to encourage broader dissemination. Outcome measures would include uptake of tools and enhanced knowledge for both patients and care providers.

Session : AADE1210
W03c Research (C): What Patients with No Fat Are Teaching Us About Obesity and the Metabolic Syndrome
Conference : AADE 2012 Annual Meeting & Exhibition
Speaker(s) :

Download Format(s) :
MP3

$15.00

Elaine K. Cochran, MSN, CRNP, BC-ADM

Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

Learning Objective: 1) Define what is lipodystrophy and know its physical and metabolic effects on patients. 2) Compare and contrast the metabolic abnormalities associated with lipodystrophy with obesity and the metabolic syndrome. 3) Learn how standard therapies for treating the metabolic abnormalities associated with lipodystrophy serve as a model in our treatment of obesity, the metabolic syndrome, and patients with high dose insulin requirements. 4) Learn about leptin, a hormone secreted by fat cells, and be able to state what effects this hormone has had in ameliorating these metabolic abnormalities in patients with lipodystrophy. 5) Gain knowledge about recombinant human leptin hormone therapy, its current availability, indication, handling, administration and treatment in children and adults with lipodystrophy

Ectopic fat accumulation in muscle and liver has been implicated as a contributing factor in the metabolic abnormalities associated with obesity. One human model of ectopic fat deposition is lipodystrophy, a rare disorder characterized by a profound deficiency of adipose tissue. Patients with lipodystrophy and low leptin levels often experience increased appetite. This excess fuel consumption, coupled with a lack of adipose tissue, contributes to insulin resistance, diabetes and hepatic steatosis. The long-term clinical efficacy of leptin replacement therapy is evaluated, and the role of the diabetes educator in the administration and treatment in patients is detailed and described.