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	Event ID : AADE_CE_PA American Association of Diabetes Educators AADE 2013 Annual Meeting & Exhibition Philadelphia, PA August 7-10, 2013

August 7-10, 2013

Individual Programs

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W01 - Implementing Findings from the NDEP National Diabetes Survey Results: Where Do We Go From Here?
Track: Self-Management Education

Speaker(s) :

Joanne Gallivan; Linda Siminerio PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Explain the NDEPs NNDS purpose, history, and how it has been used to create/revise diabetes prevention and control messages and materials. 2.Illustrate the general publics latest views and trends on awareness, knowledge, and attitudes about diabetes prevention and control, including data from high-risk ethnic populations (Hispanic/Latinos, African Americans). 3.Describe how messages related to diabetes prevention and control require additional promotion and educational strategies in helping the public understand and prevent /delay diabetes complications. 4.Analyze the results from the NDEPs National Diabetes Survey as they relate to developing educational approaches for patients. ABSTRACT: The National Diabetes Education Program conducts national telephone surveys to determine views and trends on awareness, knowledge, and attitudes about diabetes prevention and control. The survey audience included people who identified themselves as having diabetes or pre-diabetes. Information from high-risk ethnic populations (Hispanic/Latinos, African Americans) was also obtained. Our findings show that there continues to be awareness of diabetes as a serious disease, yet, acknowledgement of personal perceived risk has remained relatively low. We also found that people's understanding of what one needs to do to manage their diabetes has not improved from 2006 to the most recent 2011 survey. Although these survey findings are disappointing, they provide critical insights for diabetes educators who are planning public and patient educational approaches.

Presentation Format(s) : MP4, MP3

$50.00

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W02 - Diabesity: The New Tardive Dyskinesia? Second Generation Antipsychotics, Diabetes, and Obesity

Speaker(s) :

Melford L. Heisler; Roberta A Silber 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.Differentiate between first and second generation antipsychotics and incresead rates of obsesity, dyslipidemia and diabetes. 2.Discuss the screening guidelines for monitoring use of second generation antipsychotics. 3.Identify the challenges presented by treating diabetes in the seriously mentally ill client. 4.Describe how to develop a plan for optimizing care for people with serious mental illness and diabetes. ABSTRACT: Managing diabetes effectively in the chronically mentally ill population is a greater challenge than ever, considering the ever increasing numbers of those diagnosed with diabetes as a result of treatment with the seond generation antipsychotic medications. This presentation will look at the side effect profile of the second generation antipsychotics and discuss the increased risk of diabetes and cardiovascular disease in this already high-risk population. A plan of care for optimizing self care while working within the limitations a psychiatric diagnosis may impose will also be discussed.

Presentation Format(s) : MP4, MP3

$50.00

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W03 - Integrating Diabetes Education in Nursing Day to Day Practice: Efficiently,Timely & Patient-Centered

Speaker(s) :

Patricia J. Pugh 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 OBJECTIVES: 1.Describe the 5 essential elements to organize diabetes care and education. 2.Distinguish ways bedside leaders can advocate for managing blood glucose. 3.Appraise key elements of appropriate patient education handouts. ABSTRACT: Individuals with diabetes admitted to an inpatient setting should be able to expect a coordinated, patient centered approach to care. Diabetes education is not a one-time encounter that occurs right before discharge nor should it be a one person job. Engaging the patient in self care throughout the hospital stay, e.g., administering insulin injections and checking their blood glucose with nursing supervision is a first step in integrating diabetes education into the day to day practice of the bedside leader.

Presentation Format(s) : MP4, MP3

$50.00

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W04 - Diabetes Education and Weight Management Programs: An Ideal Partnership For the Future
Track: Self-Management Education

Speaker(s) :

Christine Y. Roberts; Kendall L. Smith 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 OBJECTIVES: 1.Describe the Diabetes Self- Management Education/Training (DSME/T) Program at Phoenix Children's Hospital. 2.Describe the CARE Program (Cardiometabolic Assessment Research and Education) at Phoenix Children's Hospital. 3.Explain how the partnership between the DSME/T and CARE Programs enhance the quality of patient-centered care through standardized diagnosis, treatment and education. 4.Discuss how the innovative partnership between the DSME/T and CARE Programs promotes chronic disease management through measurable outcomes. ABSTRACT: Phoenix Children's Hospital DSME/T and CARE Programs had a vision to "bridge the gap" between the delivery of diabetes education and weight management education services. Traditionally, many hospital-based pediatric DSME/T programs are type 1 diabetes-specific. However, the large number of children with obesity and type 2 diabetes in the CARE Program presented an opportunity to create and implement tailored curriculum for pre-diabetes and type 2 diabetes, focusing on healthy lifestyle interventions for families. This type of service is critical for a geographic area, such as Phoenix, where comprehensive, culturally-sensitive care is critical for success. The two programs partnered to develop a multidisciplinary approach to healthy living and diabetes prevention. As a result, patient exposure to the AADE7 Self-Care Behaviors was enhanced, CDE-driven reimbursement opportunities were initiated and a strong partnership was cultivated between the DSME/T and CARE Programs at Phoenix Children's Hospital, creating endless opportunities for future growth.

Presentation Format(s) : MP4, MP3

$50.00

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W05 - Children and Type 2 Diabetes: Management of the Cardiovascular Co-Morbidities

Speaker(s) :

Patricia Kringas PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Describe the common cardiovascular co-morbidities in teens with type 2 diabetes. 2.Identify the strategies and management of hypertension, hyperlipidemia and microalbuminuria in teens with type 2 diabetes. 3.Demonstrate the use of teen friendly diabetes education materials in the context of prevention of cardiovascular complications in type 2 diabetes. ABSTRACT: The worldwide epidemic of obesity has also witnessed a rise in type 2 diabetes in youth. The cardiovascular co-morbidities is increasingly common with this group of youth and teens. A presentation of the incidence and prevalence of potential cardiovascular co-morbidities will be reviewed in light of recent studies. Hypertension, high low-density lipoprotein cholesterol levels, hypertriglyceridemia and microalbuminuria will be the focus of the management presentation. Teen friendly teaching aids will be shared and demonstrated to engage the youth and family members.

Presentation Format(s) : MP4, MP3

$50.00

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W06 - Alternative Models-Shared Medical Appointments: One Size Does Not Fit All

Speaker(s) :

Elaine M. Massaro 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 OBJECTIVES: 1.Describe current Shared Medical Appointment (SMA) Model options. 2.Illustrate format and start up strategies related to implementation of the SMA Model. 3.Identify patient selection and recruitment methods. 4.Describe current research evidence on the effectiveness of SMAs for patients with diabetes. 5.Discuss the implications for the certified diabetes educator (CDE). ABSTRACT: The Shared Medical Appointment (SMA) model has been suggested as an alternative to traditional office visits. It is one option not only to meet the medical needs but also the educational needs of patients in one appointment. This oral presentation serves as a template for implementation of the SMA model. Emphasis will be given to a variety of model options as well as format and start up strategies. Patient selection and recruitment methods will be reviewed with examples of materials that have been considered to be most effective. SMA related trials and quality improvement efforts will be addressed with an emphasis on randomized trials and study design. Future implications for the CDE will be highlighted including examples of current CDE roles that have highlighted in a review of the literature related to the SMA model.

Presentation Format(s) : MP4, MP3

$50.00

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W07 - Can You Hear Me? The Connection Between Diabetes, Hearing Loss and Depression

Speaker(s) :

Joanne Rinker PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Describe the relationship between diabetes and hearing loss. 2.Discuss the importance of use of screening tests for early detection of hearing loss in persons with diabetes. 3.Describe available treatments for hearing loss. 4.Summarize positive outcomes associated with treatment of hearing loss. ABSTRACT: Health care providers need to become more aware of the relationship between diabetes and hearing loss. Current research shows that patients with diabetes have a significantly higher prevalence of hearing impairment than those who do not have diabetes. Earlier detection may prevent health problems such as depression and dementia caused by hearing impairment.

Presentation Format(s) : MP4, MP3

$50.00

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W08 - Looking to Licensure: One State Coordinating Body

Speaker(s) :

Patricia Adams; Kellie J. Antinori-Lent; Martha Rinker; James Specker PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Discuss the state licensure initiative for diabetes educators. 2.Identify what state licensure would mean for the specialy of diabetes education, including impact on CDE's/BC-ADM's. 3.Explain the Pennsylvania State Coordinating Body's experience with the state licensure initiative. 4.List at least 2 ways to engage state AADE membership in the state licensure initiative. 5.State one way to determine consensus of state membership. ABSTRACT: State licensure for Diabetes Educators--what does it mean? How will it impact my role as a diabetes educator? What does it mean for those who have their certification as a CDE or BC-ADM? What are the benefits? Most AADE members are aware of the state licensure initiative for diabetes educators. Most, however, do not know what it actually means or how it will impact their profession. The Pennsylvania State Coordinating Body leadership did not know either. As a result, figuring out what it would mean for the more than 750 CDE's in Pennsylvania became one of the State Coordinating Body's annual goals. This presentation will permit the diabetes educator an opportunity to learn about licensure and what it will mean for the profession. It will also discuss what states are working on this initiative and provide attendees an in-depth look at the Pennsylvania experience.

Presentation Format(s) : MP4, MP3

$50.00

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W09 - Forgiveness and Health in African American Patients: Is There a Place for This in Diabetes Care?

Speaker(s) :

Magon M. Saunders 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 OBJECTIVES: 1.Describe the current reality for health and social issues in Black America. 2.Examine forgiveness and the various models in use across the USA. 3.Examine forgiveness and its health implications. 4.Explain the potential role of diabetes educators in forgiveness research and practice. 5.Propose potential non-traditional partnerships and how these might be benefical to diabetes educators. ABSTRACT: Background religious practices influence the diet, physical activities, glucose monitoring, and the medication adherence of people with diabetes. Research shows that patients want their health providers to care for them genuinely, connect with them as a person, talk about spiritual matters, and facilitate the use of spiritual resources including forgiveness interventions. Methods Forgiveness has been linked to improved cardiovascular health, better sleep, less anxiety, lower blood pressure, less symptoms of depression, and lower medication usage. African Americans are reported to still face on-going discrimination and racism in the United States. Therefore, it is assumed that blacks who have higher rates of diabetes must also balance forgiveness and their chronic disease management. Discussion Forgiveness facilitation is a part of the Nursing Interventions Classification (NIC). Use of forgiveness intervention in the health care setting could improve health outcomes including lowing depression scores and better glycemic control.

Presentation Format(s) : MP4, MP3

$50.00

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W10 - Prandial Coverage by Carbohydrate to Insulin Ratio in the Hospital, 2012 Bayer Grant

Speaker(s) :

Debra Lesin Norman PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Describe benefits and challenges of an acute care program that implements actual carbohydrate (CHO) intake to adjusted insulin ratios toward individualized prandial insulin dosing. 2.Describe how to implement individualized systems that provide physiological insulin replacement therapy in the acute care hospital setting toward optimal clinical outcomes. 3.Summarize the integration of practice improvements of physiological analog insulin replacement and implementation of carbohydrate to insulin ratios as the standard of excellence in diabetes care. 4.Discuss best practice for the care of the patient with diabetes as the chronic care model influences the acute care model. ABSTRACT: Carbohydrate counting with insulin adjustment has been the Best Practice Standard of Excellence for self-management skills for people with diabetes since the introduction of insulin analogs and physiological insulin replacement. People with diabetes (PWD) benefit from this technique with decreased complications and increased life satisfaction (UKPDS). Hospital admissions have increased related to PWD who self-manage by carbohydrate counting. Often these admissions are for reasons other than the diabetes-related sequelae. Patients who self-manage their blood glucose can often demonstrate more effective glucose management than the hospital clinicians who are bound by their institutions order sets or by physicians pre scheduled insulin doses. There are barriers to effectively moving self-management into the hospital. This project is designed to support continuity of care with self-management, improve glycemic control, and reinforce best standard principles. The challenges are to accommodate regulatory constraints under which hospitals deliver care, and overcome outdated clinical practices.

Presentation Format(s) : MP4, MP3

$50.00

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W11 - Small Steps, Big Rewards: An Innovative Diabetes Management Partnership

Speaker(s) :

Kim Coy DeCoste 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 OBJECTIVES: 1.Describe the benefit of diabetes management workplace programs. 2.Discuss the role of the diabetes educator in the development, implementation and evaluation of a diabetes management in the workplace program. 3.Identify components of a successful workplace diabetes management program. ABSTRACT: Each year the cost of health care for treatment of diabetes and cost of lost productivity total a staggering $174 billion dollars (CDC, 2011). This fact alone demonstrates the need for quality workplace wellness programs related to diabetes. In 2008, a state university in Kentucky entered into a partnership with a local health department for workplace program for employees with diabetes. This session will provide insight into successful workplace programs for people with diabetes focusing on the model used in this partnership, now in its fourth year. Small Steps Big Rewards (SSBR) offers an innovative approach to diabetes management in the workplace. Components of this program along with other successful diabetes workplace programs will be shared. SSBR program outcomes and lessons learned from implementing and sustaining a program designed to meet the needs of the university and its employees will be explored.

Presentation Format(s) : MP4, MP3

$50.00

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W12 - Controversies in Gestational Diabetes: Diagnosis, Treatment, and More

Speaker(s) :

Julie M. Daley PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Differentiate between American College of Obstetricians and Gynecologists (ACOG) criteria and American Diabetes Association (ADA) criteria for the diagnosis of gestational diabetes. 2.Name medications used in the management of gestational diabetes and describe advantages and disadvantages of each medication. 3.Discuss other controversies in the management of gestational diabetes and recommendations for preventing type 2 diabetes in women who have had gestational diabetes ABSTRACT: There are currently three criteria for the diagnosis of gestational diabetes in use throughout the world. Medications for diabetes are being used in women with gestational diabetes without FDA approval. Gestational diabetes is a risk factor for developing type 2 diabetes, but how should these women be tested? With what test? How often? These and other areas of controversy will be explored in this interactive session.

Presentation Format(s) : MP4, MP3

$50.00

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W13 - American Association of Diabetes Educators Diabetes Prevention Program (AADE DPP)
Track: Self-Management Education

Speaker(s) :

Joanna Craver; Ruth D. Lipman PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Explain the evidence base for the Centers for Disease Control and Prevention (CDC) National Diabetes Prevention Program (National DPP) Lifestyle Change Program. 2.Describe Lifestyle Change Program participant eligibility, goals, curriculum delivery, and required content. 3.Discuss the CDC Diabetes Prevention Recognition Program(DPRP) and recognition process. 4.Explain American Association of Diabetes Educators (AADEs) role in the National Diabetes Education Program (National DPP) and opportunities for diabetes education programs to be involved in the National DPP. ABSTRACT: The Centers for Disease Control and Prevention (CDC) estimates that 79 million adults in the United States (one in three) have prediabetes. The CDC-led National Diabetes Prevention Program (National DPP) is designed to bring an evidence-based Lifestyle Change Program for preventing type 2 diabetes to local communities. American Association of Diabetes Educators (AADE) has been selected as a partner to assist CDC in expanding the reach of the National DPP. This session will provide an overview of the National DPP and review the evidence basis for the Lifestyle Change Program curriculum. Participants will learn how the curriculum is delivered and CDCs process for recognizing programs. AADE will describe our plans for supporting diabetes educators and diabetes self-management education programs that are interested in participating in the National DPP. Diabetes educators who are delivering the program will discuss their experiences. Participants will learn about opportunities for becoming involved in this initiative.

NO FILES ATTACHED TO SESSION

$50.00

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W14 - Declare Independence in Your Understanding of the Practical Use and Management of U-500 Insulin

Speaker(s) :

Paula Bergen; Elaine Cochran 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.Explain the rationale for developing Diabetes Care Manager (DCM) position Determine how to incorporate DCM in the health care team. 2.Describe at least 2 ways the diabetes registry is used to identify and target patients at greatest risk for diabetes complications. 3.Describe how assessment tools are used to assess barriers to successful diabetes self management among patients with uncontrolled diabetes. ABSTRACT: Due to its effectiveness and compatibility with our mission, the Institutes diabetes care model was based on the Chronic Care Model. This approach goes beyond the traditional medical office visit in order to identify and overcome psychosocial barriers to effective self-management. The DCM position is an extension to traditional primary care services, and integrating this position into the healthcare team leads to improvement in outcomes for patients most at risk for complications.

Presentation Format(s) : MP4, MP3

$50.00

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W15 - The e-Patient Revolution, Personal Health Records and Diabetes Self-Management Support
Track: Self-Management Education

Speaker(s) :

Deborah Greenwood; Perry Gee 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 OBJECTIVES: 1.Examine the role of the personal health record in diabetes self-management support. 2.Summarize the role of the e-Patient in diabetes self-management support. 3.Illustrate the relationship between the e-Patient and the diabetes educator. ABSTRACT: The accessibility of health information on the Internet has the potential to transform the relationship between people with diabetes and diabetes educators. This phenomenon, known as the e-Patient revolution, is identified by the use of information technology to actively participate in their own health care and assume higher levels of responsibility for their health and wellness. This presentation will examine the e-Patient phenomenon focusing on the use of Personal Health Records (PHR) and the implications for diabetes self-management support. e-Patients can share their data including blood glucose, daily activities, symptoms, and quality of life through PHRs. Diabetes Educators can help e-Patients interpret information such as the impact of lifestyle changes on blood glucose and provide ongoing support. Understanding the process of e-Patient knowledge generation and decision-making will guide diabetes educators in effective education and self-management support as the relationship between the diabetes educator and people with diabetes evolves.

Presentation Format(s) : MP4, MP3

$50.00

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W16 - The Obesity Epidemic - Is there a solution?

Speaker(s) :

Eva Marie Vivian PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Summarize various preventative and intervention strategies for obesity. 2.Explain that obesity is caused by an interaction of environmental factors and genetic factors. 3.Discuss the appropriate use of currently available drugs used in the clinical setting along with approved indications, problems and precautions. ABSTRACT: This presentation will cover novel developments in the behavioral and pharmacologic treatment of obesity and explore the potential contribution of genomics research to weight control. A comprehensive program of lifestyle modification, comprised of diet, physical activity and behavior therapy, induces a mean loss of 710% of initial weight in individuals with obesity. Several studies have demonstrated that weight loss of this magnitude, combined with increased physical activity, substantially reduced the risk of developing type 2 diabetes mellitus in individuals with impaired glucose tolerance. Pharmacotherapy is recommended, in some patients, as an adjunct to lifestyle modification. Genomic studies provide further evidence for the role of these pathways in the regulation of body weight. Identification of new genes controlling satiety and energy expenditure may yield valuable clues for the development of novel pharmacologic treatments.

Presentation Format(s) : MP4, MP3

$50.00

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W17 - Are You Listening? Maximizing Effective Relationships with Patients
Track: Self-Management Education

Speaker(s) :

Carol Grafford PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Identify one technique used to enhance communication with patients. 2.Discuss the peer-reviewed literature related to mindfulness meditation. 3.Identify at least one barrier and at least one opportunity related to deep listening that can impact communication with patients. 4.Discuss strategies to enhance ability to use patient-driven ideas for creating self-care action plans. ABSTRACT: As a diabetes educator, you probably already strive to improve health behaviors, clinical outcomes and your patients' sense of well-being and self-efficacy. Could you do it better? Mindfulness meditation is well-known and utilized in psychological circles and pain-management, but is rarely used for other medical applications. Learn what the peer-reviewed literature says. Experience mindfulness meditation guided by a seasoned meditator. Notice how different goal-setting can be after meditation. Consider how this tool could help you develop more effective relationships with your patients, espcially during this era of constant change.

NO FILES ATTACHED TO SESSION

$50.00

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W18 - Back-country Endurance Sports and the Individual with Type 1 Diabetes: From Research to Practice

Speaker(s) :

Ben Clements; Carla Cox PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Describe the basic physiological demands of backcountry endurance activities. 2.Illustrate how to fuel and adjust insulin doses around backcountry sports. 3.Summarize recommendations for packing and communications for a safe backcountry adventure. ABSTRACT: Back country adventures for individuals with type 1 diabetes require a unique set of challenges and an in depth understanding of physiological needs, insulin action and an estimation of the types and quantities of supplies to achieve not only optimal blood sugars, but a high degree of safety in the back country. This applies to children or adults heading out for a backpack trip or those scaling mountains. A review of the literature will be presented in combination with multiple shared experiences by two backpack leaders. Recommendations for helping individuals with diabetes plan a successful and safe backpacking experience will be provided based on the evidence and extensive backcountry experience. What to pack from insulin, glucose monitoring supplies and treatments will be discussed along with the importance of an adaptable time table and emergency communication system.

NO FILES ATTACHED TO SESSION

$50.00

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W19 - Fearless Medicine: Helping Children Overcome Fear in a Medical Setting

Speaker(s) :

Robert Luka PROGRAM OBJECTIVE: Establish innovative partnerships that promote chronic disease management through measurable outcomes LEARNING OBJECTIVES: 1.Appraise personal attitudes and approaches that significantly impact how frightened children can learn to respond favorably to medical care. 2.Examine how using proper semantics encourages frightened children to turn the energy of fear into cooperation. 3.Assess how to use the energy of fear to your advantage when working with phobic fear. ABSTRACT: The program is designed to give the caregiver usable tools to ease the fear and tension of frightened children while teaching diabetes related skills of injection and blood draw. The teaching will be communicated through my own personal experiences and what has been found to be successful in gaining cooperation with children who are paralyzed by fear. Robert Luka is the author of the book "Helping Children Overcome Fear in a Medical Setting." He has 35 years of nursing experience and currently works with newly diagnosed children with Type 1 diabetes.

Presentation Format(s) : MP4, MP3

$50.00

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W20A - Benefits of Lifestyle Intervention on Patients with Type 2 Diabetes- 4 Year Longitudinal Data

Speaker(s) :

Gillian Arathuzik; Amanda Kirpitch 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 OBJECTIVES: 1.To describe the characteristics of the multi-disciplinary weight management program at the Joslin Diabetes Center 2.To describe the population and their baseline characteristics. 3.To examine the differences in weight and A1C at 12 weeks. 4.To examine the differences in weight and A1C at 1 year. 5.To examine the differences in weight, A1C, BP, and lipid profiles at 4 years. ABSTRACT: A study was performed to evaluate the effects of a 12 week multidisciplinary weight loss intervention on long term weight, glycemic control, and cardiovascular outcomes. ? This session will discuss the findings from this study.

Presentation Format(s) : MP4, MP3

$50.00

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W20B - A Mindfulness Approach to Stress Reduction and Healthy Coping in Diabetes Self-Management Education

Speaker(s) :

Monica M. DiNardo PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Explain how stress adversely affects glucose homeostasis based on stress theory. 2.Describe the need for effective stress reduction strategies for diabetes related stress to promote healthy coping particularly in women and other special populations. 3.Provide a behavioral and physiological rationale for use of Mindfulness as a stress reduction strategy in diabetes education. Describe the need for effective stress reduction strategies for diabetes related stress to promote healthy coping particularly in women and other special populations. 3.Provide a behavioral and physiological rationale for use of Mindfulness as a stress reduction strategy in diabetes education. ABSTRACT: Women and US Military Veterans are special population who may be particularly vulnerable to diabetes-related distress that adversely affects glycemic control and self-care behaviors. Healthy coping is one of AADE-7- self-care behavioral outcomes, yet stress reduction strategies are not commonly offered during routine diabetes education or care. ?A mixed methods pilot study was used to explore the feasibility and acceptability of providing Mindfulness Based Stress Reduction. ?This session will discuss the findings from this study.

Presentation Format(s) : MP4, MP3

$50.00

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W20C - Diabetes Management among Adults with Excellent Glycemic Control in T1D Exchange Clinic Registry

Speaker(s) :

Elaine M. Massaro PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Compare insulin delivery modality between excellent vs poorer glycemic control groups. 2.Compare diabetes management factors between excellent vs poorer glycemic control groups 3.Compare diabetes characteristics between excellent vs poorer glycemic control groups ABSTRACT: This study was undertaken to assess diabetes management factors in adults with type 1 diabetes who are under excellent glycemic control compared with those under poor control. ?This session will discuss the results from this study.

Presentation Format(s) : MP4, MP3

$50.00

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W21 - "Can I Still Have Sweet Tea?": Five Teaching Pearls From the Low Income Population with Diabetes

Speaker(s) :

Anita H. King PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Describe 5 teaching pearls from the low income population with diabetes. 2.Identify 5 obstacles of the low income population with diabetes. 3.Compare and contrast 5 creative strategies to provide effective diabetes education. 4.Outline a teaching plan to "train the trainer" for those working with vulnerable populations. ABSTRACT: A local director of a homeless shelter says that most of us are one paycheck from being homeless. Fortunately, health care professionals may feel more financially secure, but the facts are that poverty and the new poor populations are at record levels in the United States. The author volunteers at a faith-based clinic for the uninsured as a nurse practitioner and certified diabetes educator. It is challenging to effectively educate this population who may be in the midst of a financial and/or family crisis, suffer from drug and/or alcohol addiction, and likely have serious diabetes complications. However, educators have long stated that they often learn more from their clients that those they teach. This vulnerable population with diabetes can be very resourceful and motivated to manage diabete with a few practical tools. The educator can foster a positive relationship through assessment, negotiation, goal setting, and use of available community resources.

Presentation Format(s) : MP4, MP3

$50.00

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W22 - The ABCs of CBT: Cognitive Behavioral Therapy Basics for the Diabetes Educator

Speaker(s) :

Ginny Ives 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 OBJECTIVES: 1.Identify three main theories on Cognitive Behavioral Therapy. 2.Define one basic principle from each main theory of Cognitive Behavioral Therapy (CBT). 3.Identify a faulty belief system. 4.Identify three cognitive distortions. 5.Identify three examples of negative inner dialogues. 6.Describe three techniques commonly used in CBT that can be translated to diabetes education. ABSTRACT: Cognitive Behavior Therapy (CBT) has been the gold standard for treating chronic mental conditions such a Major Depressive disorder for many years. In addition, CBT has been studied in patients with depression who also have diabetes with good success. CBT identifies distortions in beliefs, thoughts and actions that can keep our patients from successfully implementing their treatment plans for managing chronic illness. Recognizing these distortions may be beneficial for the diabetes educators to enable them to more effectively counseling their patients towards behavior change. Three main CBT therapy modalities will be explored and their application for the diabetes educator will be discussed. Rational Emotive Therapy deals with faulty belief systems, Cognitive Therapy focuses on cognitive distortions, and Cognitive Behavior Therapy addresses patient's negative self-talk. Diabetes educators can identify these faulty beliefs, thoughts, and actions and use simple techniques to help patients move forward in their treatment plan.

Presentation Format(s) : MP4, MP3

$50.00

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W23 - Toddlers Though Young Adults -Navigating the Choices and Challenges Through the Years

Speaker(s) :

John E. Clark Jr.; Jean Corrigan; Sheila Dennehy; Susan M. Ruggiero PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.List effective tips for improved diabetes management that can be utilized with families. 2.Discuss potential social,emotional and family issues that may present in varied developmental age groups with methods for effective coping. 3.Identify methods to support and enhance the quality of patient centered care. ABSTRACT: When focusing on a pediatric diabetes program, a key issue is how to effectively guide and navigate the child and family not only through the varied developmental years from toddlerhood through adolescence into young adulthood but also how to successfully empower the teen and young adult to incorporate effective self care into their busy lifestyle and eventually transition successfully to Adult care. This presentation will focus on 'spanning the ages' from toddlerhood to young adulthood addressing the numerous potential challenges that may arise in each age group whether they be physical, social emotional or community based with tips for effective coping. We will also address program strategies that are desgined to enhance quality comprehensive care.

Presentation Format(s) : MP3

$50.00

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W24 - The Role of Epigenetics in the Fetal Programming of Diabetes

Speaker(s) :

Sara Pinney PROGRAM OBJECTIVE: Establish innovative partnerships that promote chronic disease management through measurable outcomes LEARNING OBJECTIVES: 1.Describe the relationship between an adverse intrauterine milieu and the development of diabetes later in life. 2.Explain how epigenetic modifications such as DNA methylation and histone acetylation and methylation can affect gene expression of key genes in the pancreas and liver in the IUGR model 3.Evaluate the epigenetic modifications associated with IUGR and later development of diabetes may be reversed with treatment of Exendin-4 if given within a specific developmental window. ABSTRACT: Type 2 diabetes is a disorder of complex genetics influenced by interactions between susceptible genetic loci and environmental perturbations. Intrauterine growth retardation is one such environmental perturbation linked to the development of type 2 diabetes in adulthood. An abnormal metabolic intrauterine milieu affects fetal development by permanently modifying expression of key genes regulating ?-cell development and glucose transport in muscle. Epigenetic regulation of gene expression is one mechanism by which genetic susceptibility and environmental insults can lead to type 2 diabetes. In the future, therapeutic agents targeting epigenetic gene regulation may ultimately be used to treat type 2 diabetes; however, there is much to be learned about genome-wide epigenetic programming of health and disease before these therapies can be used in patient care.

Presentation Format(s) : MP4, MP3

$50.00

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W25 - Money Matters in DSME, MNT & Shared Medical Appointments: Increase Your Insurance Reimbursement NOW!

Speaker(s) :

Mary Ann Hodorowicz PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Describe the beneficiary eligibility criteria for Medicare DSME and MNT. 2.List three of the Medicare coverage guidelines for telehealth MNT and DSME. 3.Name the two distinct parts of a shared medical appointment that are each separately reimbursable by Medicare. 4.State which part of a shared medical appointment is billed as individual visits and which part as a group visit. ABSTRACT: This jammed-packed, dynamic presentation is exactly what RDs, RNs, educators, physician, and mid-levels need to pocket those Medicare and private payer MNT, DSME, and shared medical appoint (SMA) dollars. Medicare?s latest coverage guidelines are outlined, including those exceptionally tricky ones and who is eligible to bill Medicare for each benefit. An overview of SMAs is presented that includes the many benefits for patients, providers (physicians and mid-levels) and educators. SMAs combine provider?s individual medical appointments in a group setting combined with group DSME or MNT. They offer increased productivity, efficiency and profit margin for the health care team and enhance patient outcomes. The key ?must-know?s? of billing for SMAs for providers and educators will be detailed, along with a case study of the typical reimbursement that can be expected from Medicare and private payers; providers will be amazed by what they can earn without any sacrifice in patient quality of care.

Presentation Format(s) : MP4, MP3

$50.00

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W26 - Insulin Intervention: Design and Implementation of an Insulin Treatment Protocol

Speaker(s) :

Kam L. Capoccia; Izabela A. Collier PROGRAM OBJECTIVE: Establish innovative partnerships that promote chronic disease management through measurable outcomes LEARNING OBJECTIVES: 1.Discuss the current recommendations on insulin initiation among patients with Type 2 diabetes. 2.Identify the need for early and appropriate initiation and titration of insulin. 3.Review the pharmacological principles of insulin. 4.Describe available insulin protocols in a variety of outpatient practice settings. ABSTRACT: Initiation and management of insulin therapy continues to be challenging. This session will describe the implementation of an insulin treatment protocol that can be extrapolated to various practice settings. The pharmacological principles of currently available insulins will also be discussed in detail.

Presentation Format(s) : MP4, MP3

$50.00

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W27 - Novel Nutrition Interventions for the Prediabetic State Specific Dietary Components Prevent Diabetes

Speaker(s) :

Patricia Davidson; Shelley Mesznik PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Explain the difference between Prediabetes and Metabolic Syndrome in the progression to Type 2 Diabetes. 2.Discuss the process for developing evidence-based recommendations for the prevention of Type 2 Diabetes. 3.Describe the evidence-based recommendations for at least five interventions for the prevention of Type 2 Diabetes. ABSTRACT: The epidemic of diabetes puts the spotlight on prediabetes and earlier intervention. The DPP stresses lifestyle interventions but there are other specific diet components that can have an effect on the metabolic and anthropometric risk factors of the prediabetic state. The Academy of Nutrition and Dietetics Evidence Analysis workgroup for the Prevention of Diabetes took on the task of establishing nutritional recommendations for the management of the prediabetic state. In this presentation we will discuss what is the prediabetic state, explain the difference between Prediabetes and Metabolic Syndrome, and look at the controversies surrounding the definitions of Prediabetes and Metabolic Syndrome as well as the specific evidence-based dietary interventions for the treatment of the metabolic components of the prediabetic state.

Presentation Format(s) : MP4, MP3

$50.00

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W28 - Patient Centered Outcomes Research and Comparative Effectiveness Research for Diabetes Educators

Speaker(s) :

Ruth Lipman 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 OBJECTIVES: 1.Interpret outcomes from patient centered outcomes research (PCOR) and comparative effective research (CER). 2.Apply the information in PCOR and CER studies to DSME. 3.Employ PCOR and CER to better enable people with diabetes to optimize their health. ABSTRACT: Diabetes educators are in an excellent position to help people with diabetes make informed decision about management of their condition. Understanding what patient centered outcomes research (PCOR) and comparative effective research (CER) reveal provides a wealth of information that educators can share with those they work with to improve self-management. Using the information from PCOR and CER studies, the medications for adults with type 2 diabetes will be compared.

Presentation Format(s) : MP4, MP3

$50.00

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W29 - Diabetes, Pedorthics and Lower Extremity Amputation Prevention: What Does Current Research Show Us?

Speaker(s) :

Dennis J. Janisse PROGRAM OBJECTIVE: Establish innovative partnerships that promote chronic disease management through measurable outcomes LEARNING OBJECTIVES: 1.Recognize risk factors for diabetic foot complications. 2.List modalities used by pedorthists and orthotists in the healing and prevention of diabetic neurotrophic foot ulcers and lower extremity amputations. 3.State how pedorthic management can be ultilzed to prevent lower extremity amputations. ABSTRACT: In February 2012, an article in Diabetes Care, "Declining Rates of Hospitalization for Nontraumatic Lower-Extremity Amputation in the Diabetic Population Aged 40 Years or Older: U.S., 19882008", described now amputation rates had fallen dramatically in patients with diabetes since the introduction of Medicare's Therapeutic Shoes for Persons with diabetes benefit. This is indeed wonderful and encouraging news! By reviewing and analyzing published research, this presentation will focus on how and why pedorthic involvement in diabetic foot care - including proper footwear selection, orthotic management and patient and community education - is such as key component to prevention of non-healing diabetic foot ulcers, Charcot arthropathy and lower extremity amputations.

Presentation Format(s) : MP3

$50.00

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W30 - Tobacco Dependence: The Importance of Motivational Interviewing and Medications

Speaker(s) :

Kristina M. Rak PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Identify treatment options used for smoking cessation. 2.Given patient specific characteristics, recommend a particular smoking cessation aid and patient specific follow-up. 3.Apply motivational interviewing techniques in smoking cessation counseling. 4.List resources available to patients to assist in smoking cessation. 5.Describe the diabetes educators role for education regarding tobacco dependence. ABSTRACT: According to the CDC, 19.3% of all adults in the United States (US) smoke cigarettes. Cigarette smoking is the leading cause of preventable death in the US, accounting for 1 in 5 deaths each year. Many patients with diabetes are at an even high cardiovascular risk due to tobacco dependence. This disease needs to be addressed to improve overall health in patients with tobacco dependence. Tobacco dependence guidelines are available to address appropriate pharmacologic treatments when indicated.

Presentation Format(s) : MP4, MP3

$50.00

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T01 - Why Dont My Patients Get It? The Impact of Literacy on Diabetes Health Outcomes

Speaker(s) :

Joan Morgan; Marcia Wonderly PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Define literacy and its impact on the healthcare environment. 2.State methods for identifying individuals with low literacy who encounter communication barriers in the healthcare setting. 3.Identify strategies for clear health communication across the continuum of care. ABSTRACT: It is estimated that nearly 90 million American adults have limited literacy skills. A recent systematic review of the literature found studies showing a relationship between low literacy and worse health outcomes, increased hospitalizations and poor health behaviors. People's literacy skills affect their ability to successfully communicate with healthcare providers. Health literacy is defined as one's ability to read, understand and use health information to make decisions about their healthcare and follow treatment regimens. Nearly 9 out of 10 adults have trouble using everday health information. Direct care providers must be able to identify those with basic literacy skills in order to effectively communicate information. This presentation will increase participants' awareness of literacy barriers on health communication, review strategies for identifying those with low literacy, and examine techniques for effective communication. Through videos, interactive discussion, and exercises, participants will experience challenges patients face in the healthcare setting and gain skills for improved communication.

Presentation Format(s) : MP4, MP3

$50.00

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T02 - New ATP-IV Lipid Guidelines, Were they Worth the Wait?

Speaker(s) :

Dave L. Dixon; Evan M. Sisson PROGRAM OBJECTIVE: Establish innovative partnerships that promote chronic disease management through measurable outcomes LEARNING OBJECTIVES: 1.Compare the new ATP-IV guidelines to previous standards of care. 2.Discuss the impact of ATP-IV and recently published clinical trials on treatment of dyslipidemia in current practice. 3.Evaluate the clinical importance of traditional lipoproteins and non-lipid disease markers in determining lipid-lowering goals of therapy. 4.Discuss the limitations and potential controversies with current drug therapy options for treatment of dyslipidemia. 5.Determine optimal therapeutic regimens for patients with diabetes to achieve individualized cardiometabolic goals. ABSTRACT: Since 2009 an update to the ATP-III guidelines on treatment of dyslipidemia have been promised. Finally, the ATP-IV guidelines arrived but what do they mean to practice? Type 2 diabetes is often referred to as a cardiac disease, with hypertension and dyslipidemia being considered the principle drivers of risk. This presentation will compare and contrast the updated guidelines against recent clinical trial data and relevant consensus statements. Through the use of patient cases and audience response, the presenters will develop a strategy for participants to integrate the new guidelines into practice.

Presentation Format(s) : MP4, MP3

$50.00

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T03 - Nurspiration Luminesce: Keeping the Glow

Speaker(s) :

Shari K. Liesch PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Describe how past and present career joys and challenges impact decisions made and perceptions of well being. 2.Recognize how personal health and lifestyle choices impact our own perception of wellness. 3.Discuss the balance: life, patient, personal health, career demands against industry (and governmental) expectations. 4.Identify self management strategies to assist with moving forward, keeping the glow. ABSTRACT: There are many forces out of the control of care providers that impact our performance. Past studies have linked overall job satisfaction to personal health and well being. Past lectures have focussed on the importance of our own wellness to provide optimal care to others. In this discussion, self determination theory; autonomy, competence and relatedness will be used to explore our feelings about current roles and expectations. This is an interactive session, where participants will explore, (through small groups), the challenges and joys in their role. We will look at strategies to assist with handling expectations through what worked in the past, along with new ideas learned from others. Through sharing our stories, we will learn more about our own mission as a care provider. It is important to explore how we stay afloat in the ever changing health care environment. Relationships are key to building strength and future opportunity.

Presentation Format(s) : MP4, MP3

$50.00

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T04 - Inpatient Glycemic Management: From Culture Shock to Culture Change

Speaker(s) :

Donna L. Jornsay; Jane Jeffrie Seley PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Describe at least one strategy to improve glycemic control in your institution related to nutrition therapy. 2.Describe at least one strategy to improve glycemic control in your institution related to insulin therapy. 3.Describe at least one strategy to improve glycemic control in your institution related to measuring glycemia: A1C and blood glucose. 4.Describe at least one strategy to improve glycemic control in your institution related to care transitions. 5.Describe at least one strategy to improve glycemic control in your institution related to professional and patient education. ABSTRACT: Meeting the Endocrine Society Guidelines for the Management of Hyperglycemia in Hospitalized Patients in the Non-Critical Care Setting is challenging at best. This session offers a tasting menu of best practices related to meals, insulin therapy, measures of glycemia, care transitions, and professional and patient education in the non-critical care setting. The learner is asked to identify one strategy they might implement for each of the above categories.

Presentation Format(s) : MP4, MP3

$50.00

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T05 - Pharmacotherapy of Gestational Diabetes Show Me the Literature - Point and Counter Point Debate

Speaker(s) :

Jessica Kerr; Sara Wilson Reece PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Explain the preconception care and potential risks to mother and fetus for patient with pre-existing diabetes. 2.Discuss the potential risks to mother and fetus for patient with gestational diabetes. 3.Identify the drug pregnancy categories used for pharmacotherapy during pregnancy. 4.Apply the current literature of use of insulin and oral antihyperglycemics in pre-existing and gestational diabetes patients. 5.Discuss the role of the multidisciplinary team and CDE in the prenatal care of the diabetes patient. ABSTRACT: Diabetes during pregnancy whether pre-existing or gestational diabetes can be challenging to manage. For patients with pre-existing diabetes, preconception care is essential in order to minimize the risk to mother and fetus. The drug pregnancy categories provide a standardized method for assigning level of drug safety to both mother and fetus. Insulin is the gold standard in treatment of pre-existing and gestational diabetes. Data from several key studies has opened the door of opportunity for oral antihyperglycemics to be pharmacotherapy option in gestational diabetes. The management of the pregnant women with diabetes requires a multidisciplinary team approach. The CDE has an unique role in both education and management of the diabetes in this patient population.

Presentation Format(s) : MP4, MP3

$50.00

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T06 - The Psychometrics of Diabetes Self-Management Error Among Aging Patients

Speaker(s) :

Linda S. Gottfredson; Kathy Stroh PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Define psychometrics as a method for analyzing error. 2.List purpose and methods of psychometric analysis of error, as it applies to diabetes self-management (DSM). 3.Identify cognitive deficits, associated with aging, that impact DSM. 4.Review physiological changes associated with aging, that impact DSM. 5.Recognize external sources of error in diabetes self-management. 6.Describe strategies to ensure effective DSME, as patients age. ABSTRACT: By 2050, there will be 80.5 million persons age 65 and older. The Centers for Disease Control and Prevention stated that, as of 2010, 20% of non-institutionalized older Americans had been diagnosed with diabetes; this is 40% of all persons with diabetes. Effective DSME addresses age-related changes. These changes include physiological as well as cognitive alterations; both impact the ability to effectively control blood glucose levels. Thus, a magnification and multiplication of errors occurs with aging. A university researcher in psychometrics and job analysis, and a CDE with both clinical and public health experience, have collaborated to improve patient assessment and identify materials/devices sources of error. Examples of possible patient errors, their cumulative effect and recommendations for educational strategies and materials will be presented.

Presentation Format(s) : MP4, MP3

$50.00

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T07 - Making Shifts Happen-From Drama to Empowered Conversations

Speaker(s) :

Paige Reddan; David Emerald Womeldorff PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Describe the psychological stages that patients go through when learning about their diabetes. 2.Recognize the two mindsets that drive conversational dialogue. 3.Explain the Dreaded Drama Triangle roles that disengage and disempower patients. 4.Describe the Empowerment Dynamic roles that help patients escape the drama and create empowered conversations. ABSTRACT: Research has shown that focusing on reacting to the problem of diabetes as a way to motivate patients to take responsibility for their health care decisions has proven ineffective. Why cant patients just take the good information diabetes educators give them and take charge of their health? Why do so many patients act like victims and diabetes educators get triggered into rescuing them and then educators often feel persecuted by their own patients? This presentation will explain the Dreaded Drama Triangle roles and its toxic brew of victim, rescuer and persecutor as the central characters that perpetuate ineffective patient conversations. The Empowerment Dynamic provides an effective escape from the drama roles that educators can adopt that generates new and empowering conversations for educators and their patients.

Presentation Format(s) : MP3

$50.00

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T08 - A Homeless Population and DSME: What Works? What Doesn

Speaker(s) :

Kathleen Rowan Mahoney; Dorothea McGlaughin PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Describe 3 attributes of the homeless population at Mary Howard Clinic. 2.Explain 2 obstacles to pre-test knowledge testing. 3.Discuss 3 teaching techniques in the DSME that may change behaviors. 4.Describe the use of incentives in changing behaviors. 5.Explain 2 ways behavioral health consultants can be used in DSME classes. 6.Discuss ways to measure success in the DSME classes. ABSTRACT: The 'homeless' population conjures up a picture that may not fit with reality. This presentation will "open your eyes" to the face of the homeless. The presenter offers her experience with teaching DSME group classes.

Presentation Format(s) : MP4, MP3

$50.00

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T09 - DEAP and the Revised National Standards for Diabetes Self-Management Education and Support

Speaker(s) :

Leslie E. Kolb PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Explain how the 2012 Revised National Standards for Diabetes Self-Management Education and Support can be implemented in your program. 2.Identify the requirements and process to apply for a Diabetes Education Accreditation Program (DEAP) with AADE. 3.List resources and locate contact information for AADE DEAP program requirements and staff. ABSTRACT: In 2012 the National Standards for Diabetes Self-Management Education and Support were revised. Based on the revisions AADE's Diabetes Education Accreditation Program (DEAP) has made some key changes to their requirements. The demand for quality DSME programs continues to rise as the number of patients diagnosed with diabetes also continues to rise. AADE's DEAP provides a streamlined approach to healthcare professionals seeking to meet the needs of the people with diabetes in their community. This program will help both currently accredited programs and future programs understand the 2012 revisions and how to apply them to their current and future programs.

Presentation Format(s) : MP4, MP3

$50.00

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T10 - Improving Inpatient Diabetes Care: Accelerating Change with a Pay for Performance Initiative

Speaker(s) :

Joyce Najarian; Mary Ellen O'Connell 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 OBJECTIVES: 1.Discuss how evidence based pay for performance initiatives served as an agent to change clinical inertia. 2.Describe interventions developed and implemented to tackle the complexity of inpatient diabetes management. 3.Summarize key components to successful improvement in glycemic control and diabetes care across the continuum. ABSTRACT: Our large academic multi -site network found itself faced with clinical inertia and plateaud glycemic control results. Serendipitously we were offered the opportunity to participate in an inpatient diabetes pay for performance project at our smaller campus. Following initial resistance, our focused interprofessional team gained momentum with full engagement. Key strategies included: multidisciplinary education on best practice, enhanced patient education, improved use of technology, real time glycemic feedback, data analysis and transparency, diversifying the team skill mix, and improved communication among care givers. This presentation will describe how our involvement resulted in improving safety and patient outcomes, including improved hypo and hyperglycemia rates, utilization of A1C results, reduced length of stay and costs, in addition to achieving full financial reward for our involvement.

Presentation Format(s) : MP4, MP3

$50.00

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T11 - Get Your Clients to Achieve Weight Loss at Your Healthcare Facility or Their Place of Employment

Speaker(s) :

Agnes Ferguson; Kristina Volkmer 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 OBJECTIVES: 1.Summarize effective aspects of a weight management program using meal replacements, pedometers, and group support. 2.Identify target client populations in the workplace and healthcare facility to implement a successful weight loss program. 3.Appraise effectiveness of partnering with employee wellness and employee screening for overall healthcare cost reduction. ABSTRACT: Diabetes is a chronic disease with epidemic proportions. Weight loss is a cornerstones of diabetes management and prevention. Through the use of structured menu plans, moderate exercise, and group support this offers a strategy for success. Through professional marketing and word of mouth, we have expanded from our own facility to employee workplaces. Our fun and interactive ongoing classes are held weekly at local Blue Cross/Blue Shield offices and the world's largest furniture store, owned by Warren Buffet! This program seeks to provide a positive opportunity for people to achieve lifestyle change with professional facilitators.

Presentation Format(s) : MP4, MP3

$50.00

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T12 - Strike the Spike: Strategies for Managing Postprandial Hyperglycemia

Speaker(s) :

Gary Scheiner PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Identify at least three negative effects associated with postprandial glycemic spikes. 2.Evaluate postprandial glycemic control in patients with diabetes. 3.Develop individualized strategies for managing postprandial glycemia in patients with type-1 or type-2 diabetes. ABSTRACT: Management of postprandial glycemia continues to gain importance as research uncovers the harmful effects of glucose variability. This program explores the evidence-based research surrounding the topic, lays out realistic goals for various patient population, and focuses on the most up-to-date, proven tools and techniques for improving postprandial glycemic control in patients with diabetes.

Presentation Format(s) : MP4, MP3

$50.00

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T13 - Adapting to Decreased Workforce and Increased Sites Served in the NC Diabetes Education Recognition Program

Speaker(s) :

Marti Wolf; Joanne K. Rinker PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Summarize strategies to handle a decrease in staff and an increase in overall sites within a particular program. 2.Describe use of on-line technology to streamline communication to increase effectiveness of tracking multiple sites within a program setting, to allow multiple sites to be managed off site. 3.Illustrate a streamline administrative system to include all activities, PDSAs (quality improvement activities), data reports, educator CEU and educator licensure information by sending them all to one central on-line location. 4.Discuss use of a regional consultant structure to allow multi-sites around an area to be managed locally by regional consultant who reports to program coordinator. ABSTRACT: At the inception of the Diabetes Education Recognition Program there were as many as 7 staff members with as few as 8 sites. Currently in 2012, there are over 80 total sites and only two staff members. To handle this shift in the program a Regional Consultant model was created. Three regional consultants were identified. Working approximately 4-6 hours per week , they make site visits and handle some of the administrative burden for the program coordinators. To streamline administrative activities, all PDSAs (quality improvement activities), data reports, educator CEU and educator licensure information are sent to one central location myPDSA@gmail.com. This allows them to be sorted by a variety of criteria, such as region, regional consultant, or by date of report. Data, CEUs and licensure can be collected and stored which eases maintaining the tracking system. Additionally additionally a sky drive notebook has been created to store this information.

Presentation Format(s) : MP3

$50.00

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T14 - Safe Insulin Pump Management in the Inpatient Setting: Prepare to Set Sail

Speaker(s) :

Carol A. Biondi; Renee M. Meehan 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 OBJECTIVES: 1.Identify barriers to insulin pump therapy in the Inpatient setting. 2.Describe the implementation of a standardized process for safe use of insulin pumps in the inpatient setting. 3.Describe benefits and methods of providing ongoing education, support, and continued collaboration to inpatient hospital staff and providers. 4.Explain the impact of continuing insulin pump therapy in the inpatient setting once process and education is in place. ABSTRACT: Healthcare professionals in the hospital setting may struggle with how to best manage patients on insulin pump therapy safely due to lack of clear guidelines, knowledge, and confidence in related areas of pump therapy. A project to standardize insulin pump management with the primary goals of reducing practice variation, promoting safety, increasing knowledge and optimizing outcomes in this setting was begun. The initiation of an Insulin Pump Protocol and various assessment tools for patients on insulin pumps was developed. The Diabetes Program CDE will provide consultation for patients on Insulin pumps within 24 hours of admission. Insulin pump training will be created to provide the bedside nurse with sufficient skills to assist the patient in managing their insulin pump. This will include annual competency validation. The development of unit-specific nurses or "Insulin Pump Super-Users" will offer shift support and patients will be sorted to units on which these resources exist.

Presentation Format(s) : MP4, MP3

$50.00

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T16 - Evaluating the Shared Medical Appointment Model on Diabetes Management in Primary Care

Speaker(s) :

Olivia J. Newby; James E. Newby PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Discuss the issue of mismanagement of diabetes among patients due to lack of diabetes education. 2.Describe effective ways to increase compliance beyond medication regimens. 3.Propose a diabetes management surveillance system designed to support and enhance the quality of patient centered diabetes care. 4.Synthesize evidence-based practices to develop diabetes self-care management techniques to enhance diabetes education and lifestyle modification practice among adult patients diagnosed and those at-risk for developing diabetes. 5.Evaluate the clinical outcomes among adult patients diagnosed with type 2 diabetes participating in the shared medical appointment model. 6.Recommend a diabetes management surveillance system that offers assistance on self-care behavior management and effective solutions to transition into more balanced and nutritionally appropriate meals. ABSTRACT: Effective diabetes management and reducing the risks for further complications is a collaborative effort among the patient, their care-takers, and health care providers. The critical components are education, lifestyle modification, and appropriate self-care management behaviors. A primary care medical office located in a large metropolitan area with a lead physician and nurse practitioner, who also serves as a Certified Diabetes Educator, instituted a Healthy Living Center for its patients diagnosed with diabetes. This center provides education through a shared medical appointment model focused on the AADE 7 self-care behaviors. The purpose of this study is to examine clinical outcomes of patients participating in this practitioner-based diabetes surveillance system.

Presentation Format(s) : MP3, MP4

$50.00

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T17 - An Inpatient Glycemic Journey: Interdisciplinary Collaboration from Paper Documentation to HER

Speaker(s) :

Carly Boos; Stacey J. Harris PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Discuss the steps for development of a standardized Adult Hyperglycemia Treatment Plan. 2.Describe the process for transitioning from paper to EHR. 3.Differentiate the challenges that may be encountered by the interdisciplinary team with electronic activation. 4.Summarize strategies that strengthen collaborative relationships to provide safe glycemic patient care utilizing EHR. ABSTRACT: Our institution has made great progress in promoting best practice in glycemic management by researching and developing an evidence-based Adult Hyperglycemia Treatment Plan. Empowering the nurse to initiate the hyperglycemia risk assessment has resulted in prompt recognition and medical treatment of glycemic conditions to promote healing and wellness. The challenge came when we converted the treatment plan from paper forms to Computerized Physician Order Entry. Interdisciplinary work groups were created to develop electronic orders related to insulin and other high alert diabetes medications as well as treatment interventions and documentation. Fostering relationships and partnerships have facilitated rapid cycle revisions to provide patient safety and best practice throughout our regional network. Continued collaboration is expected as we address this growing patient population and the evolving face of diabetes care.

Presentation Format(s) : MP3, MP4

$50.00

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T19 - Diet Counseling for People with Diabetes and Kidney Disease

Speaker(s) :

Theresa Kuracina; Andrew S. Narva; Eileen Newman 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 burden of kidney disease due to diabetes in the US. 2.Utilize lab tests for identifying and monitoring CKD and assessing risk for progression. 3.Describe dietary interventions to slow progression of CKD complicating diabetes. ABSTRACT: This will be a case-based presentation to help diabetes educators provide diet consultation to patients with diabetes and kidney disease. We will use cases we have developed for an extensive on-line curriculum on CKD for non-renal dietitians.

Presentation Format(s) : MP3, MP4

$50.00

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T20 - Developing and Piloting the First AADE International Certificate Program

Speaker(s) :

Nancy Cheng; Ginger Kanzer-Lewis 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 OBJECTIVES: 1.Discuss the complexities of developing and submitting a program for international certificate 2.Identify the steps necessary to build an educational and supportive structure for the program 3.Describe the political challenges in dealing with an international program 4.Describe the process for developing an evaluation and outcome measurement system ABSTRACT: This program is intended to introduce the AADE membership to the first International Certificate Program approved by AADE and give a report on how and why it was developed and the scope and magnatude of developing a program outside of the United States. It explains not only the educational challenges but the logistical and political challenges in piloting a program that can change the scope of diabetes education to the world. It will take the participants from the beginning of a concept to the implementation and initial evaluation. It will report with the excitment and concerns of changes and challenges.

Presentation Format(s) : MP3, MP4

$50.00

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T18A - Adherence to Hypoglycemia Protocols IS POSSIBLE: Nurse

Speaker(s) :

Beverly Reed PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Identify the risks associated with hypoglycemia in the hospital setting. 2.Identify a process for evaluating adherence to a hypoglycemia protocol. 3.Describe perceptions nurses reported regarding barriers and opportunities related to adherence of their organization's hypoglycemia protocol. IV. Discuss the process improvement plan developed as a result of the barriers and opportunities to adherence identified by the study participants. V. Questions and answers ABSTRACT: Although hypoglycemia protocols generally exist in hospitals, research indicates adherence to these protocols is poor, thus increasing the risk of unresolved or repeated hypoglycemic episodes. This increases the risk of higher costs, longer length of stay, patient harm and patient mortality. To further explain this problem statement, there are several considerations that, when each are identified in relationship to one another, reveal the magnitude of the problem. They include who is at risk for hypoglycemia, why they are at increased risk in the hospital, the risks of hypoglycemia itself, the increasing incidence of diabetes and associated risks. These provide rational for why addressing hypoglycemia is critical in order to control costs and most importantly, protect patients. It is this final element regarding what is and is not being done to address hypoglycemia, which provided the basis for this problem statement and research study. The purpose of this research study was to develop and implement a tool to survey nurses regarding their perceptions of barriers and opportunities regarding adherence to their organization's hypoglycemia protocols and develop a process improvement plan based on the results.

Presentation Format(s) : MP3, MP4

$50.00

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T18B - Improving the Diabetes Knowledge in Primary Care Nurses Using Innovative Tools

Speaker(s) :

Kimberly Joy Lopez Carney PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Identify the impact of diabetes by briefly discussing the background and prevalence of diabetes 2.Examine the clinical question by reviewing the evidence-based practice process and literature review 3.Discuss the evidence regarding the lack of diabetes knowledge in nurses and improvement through education. 4.Describe the innovative methods utilized to improve the diabetes knowledge level of the primary care nurses. 5.Recognize the clinical implications of improving the primary care nurses' diabetes knowledge level. ABSTRACT: Diabetes, a chronic disease, when uncontrolled results in high blood glucose levels, which results in the serious, pathologic sequelae and complications of the disease. According to the Centers for Disease Control [CDC] (2011), in the United States, ?diabetes is the leading cause of kidney failure, nontraumatic lower-limb amputations, new cases of blindness?and a major cause of heart disease and stroke? (p. 7). An evidence-based practice (EBP) change project was developed to address the increasing prevalence, incidence, and complications of diabetes mellitus in the veteran population at the Veterans Health Care System of the Ozarks (VHSO) in Fayetteville, Arkansas. The purpose of the EBP change project was to increase the diabetes knowledge of primary care nurses by implementing a diabetes education intervention, utilizing innovative teaching methods.

Presentation Format(s) : MP3, MP4

$50.00

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T18C - The Adequacy of Insulin Knowledge of Staff Nurses at a Major Academic Medical Center

Speaker(s) :

Regina Bonnette; Nancy Drobycki PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Identify 3 knowledge deficits of staff nurses in the care of the inpatient with diabetes mellitus. 2.Describe the development of an online diabetes education module for staff nurses. 3.State that the area of nursing practice, degree obtained and years of experience does not always reflect a higher level of diabetes care knowledge ABSTRACT: Diabetes continues to be a chronic disease with frequent admissions to the inpatient hospital setting. Treating diabetes has become more complicated in the last few years with the addition of several new insulin formulation and delivery methods. The new regimens may make it difficult for the hospital nursing staff to stay current. Concurrently, emphasis on more stringent control in the hospital has become a greater priority to reduce adverse patient outcomes. The goal of this research project was to identify areas of knowledge gap in the hospital nursing staff. An insulin knowledge assessment test was given to nursing staff to assess areas of deficiencies. The nursing staff was able to answer 4 questions out of 14 with an 80% correction rate or higher. The percentages of correct answers were similar across the nursing staff despite educational degree level. However, years of experience for hospital nursing staff showed gaps in newer insulin management treatment techniques. The data from this knowledge assessment suggest that most nursing staff would benefit from a tailored education program to reduce the gaps in a hospital setting. We hypothesize that an online education program tailored to nurses would result in an increase in the knowledge of insulin.

Presentation Format(s) : MP3, MP4

$50.00

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T21 - TJC Advanced Disease Specific Certification Panel Discussion: You Can Do It!!

Speaker(s) :

Caroline B. Isbey; Joyce Malaskovitz; Carla Mellon; Debra Klaassen Sage PROGRAM OBJECTIVE: Establish innovative partnerships that promote chronic disease management through measurable outcomes LEARNING OBJECTIVES: 1.Discuss the basic process for seeking TJC Advanced Disease Specific Certification in Diabetes. 2.Identify the benefits of Disease Specific Certification. 3.Describe strengths of a Disease Specific Program Plan. 4.Summarize how evidence based practice guidelines can be used to improve identified diabetes outcomes. ABSTRACT: This panel presentation will discuss the journey towards The Joint Commission Disease Specific Care Advanced Inpatient Diabetes Certification. An overview of the standards, process, benefits, performance measures and program strengths will be shared. The panel will consist of a representative from TJC, and 3 hospitals of varying sizes that have successfully completed this journey. The structure of the DSC process helps to identify opportunities for improving outcomes through multidisciplinary collaboration, utilization of evidence based guidelines and performance measure data to evaluate progress. Each facility will share their specific journey including performance measures, working committee structure, data collection, resource development including staff and patient education materials.

Presentation Format(s) : MP3, MP4

$50.00

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T22 - Mobile Applications and Glycemic Control

Speaker(s) :

Richard Katz 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.Compare mobile health versus telemedicine 2.Identify the unique advantages of mobile health 3.Describe how cell phones can assist with diabetes education and monitoring of glucose and blood pressure 4.Describe how mobile health can assist diabetes patients with diet and exercise and can promote achievement of diabetes standard of care goals 5.Identify the challenges to set up a successful diabetes mobile health system ABSTRACT: Recent studies have shown that cell phone technology can enhance traditional disease management by providing behavioral patient coaching and decision support via real-time patient feedback and protocol-driven computer generated messages and direct contact with a health care team. Widely available to all socioeconomic groups, a cell phone disease management system can improve diabetes care outcome measures by 1) storing active medications, 2) sending reminders to check glucose and BP, 3) recording and transmitting physiologic parameters to the patient and healthcare team with alarms for critical values, 4) tracking adherence, lifestyle and behavioral measures, 5) alerting healthcare providers of the status of standard of care goals, and 6) transmitting educational and lifestyle modification tips. To be successful, a mobile health program needs user-friendly workflow and engagement with both patients and all members of the healthcare team(physicians, diabetes educators, case managers, community health workers, NPs, PAs).

Presentation Format(s) : MP3, MP4

$50.00

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T23 - "Play It Forward" Building a Strong Diabetes Resource Program

Speaker(s) :

Yvonne E. Burt PROGRAM OBJECTIVE: Establish innovative partnerships that promote chronic disease management through measurable outcomes LEARNING OBJECTIVES: 1.Describe the process of building a Diabetes Resource Nurse (DRN) program. 2.Summarize the process of developing tools and resources needed by the DRNs. 3.Illustrate the process of "Playing It Forward". ABSTRACT: Having a Diabetes Resource Nurse (DRN) Program is a nice way to pass diabetes facts along to nursing. However in this time of shortened length of stay, sicker patients and an outcomes focused bottom line, we needed a DRN program that would be more than "nice". We needed a program that would help us increase patient safety and decrease patient length of stay. Our DRN program is now, "Playing it Forward", and on our way to a safer and more efficient diabetes plan of care.

Presentation Format(s) : MP3, MP4

$50.00

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T24 - Eat What You Love with Diabetes: How to Use the Mindful Eating Cycle for Self-Management

Speaker(s) :

Megrette Fletcher; Michelle May 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 OBJECTIVES: 1.Critique two research studies that support the use of hunger and satiety signals to improve blood glucose management. 2.Review the six decision points in the Mindful Eating Cycle model. 3.Propose three ways that mindfulness could be used to explore other aspects of DSMT training. ABSTRACT: This session will apply the concepts of mindful eating to diabetes self-management. We will review research supporting the benefits of mindful eating, including how hunger training improves blood sugar control. The session will also demonstrate how to use the Mindful Eating Cycle to improve decision making and problem solving.

Presentation Format(s) : MP3, MP4

$50.00

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T25 - Mentorship: A Strategy to Improve Clinical Skills

Speaker(s) :

Davida F. Kruger; Virginia Valentine PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Appraise skills of mentorship to enhance skills of practicing health professionals. 2.Outline key strategies in preceptoring as a method to improve patient outcomes. 3.Summarize medication options for patients on insulin who have not achieved desired goals for control. ABSTRACT: Managing diabetes is increasingly complex as the options for therapeutic agents increase. The progressive nature of the disease and barriers posed by both patients and payors add to the difficulty of achieving long-term goals. Mentorship is a strategy to enhance clinical skills while allowing busy professionals to practice under the guidance of an experienced preceptor. This model was developed to enhance skills of clinicians on diabetes management options, with the ultimate goals of improving outcomes. The focus is on amylin replacement therapy, and therefore limited to patients with type 1 or type 2 diabetes unable to achieve adequate glycemic control despite ongoing insulin therapy. However, this preceptorship model of education is an example for clinician education across all aspects of diabetes care. Initial findings suggest that the program has resulted in improved patient outcomes, including a reduction in A1C and weight loss and new skills in healthcare professionals.

Presentation Format(s) : MP3, MP4

$50.00

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T26 - Changing Inpatient Diabetes Care Through A Multidisciplinary Diabetes Operations Team

Speaker(s) :

Mary C. Harnish; Julie Ann Lundvick PROGRAM OBJECTIVE: Establish innovative partnerships that promote chronic disease management through measurable outcomes LEARNING OBJECTIVES: 1.Examine effect of affordable care act and future reimbursement on ability to provide excellent quality diabetes care. 2.Describe commitment and available resources required to implement inpatient diabetes initiatives. 3.Identify key stakeholders in the hospital organization to form a long term multidisciplinary diabetes operation team to improve diabetes care in the hospital setting. 4.Differentiate outcome measures that demonstrate value. ABSTRACT: Providing excellent diabetes care in the hospital and across the continuum is essential if we are to succeed in future payment structures. Being proactive, a multidisciplinary Diabetes Operations team was formed to identify gaps in care, develop a strategic plan and implement an action plan. Some of the objectives met with proven outcomes include: Standardizing glycemic targets and ordersets, investigating available technology, implementing protocols for surgical patients, implementing a Diabetes Clinical Nurse Leader and a diabetes IP consult team, standardize education tools for patients and diabetes management pathways for all providers and patients. As a result, there has been improvement in many clinical outcomes and obtainment of Advanced Certification in Inpatient Diabetes by The Joint Commission.

Presentation Format(s) : MP3, MP4

$50.00

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T27 - New JNC8 Hypertension Guidelines, a Definitive Answer?

Speaker(s) :

Daniel Cole Kildow; Megan R. Stapleton PROGRAM OBJECTIVE: Establish innovative partnerships that promote chronic disease management through measurable outcomes LEARNING OBJECTIVES: 1.Compare the new JNC8 guidelines to previous standards of care. 2.Discuss the impact of JNC8 and recently published clinical trials on treatment of hypertension in current practice. 3.Discuss the limitations and potential controversies with current drug therapy options for treatment of hypertension. 4.Determine optimal therapeutic regimens for patients with diabetes to achieve individualized cardiometabolic goals. ABSTRACT: Since 2009 an update to the JNC7 guidelines on treatment of hypertension have been promised. Finally, the JNC8 guidelines arrived but what do they mean to practice? Type 2 diabetes is often referred to as a cardiac disease, with hypertension and dyslipidemia being considered the principle drivers of risk. This presentation will compare and contrast the updated guidelines against recent clinical trial data and relevant consensus statements. Through the use of patient cases and audience response, the presenters will develop a strategy for participants to integrate the new guidelines into practice.

Presentation Format(s) : MP3, MP4

$50.00

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T28 - The Pharmacist as a Member of Interdisciplinary DSME: Improved Patient Outcomes and Cost Avoidance

Speaker(s) :

Melissa Max 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 OBJECTIVES: 1.Explain the unique role of the pharmacist in the provision of DSME. 2.Describe the benefit of medication therapy management and individualized pharmacotherpeutic regimen review. 3.Identify improved clinical and behavioral outcomes expected with the inclusion of a pharmacist as a member of the DSME team. ABSTRACT: The pharmacist/CDE provided individualized medication regimen review, patient-specific recommendations, and focused on safe and appropriate medication use. A1C values and weights were recorded for patients pre- and post-intervention. Surveys were used to assess patients behavioral outcomes and attitudes. A survey of patients followed over a one-year period showed an average A1C reduction of 1.2% with the average reduction in poorly controlled patients of 3.4%. A chart review of 25 patients showed that 84% lost weight with an average weight loss of 26.7 pounds. The DSME team, which includes a pharmacist, obtained improved behavioral and clinical outcomes beyond those commonly seen. Results from the program have shown significant decreases in both A1C and weight, and patients have responded enthusiastically about the programs impact on their lives.

Presentation Format(s) : MP3, MP4

$50.00

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T29 - The Role of Promotores de Salud in Primary Prevention of Diabetes

Speaker(s) :

Betsy J. Rodriguez PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Describe the use of the promotores model in community interventions for primary prevention of diabetes using the RTH. 2.Discuss lessons learned and core elements of promising practices using the promotores model on primary prevention of diabetes. 3.Explain how other ethnic minority groups have adapted the RTH to serve their communities. 4.Discuss lessons learned for diabetes educators that could guide their efforts in working with promotores to reach ethnic minority groups in primary prevention. ABSTRACT: Promotores de salud are increasingly being incorporated into health programs because they effectively deliver health messages in a culturally relevant manner to some disenfranchised communities. Nevertheless, the role of promotores?who they are, what they do, and how they do it?is tremendously varied. The various roles that they play can present a number of challenges for implementing community interventions and translating findings into practice. This presentation will cover some of these challenges and will provide examples working with promotores, while using the NDEP Road to Health Toolkit (RTH). The RTH, aims to raise awareness of diabetes prevention through the use promotores de salud. Discussion will focus on the use of the promotores model in community interventions in primary prevention and promising practices will be highlighted. Pearls of Wisdom for diabetes educators to work with Promotores in primary prevention will be discussed.

Presentation Format(s) : MP3, MP4

$50.00

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T30 - Partnering to Increase Health Awareness Within a Community

Speaker(s) :

Sharisse Ajibade; Pamela Mack-Brooks PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Appraise effective ways to utilize community leaders to improve the health of their community. 2.Illustrate the benefit of using community leaders to promote health awareness and education. ABSTRACT: The use of community leaders (CL) to engage community members is an effective way to share information. An urban academic medical center (AMC) has partnered with CL to promote health awareness and disease prevention. CL participated in nurse-led Community Advisory Board meetings. CL (pastors, imams, business leaders, and leaders of community non-profits) shared their thoughts on the health of their community, including topics on wellness and chronic disease. NL prepared for the sessions by gathering data from the local Department of Health, utilizing information on community chronic disease trends. CL utilized their power of trust, persuasiveness, and culturally appropriate communication with the people that they have the closest contact to ensure confidence in the NL. CL presence ensured community attendance at events; NL engaged community members in the programmatic development reviewing demographics of the group, and any cultural factors that were needed for the presentation.

Presentation Format(s) : MP3, MP4

$50.00

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F02 - Advances in Technology for BG Monitors, CG Monitors and Insulin Pumps

Speaker(s) :

David C. Klonoff PROGRAM OBJECTIVE: Establish innovative partnerships that promote chronic disease management through measurable outcomes LEARNING OBJECTIVES: 1.To distinguish analytical accuracy from clinical accuracy in blood glucose monitors. 2.To name three methods for accelerating insulin action during subcutaneous administration. 3.Identify two methods for diagnosing hypoglycemia qualitatively not based on measuring the concentration of glucose in the blood. ABSTRACT: Technology is impacting our lives in many ways and technology is also helping patients with diabetes. Diabetes technology involves the use of man-made devices to monitor, treat, diagnose, or prevent diabetes. These devices are usually developed by engineers and consist of non-living materials, such as metal, plastic, and polymers. The most widely used technology based devices used by people with diabetes include blood glucose monitors, continuous glucose monitors, and insulin pumps. This presentation will cover advances in these three types of diabetes devices as well as other types of products that can be used for treating diabetes.

Presentation Format(s) : MP3, MP4

$50.00

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F03 - Making Exercise Possible: Guiding Your Patients in Developing a Safe and Realistic Exercise Program

Speaker(s) :

Richard Peng; Susan M. Pierce PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.List 3 health benefits of being active which affect more than one body system. 2.Describe 2 roles of the diabetes educator in an exercise program for a person with diabetes. 3.Describe a safe exercise program with the proper components, regimens and assessments. 4.Discuss exercise guidelines and tips for individuals with diabetes. ABSTRACT: This presentation will be a concise guide so that any diabetes educator will be able to assist a person with diabetes safely start and stick to their own exercise program. The speakers are an Exercise Physiologist and a Physical Therapist, both with their CDE credentials. Combined experience includes counseling and educating patients on diabetes, heart diseases, and asthma management, while prescribing exercise programs and offering exercise classes.

Presentation Format(s) : MP3, MP4

$50.00

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F05 - Dancing Together: The Power of a Relationship-Centered Approach

Speaker(s) :

Herman Boudewijn Bertsch; Riva Greenberg 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 OBJECTIVES: 1.Know what a relationship-question is and how to ask patients "relationship- questions" that create trust, partnership and greater retention of, and commitment to, next steps to improve health. 2.Use coaching and communication skills that help patients identify their own proven strengths and skills that they can bring to accomplishing their DSME goals. 3.Lead the patient through change-steps that go beyond motivational interviewing (MI) and being patient-centric to create a truly effective treatment plan. ABSTRACT: This presentation will give you the understanding of, and tools to, work with patients from a Relationship-Centered model, which is more powerful than the current patient-centered model. Youll learn how to create trust and partnership, whether in one visit or several, that will move even the most resistant patient forward. One key: Patients move when they first feel seen and heard. Through guided exercises, you will practice asking Relationship-Questions, recognize emergent solutions, explore patients strengths and skills, and, through a customized series of change questions, be able to co-design treatment plans that your patients will actually follow. This approach and these tools can be applied whether working with individuals or groups. These practices are both evidence-based and draw on scientific theories and research in Resilience, Complexity and Life Systems theories

Presentation Format(s) : MP3

$50.00

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F06 - Monitoring Medication Safety - Key Issues

Speaker(s) :

Laura Shane-McWhorter PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Differentiate components of medication safety. 2.Appraise pharmacovigilance and modalities that identify medication safety problems. 3.Describe safety issues of oral medications and injectable agents used to treat diabetes. ABSTRACT: This session will provide the educator with in depth information regarding safety of different diabetes medications. The attendee will review different modalities used to highlight medication safety, such as pharmacovigilance, data mining, signal detection, and risk evaluation mitigation strategies. Key studies that describe specific safety issues with oral and injectable agents will be presented. An overview of adverse events related to diabetes medications will be discussed, such as hypoglycemia, cardiovascular events, different cancers, macular edema, fractures, and drug interactions.?

Presentation Format(s) : MP3, MP4

$50.00

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F07 - Using a Virtual PCMH Model to Reduce the Prevalence of Diabetes and Prediabetes

Speaker(s) :

PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Discuss the key public and private players in this 12 county collaboration. 2.Identify at least two key success factors in making this collaboration work. 3.Describe at least two strategies for identifying the hot spots in the 12 counties and how they were addressed. 4.Identify the role of diabetes educators and other team members as part of the Patient-Centered Medical Home for diabetes as well as pre-diabetes. 5.Summarize the role of diabetes educators as facilitators of change. ABSTRACT: This session will describe how 12 contiguous, rural counties collaborated to reduce total cost of care and to improve the care for their high risk residents. The prevalence of diabetes and prediabetes in this area is high due to a number of issues such as ethnic diversity, high prevalence of obesity and physical inactivity, poverty and food deserts over much of the area. Providers from both the public and the private sector came together to create virtual Patient-Centered Medical Homes with virtual care teams designed to meet the unique needs of this rural population. Community leaders, providers, diabetes educators, pharmacists, community health workers and other key stakeholders supported the effort and all worked together to identify the hot spots in their communities and create a system that would prevent people from falling through the cracks. Outcomes, successes, and challenges will be reported.

Presentation Format(s) : MP3, MP4

$50.00

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F09 - Innovation "The Secret Weapon for Success in Your Diabetes Education Program!"

Speaker(s) :

Leslie E. Kolb PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Recognize the type of program that is the right fit for you as a diabetes educator. 2.Discuss the different education processes. 3.Identify barriers that all programs face. 4.Identify best practices when it comes to follow-up and on-going self-management support. ABSTRACT: Do you ask yourself Am I doing this right in my program? Is there a better way for my patients? Is there an easier way to get my work done? Come hear from program coordinators of AADE DEAP accredited programs that have learned that there is more than one way to help patients self-manage their diabetes. Youll hear from educators from a variety of educational settings that have seen success in their DEAP accredited programs. Youll hear from these entrepreneurs about how they educate creatively, tackle follow-up, and provide effective DSMS. If you are looking for ways to improve your diabetes self-management education program whether you are accredited or not, join us for some traditional and innovative experience sharing.

Presentation Format(s) : MP3, MP4

$50.00

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F10 - Addressing Emotional Health in Ethnic Minority Youth and Adults with Diabetes

Speaker(s) :

Adeola Akindana; Shondra McCage; Michelle Owens-Gary; Alexis Williams PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Discuss the association between emotional health and diabetes among American Indian and Alaska Native Peoples (AIAN) and African Americans (AA). 2.Describe why the National Diabetes Education Program developed educational material to address psychosocial issues associated with diabetes. 3.Describe how the National Diabetes Education Programs Living a Balanced a Life with Diabetes and the New Beginnings Discussion Guide can be used by diabetes educators to address emotional health for people with diabetes. ABSTRACT: Emotional health, a state of emotional and psychological well-being, has been found to influence diabetes outcomes and one?s risk of developing diabetes-related complications. Stress and untreated depression, for example, increase the risk, among people with diabetes, for many factors,, such as poor self-care, poor glycemic control, and even heart disease. Addressing emotional issues often associated with diabetes can help improve diabetes management and overall quality of life. Diabetes educators can play a crucial role in helping people with diabetes recognize psychosocial concerns and seek help for these concerns. This presentation will highlight how depression and stress can influence diabetes self-management in ethnic minority youth and adults, describe two NDEP tools that address emotional coping and cultural considerations with diabetes and discuss the role of diabetes educators in using these products with diabetes patients exhibiting mental health concerns.

Presentation Format(s) : MP3, MP4

$50.00

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F08A - Critical Care Glycemic Management: Pearls of Success

Speaker(s) :

Crystal Dodson; Jenny Parris Simpson PROGRAM OBJECTIVE: Establish innovative partnerships that promote chronic disease management through measurable outcomes LEARNING OBJECTIVES: 1.Explore the use of a glycemic control team in a multihospital setting to improve glycemic control in the ICU. 2.Describe an evidenced based practice project that explores improvement of an ICU hyperglycemia protocol. ABSTRACT: In 2008 an audit of hypoglycemic events on a 16 bed medical intensive care unit revealed that 60% of blood glucoses less than 70 mg/dL occurred when enteral feeds were held or stopped and that a majority of the low blood sugars occurred after patients were transitioned to subcutaneous insulin. Further, we noted that patients who transitioned to higher doses of basal insulin (given every 12 hours) were more likely to experience hypoglycemia when tube feedings were held, even with safety measures in place such as adding dextrose to fluids. Transition off IV insulin to the correct dose of subcutaneous insulin is challenging. Based on a publication by Bode (etal)recommendations for transition the ICU hyperglycemia protocol was changed to further reflect less basal insulin (due to the long half-life) and more prandial insulin which was divided by six in order to cover enteral feeds every four hours. A pilot was initiated to assess whether the change in protocol was effective and safe. The purpose of this study was to determine whether the addition of fast-acting insulin enteral feed coverage and a reduction in basal insulin improves glycemic control and decreases hypoglycemia in a medical intensive care unit.

Presentation Format(s) : MP3, MP4

$50.00

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F08B - Continuous Glucose Monitoring in Patients Using U-500 Regular Insulin

Speaker(s) :

Valerie Christensen; Beverly Pinkston PROGRAM OBJECTIVE: Establish innovative partnerships that promote chronic disease management through measurable outcomes LEARNING OBJECTIVES: 1.Identify severely insulin resistant patients 2.Identify effectiveness of U-500 regular insulin in severely insulin resistant patients 3.Interpretation of data obtained by Continuous Glucose Monitoring ABSTRACT: Severe insulin resistance is defined as requiring more than 200 units of insulin per day or more than two units of insulin per kg per day. This subset of patients is more likely to have uncontrolled diabetes mellitus. Studies have shown effectiveness of U500 regular insulin in this subset of patients and is considered to have both prandial and basal activity. However, in clinical practice we have found U-500 regular insulin to work best as a basal insulin but is not as effective in decreasing postprandial blood sugars. To evaluate this observation we undertook a prospective study. ?The results of this study will be presented.

Presentation Format(s) : MP3, MP4

$50.00

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F08C - Treating Corticosteroid-Induced Hyperglycemia in Hospitalized Patients with/without T2DM

Speaker(s) :

Anna J. Vannelli PROGRAM OBJECTIVE: Establish innovative partnerships that promote chronic disease management through measurable outcomes LEARNING OBJECTIVES: 1.Identify a population of patients that may require a specialized treatment plan to address their hyperglycemia. 2.Compare learner's hospital BG measures from similar population of patients with findings from this randomized-controlled trial. 3.Apply ideas presented to learner's own work facility to improved glycemic control in their patients ABSTRACT: A randomized, open-label, parallel-arm, two-phase study was conducted in a 426-bed, suburban Midwest hospital. The overall objective of this study was to establish a safe and effective subcutaneous insulin protocol to be used for hospitalized patients with hyperglycemia who had received greater than physiologic doses of corticosteroids (=/> 10 mg of prednisone/dose or equivalent). It was hypothesized that the experimental group would show statistically significant lower mean blood glucose (BG) as compared to the control group. It also was hypothesized that the experimental group would reach the target BG range of 70-180 mg/dL statistically more often compared to the control group. ?During this presentation the results from this study will be discussed.

Presentation Format(s) : MP3, MP4

$50.00

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WKSHP01 - ADA/EASD Guidelines for Management of Hyperglycemia in Type 2 DM: a Patient Centered Approach

Speaker(s) :

Deborah Hinnen; Silvio Inzucchi PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Identify factors that should guide the clinician's decision on setting individualized glycemic targets. 2.Describe medication management recommendations that address metabolic defects of diabetes relative to the specific needs of the person with diabetes. 3.Discuss teaching strategies to provide ongoing support for clinical goals. ABSTRACT: Many factors affect clinical outcomes. Landmark trials have demonstrated the value of good glycemic control with early and intensive intervention for reducing the risk of microvascular, neurologic and now macrovascular complications in diabetes. (DCCT, EDIC, UKPDS) Data from these studies provided evidence for major organizations to develop A1C and glycemic goals. The American Diabetes Association (ADA) and European Association for the Study of Diabetes (EASD) recommend A1C <7% for most people, while the American Association of Clinical Endocrinologists recommend A1C < 6.5% if attainable without significant hypoglycemia. However, recent studies have made clinicians realize that one size does NOT fit all. (ACCORD, Advance, VADT). People with pre-existing vascular complications, long duration of diabetes, increased risk of hypoglycemia, shortened life expectancy and other factors should guide the clinicians decision on setting individualized glycemic targets. The ADA in collaboration with EASD has recently released an extensive guidance document: Management of Hyperglycemia in Type 2 Diabetes: A Patient-Centered Approach. This document will be the centerpiece of this presentation, facilitated by the primary author and an advanced practice nurse/diabetes educator. Diabetes educators are in a unique position to identify factors that may guide clinical decisions. Not only are co-morbidities, life expectancy, disease duration and hypoglycemia risk considerations for glycemic goals, but also areas such as patient attitude, resources and support systems. These last important items are areas routinely assessed by diabetes educators. Beyond identifying factors to help clinical decision making, the diabetes educator is critical to the implementation of diabetes education, behavior change and ongoing monitoring and management for the person with diabetes. Understanding diabetes medication action, metabolic target, anticipated side effects, administration, costs and access are topics that take time to explain and implement for the person with diabetes. Providers write prescriptions after short visits with patients and often rely on educators to spend enough time to be sure the details of medication therapy are implemented.

Presentation Format(s) : MP3, MP4

$50.00

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WKSHP02 - Diabetes Shared Medical Appointments & CDE

Speaker(s) :

Dawn Noe; Sharon Ann Watts; Shannon Knapp 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 OBJECTIVES: 1.Discuss the role of the diabetes educators in Shared Medical Appointments. 2.Describe how to set up and bill for Shared Medical Appointments. 3.Describe shared medical appointments best practices ABSTRACT: Shared Medical Appointments (SMAs) have garnered increasing attention in the recent years as an innovative cost-effective way to offer self-management support and improved outcomes for chronic disease states like diabetes. Evidence supports patient satisfaction and improved outcomes for this model. Diabetes educators have robust training in the essential basics to provide SMAs such as Motivational Interviewing and Adult Education Principals. Examples of practical implementation strategies and sustainability elements will be addressed. Best practice shared medical appointment examples will be reviewed as well as the contribution of individual diabetes educator roles within the model. This session will involve interactive discussion between teams of two to three participants and the speakers.

Presentation Format(s) : MP3, MP4

$50.00

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WKSHP03 - Diabetes Meal Planning What Should Patients Eat?

Speaker(s) :

Jackie Boucher; Marion Franz; Susan Levin PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.State expected outcomes and when to evaluate nutrition therapy interventions. 2.Compare and contrast nutrition therapy strategies. 3.Summarize the scientific evidence on plant-based diets for diabetes cited in current clinical practice guidelines. 4.Discuss research supporting recommended nutrition therapy strategies. 5.Apply practical aspects of implementing nutrition strategies. ABSTRACT: RCT and outcome studies of diabetes nutrition therapy demonstrate decreases in A1C of 1 percent to 2 percent (range 0.5 percent to 2.6 percent) depending on the type and duration of diabetes and level of glycemic control. There are no ideal percentages of macronutrients; however, monitoring total carbohydrate is a key strategy for achieving glycemic control. Carbohydrate intake is reported to be ~45 percent of total energy intake and carbohydrate foods are important components of a healthy eating pattern. Food plans must be based on changes individuals are willing and able to make.Plant-based eating patterns have been extensively studied for weight management and disease prevention and treatment. In prospective studies of adults, compared to nonvegetarian eating patterns, plant-based eating patterns have been associated with lower prevalence rates of type 2 diabetes, cardiovascular disease, hypertension, and obesity and reduced medical care usage. The American Diabetes Association now includes well-planned, plant-based eating patterns (vegetarian and vegan) as a meal-planning option in their nutrition recommendations for people with diabetes. This presentation provides a brief overview of research on plant-based eating patterns, relevant nutrition issues and practical applications for clinicians.The centuries-old Mediterranean eating pattern has become increasingly popular in recent years ?starting with its release as a food pyramid in 1995 and subsequently as new research linked the diet to improved health status (i.e., primary and secondary prevention of cardiovascular disease) and quality of life. Although the various populations in the Mediterranean region vary in terms of their eating patterns, there are common denominators which characterize the traditional Mediterranean eating pattern. ?The purpose of this presentation is to briefly review the components of the eating pattern, discuss the research supporting the health outcomes associated with adherence to the diet, and provide applications to clinical practice.

Presentation Format(s) : MP3, MP4

$50.00

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WKSHP04 - Management of Type 2 Diabetes in Older Adults

Speaker(s) :

Elbert S. Huang; Vanessa Jones Briscoe; Peggy Soule Odegard; Carrie S. Swift PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Describe the epidemiology and pathophysiology of DM in older adults. 2.Discuss the evidence for preventing and treating diabetes in older adults. 3.Identify key considerations for individualizing treatment of DM in older adults. 4.Outline the "Diabetes in Older Adult" consensus recommendations. 5.Discuss the consensus recommendations to the treatment of DM in an older adult case patient. ABSTRACT: Diabetes prevalence in those 65 and older now surpasses 25%, however, evidence to support best practice, most cost-effective approaches to the prevention and treatment of DM in the older adult population are scarce. In 2012, an expert panel was convened by the American Diabetes Association to address these issues by considering the scientific evidence and expert opinion, and interpretation of the evidence. The relevant evidence includes unique pathophysiology of DM in aging, clinical trials and observational data regarding the effectiveness of core diabetes treatments in older patients, the need to consider multiple variables when individualizing goals, adjustment of treatment approach based on age-related changes in response or safety with therapy, and special considerations of the unique needs for support more common to the older population such as cognitive, motor, visual, and caregiver influences to promote optimal outcomes. This presentation will also highlight gaps in evidence and needs for future research.

Presentation Format(s) : MP3, MP4

$50.00

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WKSHP05 - Diabetes Medications: Review and Update

Speaker(s) :

Josh Neumiller; Evan Sisson PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Design patient-specific treatment regimen based on the 2012 ADA/EASD guidelines on management of hyperglycemia in type 2 diabetes. 2.Determine the role of SGLT-2 inhibitors in contemporary management of patients with type 2 diabetes. 3.Discuss the value of three-drug oral combination therapy (including colesevelam, bromocriptine and other third-line agents) for treatment of hyperglycemia in type 2 diabetes. 4.Describe the characteristics and initiation of an ideal basal insulin product based on patient-specific characteristics. 5.Describe how to modify and intensify insulin therapy based on glucose patterns and pharmacokinetic principles of insulin analogs. 6.Select appropriate insulin preparations for patients based on the pharmacokinetic profile, acquisition cost and individualized glycemic goals. ABSTRACT: This program will utilize a case-based approach to review and discuss the recent 2012 ADA/EASD guidelines. The presenters will outline how these guidelines may be applied in clinical practice based on patient-specific characteristics across the continuum of care and as treatment needs and patient preferences change to meet individualized treatment goals. Evidence to date regarding the use of currently available oral and injectable therapies alone or in combination will be presented. Data regarding the efficacy, safety and clinical utility of both newly approved drugs and agents in late-stage development will also be discussed. Specific agents that will be covered during this program will include the SGLT-2 inhibitor class of medications and the new basal insulin product, insulin degludec, among others.

Presentation Format(s) : MP3, MP4

$50.00

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WKSHP06 - BC-ADM: Whats in it For Me and My Career?

Speaker(s) :

Deepa S. Deshmukh; Jennifer J. D'Souza; Barbara Schreiner PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Describe the value of BC-ADM credential. 2.Discuss strategies for exam preparation. 3.List available study resources. 4.Describe the criteria for recertification. ABSTRACT: Are you wondering how to challenge yourself in the field of diabetes? Have you thought about the next steps in your career trajectory? Do you do more than diabetes education in your practice? Perhaps the BC-ADM (Board Certified in Advanced Diabetes Management) is right for you. Maybe you are considering joining the more than 600 colleagues who already have the BC-ADM designation. This interactive session will explore what the credential is, why it is valued by diabetes professionals, and how to prepare for the certification exam. Three diabetes professionals (a nurse, dietitian and pharmacist who have the BC-ADM) will offer their perspectives on the credential. The session will use case studies, sample test items, and an informal Q&A time to inform you and stimulate your own career planning.

Presentation Format(s) : MP3, MP4

$50.00

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S01 - Non-Acute Care Clinical for BSN Students: Chronic Illness Care and Diabetes Self-Management Support

Speaker(s) :

Jone Tiffany; Kathleen Tilton PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Identify at least two significant factors that necessitate preparing nursing students for non-acute environments of care with individuals with one or more chronic illnesses. 2.Discuss elements of chronic illness and diabetes care and management that are essential to include in nursing student education. 3.Describe the use of virtual simulation for clinical experience in a non-acute environment of care focused on chronic illness management and diabetes self-management support. 4.Describe the benefits of the educational experience to nursing students, patients with diabetes, and the health care system. ABSTRACT: In light of the national data on chronic disease and diabetes, current diabetes educators must answer the challenge to raise up the next generation of diabetes educators. Given the prevalence of chronic illness and diabetes, nursing students benefit from exposure to ongoing care of individuals with chronic illness, which generally occurs in a non-acute care environment. However, currently learning about patients with chronic illness occurs predominantly with an acute care focus in an acute care environment. In order to optimally prepare nursing students with the knowledge of the role of the registered nurse in non-acute chronic illness and diabets care and self-management support, a curriculum change to integrate non-acute care clinical experience has been integrated for baccalaureate students in a chronicity/adult health clinical course. Creative teaching methods have been used that have the potential to greatly impact student learning, patients with diabetes, and the health care system.

Presentation Format(s) : MP3, MP4

$50.00

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S02 - Choosing the Right Drug at the Right Time: Utilization of the 2012 ADA/EASD Position Statement

Speaker(s) :

Julie M. Sease; Kayce M. Shealy 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 OBJECTIVES: 1.Discuss treatment alternatives outlined in the ADA/EASD 2012 Position Statement for type 2 diabetes after initial metformin therapy. 2.Use real world case examples to choose the most ideal next drug therapy after metformin based on patient specific factors. 3.Employ the ADA/EASD 2012 Position Statement to develop an ongoing treatment plan in the event that further drug therapy modification is required to control hyperglycemia after the addition of a second oral drug. ABSTRACT: The ADA/EASD 2012 Position Statement on the Management of Hyperglycemia in Type 2 Diabetes includes a patient centered algorithm which allows for consideration of many treatment options in the management of type 2 diabetes after foundational therapy with metformin has been instituted. Choosing between these options can be daunting. This talk will seek to identify patient specific circumstances which cause one therapy to be preferential to others. Case application will be used to provide real life examples for the audience and active participation in case discussion will be encouraged through polling questions.

Presentation Format(s) : MP3, MP4

$50.00

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S03 - Late-Breaking News You Can Use: Updated ADA Nutrition Guidelines and AACE Comprehensive Diabetes Management Algorithm 2013

Speaker(s) :

Jackie Boucher; George Grunberger PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1. Describe the role of nutrition therapy for management of diabetes 2. Compare and contrast the 2008 nutrition position statement to the 2013 position statement 3. Discuss the importance of individualized patient care 4. Evaluate the algorithms for glycemia, obesity, prediabetes, and cardiovascular risk factor management ABSTRACT: The 2013 Type 2 diabetes treatment algorithm from the American Association of Clinical Endocrinologists (AACE) is the first to incorporate obesity, prediabetes, and cardiovascular risk factor management in addition to the traditional glycemia management algorithm. The AACE Comprehensive Diabetes Management Algorithm 2013 was published in the March/April 2013 issue of Endocrine Practice. The document comprises separate graphics addressing several aspects of diabetes and prediabetes management: a. Complications-centric model for care of the overweight/obese patient, b. Prediabetes algorithm, c. Goals of glycemic control, d. Glycemic-control algorithm, e. Algorithm for adding/intensifying insulin. f. Cardiovascular disease risk factor (i.e. dyslipidemia and hypertension) management algorithm, and g. Benefit/risk profiles of antidiabetic medications. The algorithm is truly comprehensive, attempting to upgrade care of the patient with type 2 diabetes and emphasizing individualized management of the whole patient and not just their glycemic control.

Presentation Format(s) : MP3, MP4

$50.00

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S04 - Managing Cardiovascular Complications of Diabetes: Dyslipidemia and Hypertension

Speaker(s) :

Jeremy L. Johnson; Katherine S. O'Neal 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.Summarize dyslipidemia and hypertension disease principles to empower patients to self-manage while utilizing health literacy sensitive approaches 2.List targets of therapy for dyslipidemia and hypertension 3.Differentiate between the treatment options available for dyslipidemia and hypertension specifically targeting patients with diabetes 4.Describe a treatment plan utilizing current NCEP, ATP, and JNC guidelines with respect to managing and treating patients to reduce risk and progression of macrovascular complications ABSTRACT: Cardiovascular complications are the number one cause of death for patients with type 2 diabetes. According to the most recent statistics, adults with diabetes have heart disease related death rates and strokes that are 2-4 times higher than adults without diabetes. Blood pressure and lipid control are cornerstone for reducing the risk of macrovascular complications; both, of which, can decrease the risk by up to 50%. Through evidenced-based therapy and health literacy sensitive patient education on understanding the disease states and associated health risks, both providers and diabetes educators can have a significant impact on patient care and improving patients quality of life. Participants will review current guidelines and recommended therapeutic options for managing diabetes patients with hypertension and dyslipidemia. Participants will work with cases to develop skills for evaluating complex patient patient scenarios and reinforce guideline based therapy.

Presentation Format(s) : MP3, MP4

$50.00

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S05 - Beyond the Clinic: Tackling Obesity and Diabetes Where They Live

Speaker(s) :

Dana Armstrong; Neal Barnard; Meghan Jardine 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 OBJECTIVES: 1.Describe the rising cost of healthcare as it relates to preventable chronic conditions. 2.Discuss scientific evidence supporting plant-based nutrition as a therapeutic option for preventing and treating diabetes as well as treating obesity. 3.Discuss various models of diabetes and nutrition education in multiple settings including businesses, schools, and communities. 4.Describe how to implement a plant based nutrition program ABSTRACT: The epidemics of obesity and diabetes are significantly contributing to the rise in health costs across the country. Many people with diabetes and/or obesity may not seek medical help promptly. Diabetes educators are in a unique role to think outside of the box and offer alternative options in addition to the traditional clinical environment. Models that provide nutrition interventions in nonmedical locations, such as work or school, can address these conditions more promptly. Individuals following a plant-based diet have very low rates of diabetes compared to omnivores. Studies have demonstrated a significant improvement in glycemic control, weight loss, and cardiovascular health more so with a low-fat vegan diet than with conventional dietary approaches. This presentation will review the therapeutic effects of plant-based nutrition for obesity and diabetes and review creative models to promote health and provide self-management education in the community to include local businesses and schools.

Presentation Format(s) : MP3, MP4

$50.00

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S06 - Anything is Possible: Interprofessional Graduate Education in Diabetes Education and Management

Speaker(s) :

Jane K. Dickinson 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 OBJECTIVES: 1.Summarize benefits of interprofessional education. 2.Identify opportunities and advances in graduate education in diabetes education and management. 3.Appraise benefits of diabetes educators using social media to interact with people who have diabetes. ABSTRACT: Interprofessional is the new multidisciplinary! This presentation takes a look at interprofessional education and the Master of Science in Diabetes Education and Management at Teachers College Columbia University. Why is interprofessional education such a buzzword these days? What are the benefits? We'll discuss innovations, what the students are saying, how we are integrating use of social media in the program, and what lies ahead. We will also look at ways we can blend academic conversations with clinical actions, and the value of doing so.

Presentation Format(s) : MP3

$50.00

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S07 - "DTools for Education": Games, Activities and Play-Based Education as Tools for Working with Youth

Speaker(s) :

Jen Hanson; Shelley D. Yeager 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 OBJECTIVES: 1.Identify developmental stages of learning. 2.Describe appropriate applications of play-based education. 3.Discuss the use of educational games and play as a method of instruction. 4.Recognize appropriate tools of teaching AADE Self Care behaviors throughout the various stages of learning. ABSTRACT: Studies show connections between play and intellectual and social skills, such as memory, verbal abilities, and emotional well being. Since the founding of camps for children with diabetes in the 1930s, games and play have been useful tools in educating youth with diabetes in the self-management of their conditions. This session will orient participants to the use of games and play as tools for diabetes education. More specifically, participants will learn age appropriate strategies to influence the self-care behaviors of youth with diabetes through active participation in play-based education. Participants will have the opportunity to trial a number of widely used games and activity tools - "DKit, a joint project of AADE and DECA; and Diabetium - an activity for young adults." At the conclusion of this session, educators will be able to incorporate play-based principles into their own teaching strategies and philosophies.

Presentation Format(s) : MP3, MP4

$50.00

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S08 - Planning a Successful Diabetes Educational Conference- Can the CE Application Process be Easy, Too?

Speaker(s) :

Tammi Boiko; Jill S. Walsh PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Describe the steps in planning an educational event. 2.Describe the process for developing activities in adherence with accreditation criteria. 3.State four tips for ensuring a smooth and efficient process when submitting an application for continuing education credits. ABSTRACT: Successfully implementing a continuing education program can be easy if you follow a planning to-do checklist. As a program planner, you know that participants often prefer to attend programs that award CE credits. Did you know that AADE is an approved provider of continuing education credits for nurses, dietitians, and pharmacists and that the application for CE credits is free for AADE CBs and LNGs? This session will provide information about planning an education event and a review of the requirements of the CE application process with tips for making this process pain-free for you as the program planner!

Presentation Format(s) : MP3, MP4

$50.00

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S09 - Divabetic Club Philadelphia: Dazzling Approaches to Diabetes Support

Speaker(s) :

Max Szedak, Stephanie Gaber, PharmD, CDE; Stephanie Gaber, PharmD, CDE PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Discuss components of the Divabetic national organization and the success of the Philadelphia Club 2.Identify successful strategies in utilizing an interprofessional health care team to interact with a diabetes support group 3.Analyze the innovative behavioral and lifestyle strategies, by experiencing a monthly meeting in progress. ABSTRACT: Divabetic, is a national nonprofit organization that infuses diabetes education with a ?Glam More, Fear Less? philosophy. Divabetic was inspired by the late R&B legend, Luther Vandross, and created and founded by his long-time assistant, Max Szadek, ?Mr. Divabetic?. In 2009, Divabetic partnered with Thomas Jefferson University Hospital in Philadelphia to create, Divabetic Club Philadelphia. This monthly initiative uses innovative approaches to diabetes self care management education and support. Using the nine Diva Principles of self management (that include the AADE 7), health professionals from the Jefferson community, the American Diabetes Association and local experts, motivate individuals to live their best life. Past workshops include Plate Poetry; individuals living with diabetes chose a word to tell their story and Love on a Two Way Street, where we explore issues of diabetes and sexuality. The signature event is an annual expo that combines diabetes education with beauty, fashion, food, and fun.

Presentation Format(s) : MP3

$50.00

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S10 - DISH: Diabetes Information and Support for your Health

Speaker(s) :

Victor Diaz; Amy M. Egras; Neva White; Kyle Holsinger PROGRAM OBJECTIVE: Establish innovative partnerships that promote chronic disease management through measurable outcomes LEARNING OBJECTIVES: 1.Describe the DISH model and the role of the interprofessional team. 2.Discuss the role of the action plan on self-management. 3.Discuss the role of the support group on self-management. 4.Describe the impact of DISH on patient outcomes. 5.Discuss the future plans for DISH to try to expand and capture more patients. ABSTRACT: The Diabetes Information and Support for your Health, DISH, is a shared medical group visit offered in a patient-centered medical home and have been ongoing for the past 4 years. These group visits are comprised of an interprofessional team including attending and resident physicians, nurse practitioner, clinical psychologist, clinical pharmacist, diabetes educators, medical assistants, and students (medical, pharmacy, Masters of Public Health, nursing). The visits include medical management, an interactive class, and self-management support. The program involves a healthcare team that works collaboratively with patients to develop an action plan each week. Many patients participate in DISH regularly because of the diabetes support group component. DISH participants have seen improvements in A1C as well as quality of life and healthy coping.

Presentation Format(s) : MP3, MP4

$50.00

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S11 - Partnering for Change: Motivational Interviewing Strategies for Inpatients, A Unique Approach

Speaker(s) :

Mary M. Austin; Mary T. Whitlock 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 OBJECTIVES: 1.Employ patient centered interviewing techniques during assessment. 2.Apply communication methods and tools to reach patients. 3.Employ the transtheoretical model to engage inpatients in achieving behavioral goals. 4.Identify barriers to self care prior to discharge. 5.Utilize educational tools,strategies and innovative medical management regimens to assist inpatients as they implement new behaviors into their lives. ABSTRACT: Diabetes educators are experts in utilizing the basic tenets of motivational interviewing in the outpatient setting. How do we employ these strategies in an efficient manner during our brief encounters with inpatients? Inpatient education encompasses more than just teaching survival skills. We need to know a patient's life experiences in order to assist them as they incorporate new regimens into their daily routine. Before we send someone home with a new prescription for intensive insulin management we need to know the answer to a very basic question, "Are they going to do it?" We have realized we can partner with patients through the use of succinct patient centered interviews and motivational interviewing techniques. This collaboration leads to enlightening discussions with the patient's care team as we transition individuals back into their community health care settings. As we build relationships with patients and colleagues, we improve patient outcomes and satisfaction.

Presentation Format(s) : MP3, MP4

$50.00

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S12 - Win! Win! Win! Employers, Employees and Health Coaches

Speaker(s) :

Jane A. Ruppert PROGRAM OBJECTIVE: Establish innovative partnerships that promote chronic disease management through measurable outcomes LEARNING OBJECTIVES: 1.Identify the components of a performance based health and wellness program. 2.Discuss health coaching engagement that promotes self-management education and behavior change for diabetes prevention and control. 3.Describe outcomes data that demonstrates health risk reduction. 4.Describe outcomes data that demonstrates impact on employer medical spending. 5.Describe outcomes data that demonstrates satisfaction rates. ABSTRACT: Diabetes has emerged as of one of the major health problems for the 21st century. It is associated with obesity and physical inactivity and can lead to devasting complications. Of particular concern is the suboptimal prevention and management of diabetes including glycemic control, blood pressure and blood lipids. A more progressive approach to diabetes prevention and management must be implemented that is a collaboration between employers, employees and providers. Health coaches who are CDEs can play an important role. Innovative programs can be delivered in cost-effective ways that can accelerate behavior change and provide support for employees and employers. Clearly, this trifecta approach is a winner for all.

Presentation Format(s) : MP3, MP4

$50.00

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S13 - Can we Talk? Applying the Essential Elements of Health Literacy into Your Practice

Speaker(s) :

Marie Frazzitta; Joanne Turnier 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 OBJECTIVES: 1.Define the importance of health literacy and its impact on health care. 2.Describe health literacy assessment strategies/ techniques. 3.Identify available tools and techniques to assist persons with low health literacy. ABSTRACT: Health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make health decisions. According to the National Assessment of Adult Literacy only 12% of adults are proficient. Low literacy is linked to poor health outcomes, higher rates of hospitalization and less frequent use of preventive services. Health literacy incorporates a number of social and individual factors including cultural and conceptual knowledge, listening, speaking, numeracy, writing and reading skills. Poor health literacy skills affect an individuals ability to navigate, understand and make important health care decisions. Health literacy has recently evolved into a dynamic, cross cutting issue that not only addresses the patients knowledge deficits, but also examines the way healthcare professionals communicate that information. Applying the essential elements of health literacy into the diabetes self management educational process is essential in promoting behavioral change and improving outcomes.

Presentation Format(s) : MP3, MP4

$50.00

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S14 - To Supplement or Not to Supplement: Helping Patients Choose

Speaker(s) :

James Albert Bennett PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Identify drug nutrient depletion issues noted with common medications prescribed for patients with diabetes. 2.Describe how to explain to and clarify for patients the current news reports and controversies involving vitamin mineral and complementary supplementation issues. 3.State appropriate dosing for 5 of the top supplements being used today. 4.Describe how to access websites and other information sources to obtain credible and relevant information. ABSTRACT: Aside from the headline news reports and mainstream medicine opinions of complementary medicines, there is another level of interesting and credible information that is not widely spoken of. This program will look into some of the areas of integrative medicine that may be of benefit to our patients. It will also seek to clarify the issues involving common vitamin-mineral supplementation and allow diabetes educators to better interact with their patients in these areas.

Presentation Format(s) : MP3

$50.00

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S15 - Pharmacology and Patient-Centered Care: A Critical Analysis of Prescription Medication Choices

Speaker(s) :

Caroline B. Trapp PROGRAM OBJECTIVE: Establish innovative partnerships that promote chronic disease management through measurable outcomes LEARNING OBJECTIVES: 1.Examine the concept of diabetes pharmacocentrism. 2.Critique the safety, efficacy and cost(s) of specific treatment options for type 2 diabetes. 3.Summarize a new model for intensive diabetes management. ABSTRACT: This presentation provides an update and a conceptual model for individualizing care of the person with diabetes, and evaluates interventions (including insulin) based on efficacy, safety, risks, beneficial side effects and cost. A 2012 joint statement from the ADA and EASD, based on important trials such as the ACCORD, ADVANCE, and VDAT, challenges us to re-examine prescribing practices and target A1C levels for people with type 2 diabetes. The concept of diabetes pharmacocentrism will be explored, and nurse practitioners and diabetes educators will be asked to consider how we can improve the care of people with diabetes by promoting safe and effective evidence-based alternatives to reliance on medication.

Presentation Format(s) : MP3

$50.00

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S16 - Understanding the Impact Psychiatric Disorders Play on Managing Ones Blood Glucose Control

Speaker(s) :

Eliot LeBow PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Describe psychiatric disorders in patients. 2.Recognize how psychiatric disorders can impact blood glucose control. 3.Discuss how psychiatric medications can impact blood glucose control. 4.Illustrate how to address denial overall and during the referral process. 5.Apply tools that will assist with assessing whether the patient needs to be referred to a psychotherapist or psychiatrist. ABSTRACT: This presentation explores how psychiatric disorders impact people with diabetes, behavior and cognitive abilities. The etiology of psychiatric illness in people with diabetes will be explored. This presentation will also address how both psychiatric illnesses and psychiatric medication can impair a person with diabetes ability to continuously manage their blood glucose levels. How psychiatric medications can improve the self-management of continuous blood glucose levels will also be addressed. The discussion will include ways for educators to reduce the impact of psychiatric problems on blood glucose control, provide guidance as well as useful handouts for determining whether the patient needs to be referred to a psychotherapist for further evaluation.

Presentation Format(s) : MP3

$50.00

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S17 - Meaningful Use, How the Beacon Program Helped our Clinic Meet Guidelines

Speaker(s) :

Carol Rasmussen 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 OBJECTIVES: 1.Appraise how Meaningful Use impacts one's own practice. 2.Demonstrate how the Beacon Program helps with using Meaningful Use. 3.Apply the information to positively impact clients' health. ABSTRACT: As we are all dealing with the requirements of Meaningful Use in our own practice areas, the project can be overwhelming. From the goals set out, to possibly needing to institute a new EMR or upgrade the current one there are many identifiable concerns. In 2010, The Office of the National Coordinator, ONC, for Health Information Technology offered grants totaling $250 million to 17 selected communities across the US. Now a year later the Beacon program in Utah and specifically Exodus Healthcare, have data to show improvements in care and outcomes. This program has had a few concerns and several successes. Now moving into the next stage and continuing with the Beacon program will bring additional challenges.

Presentation Format(s) : MP3, MP4

$50.00

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S19 - The Journey of Hunterdon Medical Center

Speaker(s) :

Elizabeth A. Tursi PROGRAM OBJECTIVE: Establish innovative partnerships that promote chronic disease management through measurable outcomes LEARNING OBJECTIVES: 1.Define the theory of basal-bolus therapy and why it is important to move away from the use of sliding-scale insulin. 2.Explain the process for development of a subcutaneous insulin order form which does not allow physicians to order sliding scale insulin. 3.Describe components of an education plan for use of a new order form which uses the insulin correction formula and mealtime insulin calculations. ABSTRACT: Hyperglycemia can prolong length of stay as an inpatient and delays patient healing. Basal bolus insulin therapy best mimics our body's natural insulin response. With elimination of the of sliding scale, a reactive approach to insulin delivery, at our medical center we calculate the patient's insulin needs based upon current blood glucose and carbohydrate counting. With the use of the insulin correction formula and mealtime insulin calculation this more closely matches the patient's insulin needs which leads to a reduction in hyperglycemia and quicker discharge. The journey to eliminate sliding scale insulin from our subcutaneous insulin order form is described.

Presentation Format(s) : MP3

$50.00

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S20 - It is Possible to Increase the Number of Certified Diabetes Educators in Your Region

Speaker(s) :

Ardis Ann Reed PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Describe the current need for diabetes educators. 2.Discuss the barriers clinicians feel prevent them from sitting for the CDE exam. 3.Illustrate different ways to remove those barriers to recruit new CDEs. ABSTRACT: Our nations health care industry is moving to a Chronic Disease Management model because of the shift from acute illnesses as the leading causes of death to chronic diseases as the leading cause of death. This shift is resulting in an increased need for chronic disease self management programs and educators. As diabetes is a leading cause of death, diabetes self management programs are critical. But there is a shortage of diabetes educators, especially in rural areas. This presentation will review the current need for diabetes educators, the perceive barriers from current Certified Diabetes Educators in Texas preventing CDE candidates from sitting for the CDE exam and illustrate different ways to remove the barriers and motivate CDE candidates to prepare for the CDE exam. A recent project to increase CDEs will be highlighted to further demonstrate what is POSSIBLE.

Presentation Format(s) : MP3, MP4

$50.00

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S18A - Diabetes Education Program with Supervised Physical Activities: Tools to DM 1 Reach the Target

Speaker(s) :

Jane Dullius; Guilherme Falco Mendes; Tulio Cesar Lins 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.Recognize the aspects that interfere and need to be observed when a Type 1 diabetic person will play physical activities and measure their blood glucose level; 2.Interpret the direction of these values measured, if these are increasing or decreasing; and 3. Employ these knowledge in their practice. ABSTRACT: The specific and specialized multi-professional orientations are fundamental and necessary parts of an Education program to achieve the benefits and avoid risks to the health of individuals with diabetes. Because the recommendation that exercises should be regularly performed as a continuous and monitored activity, it can be placed as hypothesis that a supervised exercise program can be an appropriate way to provide, maintain and support a diabetes education program. Thus, the aim of the present study was to verify the glycemic variation (acute and long term) after supervised exercises in an interdisciplinary diabetes education program with type 1 diabetic people under conventional medical treatment. During this session the results will be presented.

Presentation Format(s) : MP3, MP4

$50.00

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S18B - So You Want A Systematic Review of Diabetes Self-Management Education?

Speaker(s) :

Ruth Lipman PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Define systematic review 2.Discuss databases for searching published literature 3.Describe appropriate inclusion criteria to achieve desired outcomes ABSTRACT: Have you ever wondered what really goes into creating a systematic review? Or have you ever wondered what the evidence has to say about the impact of diabetes self-management education? If so, this session is for you.As the name reflects, a systematic review is an effort to collect and summarize all the empirical evidence on a particular research question. And as the name implies, it uses clearly defined methods to get there. Use of systematic approach minimizes bias so that the conclusions drawn are seen to objectively reflect the state of the science.This presentation will provide process discussion on databases for searching published literature, the use of key words and medical subject headings, and study selection inclusion criteria. An overview of what goes into data extraction methodology, assessing the strength of the evidence, and data synthesis will be discussed using the working example of a systematic review on diabetes self-management education.The outcomes resulting from the following primary research question will be described: What is the impact of diabetes self-management education (DSME), also known as diabetes self-management training (DSMT), on the short-term (less than 12 months) and long-term (>12 months) clinical outcomes of individuals diagnosed with type 2 diabetes mellitus compared with routine care. And then, if possible, determine if the setting, educator, type of educational intervention, and or the duration/intensity of the intervention affects outcomes observed. The number and quality of the studies published in various databases as well as preliminary observations from this study will be presented.

Presentation Format(s) : MP3, MP4

$50.00

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S18C - Canadas First National Survey of Diabetes Educators: Implications for Practice, Policy and Research

Speaker(s) :

Diana Sherifali 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 OBJECTIVES: 1.To gain a greater understanding of the structures, processes and potential outcomes of the diabetes educator role in Canada. 2.To recognize the practice issues regarding the heterogeneity of the diabetes educator role. 3.To understand the implications of the national survey of educators for policy and research. ABSTRACT: A cross-sectional online survey was undertaken to gain a greater understanding of the structures, processes and potential outcomes of the diabetes educator role in Canada. The survey results will provide a broader and in-depth understanding of the DE role as it is implemented and utilized across Canada. The findings will provide further understanding for role development (policy, education and practice), health care systems and future research examining the DE role and its impact on individuals living with diabetes.

Presentation Format(s) : MP3, MP4

$50.00

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WKSHP07 - Nutritional Assessment and Management of the Bariatric Surgery Patient with Diabetes

Speaker(s) :

Margaret Furtado; Phillip Schauer PROGRAM OBJECTIVE: Implement effective community models of self management that facilitate lifestyle modification LEARNING OBJECTIVES: 1.Identify the most common micronutrient deficiencies inherent to bariatric surgery procedures performed in the U.S. 2.Recognize potential signs and symptoms of micronutrient deficiencies post-op bariatric surgery 3.Describe guidelines for treating and managing micronutrient deficiencies. 4.Recall general guidelines for managing both macronutrient and micronutrient needs and potential challenges after bariatric surgery. 5.Identify strategies to manage the nutritional care of patients after bariatric surgery. 6.Identify potential benefits of probiotics, omega 3 supplements, and other supplements with regard to management of the bariatric patient with diabetes. 7.Recognize guidelines and strategies to incorporate bariatric nutritional guidelines for the patient with diabetes. ABSTRACT: Clinical nutrition guidelines for the care of the bariatric surgery patient have been created and published, including ASMBS guidelines. Despite a broader view of nutritional needs cited in this paper, the overall recommendations may be applicable to bariatric surgery patients with diabetes. Macronutrients needs and recommendations may vary among procedures and centers, but many bariatric centers utilize a general goal of 60-80 grams of protein per day or 1.0-1.5 g/kg ideal body weight, with higher needs attributed to patients with the malabsorptive procedure biliopancreatic diversion/BPD-DS. Expert bariatric clinicians have suggested a goal of 100 grams of CHO per day may decrease nitrogen losses by 40% in modified protein fasts. There is great need for well-designed controlled trials examining the long-term benefits and risks of bariatric surgery and the ideal medical and lifestyle guidelines among individuals with diabetes.

Presentation Format(s) : MP3, MP4

$50.00

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WKSHP08 - Reimbursement and Diabetes

Speaker(s) :

Leslie Kolb; Patty Telgener PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Define Medicare coverage and payment for DSMT. 2.Explain how to improve profitability. 3.Identify changes related to healthcare reform. 4.Describe reimbursement for CGM, insulin pump training, etc. ABSTRACT: This session will provide participants with an overview of DSMT and Medicare coverage. CPT codes will be explained and information provided to use these codes to help improving profitability. Changes in 2013 and impact of healthcare reform on diabetes will also be discussed.

Presentation Format(s) : MP3, MP4

$50.00

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WKSHP09 - Current Apps for Diabetes: Embracing the Technology at Your Fingertips

Speaker(s) :

Molly McElwee; Marisa Moore 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 OBJECTIVES: 1.Identify at least three new developments in diabetes technology that can be adopted into one's current practice. 2.Describe how to reduce redundancy in data collection. 3.Describe how to apply new technology to facilitate patient compliance. ABSTRACT: If there is an app for that, why arent you using it? Diabetes Technology (DT) is changing the way the practitioner and the patient preform Diabetes Self-Management Education (DSME). Previously, your patients may have brought paper blood glucose logs, food diaries and activity accountability to clinic for their appointment. New inventions like iBG-Star smart phone glucometer, MyFitnessPal, and Diasend and Carelink; there is no reason to stick with pen and paper. A number of DTs are available to allow you to see exactly what happened and enable you to give the most timely and pertinent advice for the individual. Learn about addressing your clinic regarding data saved on the cloud, keep up with HIPPA compliance, and keeping patients information safe. Dont shy away from DTs just because it may be new to you; let us show you how easy it can be for you and your patients.

Presentation Format(s) : MP3

$50.00

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WKSHP10 - Diabetes Best Practice and Technology

Speaker(s) :

Irina Sigal; Patricia Farrell 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 OBJECTIVES: 1.Define the pathway to establishment of a best practice program. 2.Describe the ability to enhance self-management via technology. 3.State the importance of data driven programming and education. ABSTRACT: As the University Hospital for Albert Einstein College of Medicine, Montefiore Medical center is a premier academic medical center nationally renowned for its clinical excellence, scientific discovery and commitment to its community. Montefiore provides medical services to more than two million people in the Bronx and Westchester County, as well as to many others from across the New York metropolitan area and the nation. Montefiore Home Care and Montefiore care management teams have developed a keen interest in the promising field of technology because of its potential to enhance quality service delivery for an increasing population of older New Yorkers who are choosing to age in their own homes. The health impact and costs associated with treatment of diabetes and its complications are considerable, particularly for our patient population. Given shortages in the geriatric workforce, technology will play an increasingly critical role in the delivery of health-related services and information. The technology programs offered by Montefiore Medical teams achieve multiple health goals for New York elders: Client hospitalizations are reduced, especially for individuals with chronic health conditions such as Diabetes and Heart Failure. Individuals are empowered to take charge of important aspects of their own health care by being provided with a means for monitoring their health regularly. Client disease knowledge is increased, as telehealth devices can also deliver educational messages about symptoms, conditions and preventative measures. Our Home care team developed a best practice program to assist our clinicians in improving patient care for those with Diabetes. After developing and revising the best practice program to include telehealth, we have noted a dramatic improvement in HgA1C, reduction of Blood Pressure and reduction of hospitalizations. The use of telehealth technology in the home care setting is one of the more creative approaches to minimize health care costs while enhancing the quality of care Telehealth, within a best practice framework, can be an effective means to encourage self-care and improve patient outcomes for those with Diabetes. Through consistent glucose, Blood Pressure and hemoglobin A1C monitoring, you can make an impact on diabetes care. Telehealth has afforded us the opportunity for early intervention which has included; changes in medication orders, ongoing education about medication use, and referral to physical therapy,psychiatry or social work. Used to supplement clinician assessment, telehealth gives a voice to patients by enabling them to report symptoms in real time. MontefioreTelehealth program was nominated by New York Home care Association with a special award as the Telehealth champion program for establishing a strong network communication about the value of home telemonitoring and providing e exceptional care for a 92-year-old telehealth patient at the end stage of her life. Montefiore Telehealth program was participating in the study "A collaborative approach to control hypertension in Diabetes" with Einstein research medical group which has been published in Journal of Primary Care and Community health.

Presentation Format(s) : MP3

$50.00

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WKSHP11 - Culturally Sensitive Diabetes Education in Minority Populations: Strategies to Success

Speaker(s) :

Lenore T. Coleman; James Gavin III PROGRAM OBJECTIVE: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change LEARNING OBJECTIVES: 1.Evaluate the impact of health disparities on chronic disease management. 2.Appraise the challenges that affect the care and management of diabetes in African Americans and Latinos. 3.Describe the effect of culture and health care beliefs of minority populations that affect chronic disease management outcomes. 4.List several communication and community based strategies that can be used to have a positive impact on changing patient behavior. 5.Summarize techniques and strategies to improve medication adherence in diabetes populations. ABSTRACT: Lack of education about proper diet and exercise leading to obesity are major factors contributing to high rates of diabetes in African Americans. The AA and Latino diet lends itself to meals that are high fat with portion sizes that are larger than recommended. Many minority patients with diabetes are confronted with neighborhoods without major grocery stores, lack of public transportation and a scarcity of public parks and recreation centers. These factors along with the lack of understanding of the disease process, increased risk of comorbid conditions like hypertension and depression make management of diabetes in minorities much more complicated. If we add on the lack of health insurance which impacts the patient's ability to see their practitioner 3-4 times a year, obtain blood glucose monitoring supplies and obtain access to medications, the challenges seem insurmountable. Today lecture will provide some well tested strategies designed to improve diabetes care.

Presentation Format(s) : MP3

$50.00

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