American Association of Diabetes Educators

Session : AADE901
Prediabetes, Diabetes, And Cardiovascular Risk: Can We Do More?
Content Area - 3. Complications/Co-Morbidities
Conference : AADE 2009 Annual Meeting & Exhibition
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Richard W. Nesto, MD, Chair Cardiovascular Medicine; Chairman Division of Medicine, Lahey Clinic

Program Objective - Identify innovative models and methods of care and education.,Integrate new ideas and technologies into a practice to improve outcomes.

Learning Objectives - 1) Review the CV risk associated with prediabetes and Type 2 diabetes 2) Describe the mechanisms responsible for residual risk for CVD beyond modification of CV risk factors 3) Discuss current clinical trials evaluating drugs to control glycemia and their potential to reduce Cv risk

Abstract Text - The increasing prevalence of type 2 diabetes poses a significant cardiovascular threat despite the progress made in primary and secondary prevention of cardiovascular disease over the past 20 years. Dr. Nesto shares his renowned cardiovascular insights into diabetes risk factors for a first cardiovascular event and their effects on patient outcomes after a cardiac event.

Financial Disclosure - There are no relevant financial relationships to report for this speaker

Session : AADE902
Motivation! Getting The Most Out Of Counseling Interview Sessions
Content Area - 1. Behavior Change Strategies
Conference : AADE 2009 Annual Meeting & Exhibition
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Katherine L. Mulligan, MS, RD, LD, CDE, Clinical Dietitian, Doctors Hospital North/Ohio Health Corporation, Columbus, OH

Program Objective - Identify innovative models and methods of care and education.,Integrate new ideas and technologies into a practice to improve outcomes.

Learning Objectives - 1. Define the theoretical base of motivational interviewing to include readiness, confidence, and importance. 2. Describe two methods to assess and improve self-confidence and to improve importance ratings in performing diabetes self-management tasks. 3. Using a case study, practice motivational interviewing strategies to build self-confidence and improve importance in performance of diabetes self-management skills.

Abstract Text - This informative and interactive session on motivational interviewing techniques is designed to help the diabetes educator build skills to educate clients in a self-directed way. The content emphasis is on how to facilitate clients to choose to perform a given self-management task. Addressed will be: basics of motivational interviewing theories, assessment techniques, activities to help clients improve their confidence to perform a given task and much more. Participants will be given an opportunity to practice one or more of the techniques discussed.

Financial Disclosure - There are no relevant financial relationships to report for this speaker

Session : AADE903
Virtual Educator: Integrating New Technologies To Deliver Diabetes Education
Content Area - 9. Technology
Conference : AADE 2009 Annual Meeting & Exhibition
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Michele L Livingston, RD, MS, LDN, CDE

Program Objective - Identify the skills and knowledge sets the diabetes educators will need to function in future roles.

Learning Objectives - 1. Explore new strategies for delivering diabetes education with new technology 2. Discuss development and implementation of educational materials for web and phone based applications 3. Describe the transition from face-to-face interactions to web and phone based communication.

Abstract Text - Technology equips educators with exciting new tools to reach out to their patients. Understanding how to deliver education in these evolving formats is crucial. Virtual communication has distinct advantages and can be just as effective as face-to-face communication. This session uses case discussions to show how educators will apply web and phone applications to assess, educate, and engage patients effectively.

Financial Disclosure - Michele Livingston: There are no relevant financial relationships to report for this speaker

Session : AADE904
New Recommendations in Self-Monitoring of Blood Glucose
Content Area - 1. Behavior Change Strategies
Conference : AADE 2009 Annual Meeting & Exhibition
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Richard Bergenstal, MD

Program Objective - Identify innovative models and methods of care and education.,Integrate new ideas and technologies into a practice to improve outcomes.

Abstract Text - Self-monitoring of blood glucose (SMBG) will continue be valued (clinically important and reimbursable) only if it is considered part of the priorities of care for diabetes. Establishing the evidence base of the essential nature of SMBG and translating that evidence into a practical approach to utilizing SMBG as a management tool should be a professional goal. This presentation focuses on the desire for every patient with diabetes, at every visit or contact receives a treatment plan (that is documented) for optimizing glucose control. To achieve this a new model of diabetes care that engages a team as standard practice is needed. Diabetes educators are at the center of a new dimension in the effective use of SMBG. That dimension will be realized once every patient interacting with a medical team knows when to test, what their values should be and how to take action to improve SMBG and CGM values.

Financial Disclosure - This speaker has no relevant financial disclosures to disclose.

Session : AADE905
Diabetes Education In a Primary Care Practice
Content Area - 4. Education Delivery
Conference : AADE 2009 Annual Meeting & Exhibition
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Carol Rasmussen, MSN, NP-C, CDE, Coordinator, Diabetes Education, Exodus Health Care, Magna, UT

Program Objective - Identify the economic issues in diabetes education and plan active engagement as a change agent.

Learning Objectives - 1. Identify how to market skills to a Primary Care Practice. 2. State how providing an alternate focus in education will benefit the educator, the provider, and the person with diabetes. 3. Describe how the different reimbursement options work.

Abstract Text - As the number of people with diabetes continues to increase and programs are cutting back, there is a critical need to find other options to provide DSMT. This may be provided in an alternate site such as primary care offices. This would benefit the CDE who may have had their hours cut by helping their client to remain healthy by having programs that are available to them in a primary care practice environment.

Financial Disclosure - There are no relevant financial relationships to report for this speaker

Session : AADE906
Glycemic Management In Cardiac Rehab
Content Area - 2. Clinical Management
Conference : AADE 2009 Annual Meeting & Exhibition
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Sandra Pieschel, BSW, RN candidate MPA, CDE, Manager, Diabetes Care and Cardiac Rehabilitation, Torrance Memorial Medical Center, Torrance, CA

Program Objective - Identify innovative models and methods of care and education.,Integrate new ideas and technologies into a practice to improve outcomes.

Learning Objectives - 1. Apply Evidence-Based rationale for provision of an exercise-based glycemic management education program, with a chronic care model as in cardiac rehabilitation programs. 2. Describe through proactive, individualized examples how to minimize adverse glycemic trends which are variably affected by the lifestyle interrelationships of exercise, medications, nutrition and stressors. This knowledge will enhance potential to achieve optimal clinical outcomes for patients with glycemic management concerns. 3. Actively participate in a unique interactive, animated power point game that demonstrates critical thinking skills applied to exercise and lifestyle in patients with variable glycemic responses as in Cardiac Rehabilitation settings.

Abstract Text - This session reviews current policy, reimbursement status and evidence that supports early, aggressive, exercise-based education in a chronic care model for patients with glycemic management concerns. A survey report from the California Society for Cardiac Rehabilitation offers insight into collaborative heightened awareness and shifts in cardiac rehabilitation standards of clinical practice in relation to glycemic management as well as the needs and practice patterns identified in the survey.

Financial Disclosure - Sanofi Aventis Educational Grant

Session : AADE907
AADE7 Behavior Change Tool: Tracking Behavior Change Stimulated By Continuous Glucose Monitoring
Content Area - 1. Behavior Change Strategies
Conference : AADE 2009 Annual Meeting & Exhibition
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Virginia Valentine, CNS, BC-ADM, CDE, Clinical Nurse Specialist, CEO, Diabetes Network, Albuquerque, NM

Program Objective - Identify the skills and knowledge sets the diabetes educators will need to function in future roles.

Learning Objectives - 1. Assess usefulness of a 10 question tool to measure change in self-care behaviors based on AADE 7 self-care behaviors. 2. Identify self-management behaviors supported by continuous glucose monitoring

Abstract Text - Key strategies to achieve diabetes self-management are; 1) understanding the areas of self care that need behavior change and 2) providing patients with effective tools to make those changes. A simple behavior change tool would assist in identifying areas that have changed after intervention and topics that need further intervention. To address these needs, a simple 10 question tool was developed based on the AADE7. Continuous glucose monitoring (CGM) has been shown to provide biofeedback to help patients understand the impact of their behavior and therapy. Health care professionals who have diabetes served as the subjects because they understand diabetes management and yet, are often confounded by life with diabetes. After wearing a CGM system for one month the survey was repeated to determine survey effectiveness in identifying behavior change needs and changes that occurred. This presentation will share the tool and how CGM can provide biofeedback supporting behavior change.

Financial Disclosure - Virginia Valentine - Eli Lilly: Consultant, speaker, Educator Advisory Board, Global device board Amylin: Speaker, advisory board Smiths Medical: Speaker, advisory board Abbott, Merck, Roche,: Speaker M2: consultant Intuity medical: Advisory board Calibri: Advisory board Tethys: Advisory board

Session : AADE908
Stories To Reach, Teach & Heal People Affected By Diabetes
Content Area - 4. Education Delivery
Conference : AADE 2009 Annual Meeting & Exhibition
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Catherine C. Feste, Author/Speaker, Humedico, Inc., Minnetonka, MN

Program Objective - Identify the skills and knowledge sets the diabetes educators will need to function in future roles.

Learning Objectives - I. discuss the rationale for using stories and storytelling in diabetes education II. describe the difference in effectivness between reading a story to a group and telling the story. III. list tips for incorporating story into the practice of diabetes education IV. identify personal/professional concerns about using a story approach. V. tell a story

Abstract Text - Diabetes is about much more than blood glucose. As such, it should not be thought of in purely biomedical terms. Stories help the educational offering to veer off the path of pie charts and bullet points, bringing it into its true realm of lived experience. Patient and healthcare professional stories play a role in connecting the intellectual and emotional levels of diabetes information. They help people to tap their experiences and their perceptions of those experiences in search of ways in which to understand their worldand solve problems.

Financial Disclosure - There are no relevant financial relationships to report for this speaker.

Session : AADE909
Pedorthics For Diabetic Foot Care
Content Area - 6. Evidence Based Practice
Conference : AADE 2009 Annual Meeting & Exhibition
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Donna M. Robertson, MS, PhsEd/Health, NATA, C.Ped, Certified Athletic Sports Pedorthist, Specialist Foot Solutions, Marietta, GA

Program Objective - Integrate new ideas and technologies into a practice to improve outcomes.

Learning Objectives - 1. Review pedorthic evaluation and objectives to be performed for those patients with various mechanical disorders. Shoe wear, shoe modifications and orthoses design will be covered along with some orthotic management principles. 2. Describe selection of appropriate foot wear (strong heel counter, shock absorbing sole, flared heel, athletic shoe, depth inlay shoe) and application of effective therapeutic features can help to improve patients ability to walk, decrease pain and decrease the likelihood of over use injuries. 3. Apply knowledge of pedorthic intervention.

Abstract Text - A certified pedorthist is an important member of the clinical medical team in that they treat people with diabetic foot disorders. Application of proper footwear and appropriate custom foot orthoses are essential elements in the total management of this challenging disease. This session will address various foot complications as well as treatments and footwear remedies.

Financial Disclosure - There are no relevant financial relationships to report for this speaker

Session : AADE910
Get Up & Go! Exercise Can Help Diabetes
Content Area - 2. Clinical Management
Conference : AADE 2009 Annual Meeting & Exhibition
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Karen L. Kemmis, DPT, MS, PT, CDE, Physical Therapist / Exercise Physiologist, Joslin Diabetes Center Affiliate at Syracuse, Syracuse, NY

Program Objective - Identify the skills and knowledge sets the diabetes educators will need to function in future roles.

Learning Objectives - 1. Describe physiological changes that occur in the aging adult including those in the person with diabetes. 2. Demonstrate simple functional tests that can be done in the diabetes educator's office with a person with diabetes to determine mobility-related impairments, dysfunction, and disability. 3. Choose simple exercises to assist the person with diabetes and mobility limitations. 4. Apply information gained from movement testing to create an exercise prescription for the person with diabetes and movement disability.

Abstract Text - Physical activity and exercise are key components in diabetes self-management, but the Centers for Disease Control and Prevention report that many people with diabetes have substantial mobility limitations including the inability to walk a quarter mile, climb stairs, stand two hours, and stoop, bend, or kneel. These limitations worsen with age. Many diabetes programs do not have an exercise specialist. This session will assist diabetes educators in exploring a new dimension of patient education with exercise. The bottomline? Improved diabetes control, general health and quality of life.

Financial Disclosure - There are no relevant financial relationships to report for this speaker.