American Association of Diabetes Educators

Session : AADE1302
W01 - Implementing Findings from the NDEP National Diabetes Survey Results: Where Do We Go From Here?
Conference : AADE 2013 Annual Meeting & Exhibition
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$15.00

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.

Session : AADE1303
W02 - Diabesity: The New Tardive Dyskinesia? Second Generation Antipsychotics, Diabetes, and Obesity
Conference : AADE 2013 Annual Meeting & Exhibition
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$15.00

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.

Session : AADE1304
W03 - Integrating Diabetes Education in Nursing Day to Day Practice: Efficiently,Timely & Patient-Centered
Conference : AADE 2013 Annual Meeting & Exhibition
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$15.00

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.

Session : AADE1305
W04 - Diabetes Education and Weight Management Programs: An Ideal Partnership For the Future
Conference : AADE 2013 Annual Meeting & Exhibition
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$15.00

Christine Y. Roberts; Kendall L. Smith

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.

Session : AADE1306
W05 - Children and Type 2 Diabetes: Management of the Cardiovascular Co-Morbidities
Conference : AADE 2013 Annual Meeting & Exhibition
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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.

Session : AADE1307
W06 - Alternative Models-Shared Medical Appointments: One Size Does Not Fit All
Conference : AADE 2013 Annual Meeting & Exhibition
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Elaine M. Massaro

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.

Session : AADE1308
W07 - Can You Hear Me? The Connection Between Diabetes, Hearing Loss and Depression
Conference : AADE 2013 Annual Meeting & Exhibition
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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.

Session : AADE1309
W08 - Looking to Licensure: One State Coordinating Body's Experience
Conference : AADE 2013 Annual Meeting & Exhibition
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$15.00

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.

Session : AADE1310
W09 - Forgiveness and Health in African American Patients: Is There a Place for This in Diabetes Care?
Conference : AADE 2013 Annual Meeting & Exhibition
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$15.00

Magon M. Saunders

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.

Session : AADE1311
W10 - Prandial Coverage by Carbohydrate to Insulin Ratio in the Hospital, 2012 Bayer Grant
Conference : AADE 2013 Annual Meeting & Exhibition
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$15.00

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.