2-Day Diabetes Certificate Conference

Credit

Handouts/Brochure

Speaker

Laurie Klipfel, RN, MSN, ANP-BC, CDCES, WCC® Related seminars and products

VA-John Cochran St. Louis

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Laurie Klipfel, RN, MSN, ANP-BC, CDCES, WCC®, has been a Certified Diabetes Care and Education Specialist for over 20 years managing both inpatient and outpatient care for patients with diabetes. She has managed several hospital ADA-recognized diabetes education programs, is a Board-Certified Adult Nurse Practitioner with a specialty in endocrinology, and has a certification in wound care.

Laurie is a member of the American Association of Diabetes Care and Education Specialists and past president of her local chapter. She is a certified insulin pump trainer and has published articles on use of insulin pumps for hospitalized patients. Her practical patient experiences, supported by clinical knowledge, provide a blend of information on how to treat diabetes today.
 

Speaker Disclosures:
Financial: Laurie Klipfel has employment relationships with the VA-St. Louis and the Diabetes & Endocrinology Specialists, Inc. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Laurie Klipfel is a member of the St. Louis Nurses in Advanced Practice.

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Objectives

1. Determine diagnostic criteria for the different types of diabetes.
2. Evaluate the relationship between metabolic syndrome and pre-diabetes.
3. Analyze optimal treatments based on ADA Standards of Care and AADE-7® behavioral goals.
4. Appraise the basal/bolus concept of insulin administration including various insulin administration schedules.
5. Assess for prevention/treatment techniques for acute and chronic complications.
6. Integrate evidence-based research to focus on healthy behavior rather than weight loss.
7. Plan to address tight glycemic control, including management strategies during illness or surgery.
8. Determine what to do when a patient is wearing an insulin pump.
9. Analyze motivational techniques to assist patients to progress.
10. Distinguish the benefits of new treatment therapies.
11. Analyze basal/bolus administration of insulin and how to adjust insulin dosages.
12. Plan to improve patient outcomes through evidence-based strategies.

Outline

• Diabetic ketoacidosis (DKA)
• Hyperglycemic hyperosmolar
• Non-ketotic syndrome (HHNK)
• Hypoglycemia
• Infection
• Fatigue/depression

• Cardiovascular disease
• Peripheral vascular disease
• Retinopathy
• Nephropathy
• Neuropathy

• Glucose control
• Blood pressure control
• Lipid management
• Smoking cessation
• Improved “well-being”

1. Healthy eating (carbohydrate counting, balanced fat/protein/carb)
2. Being active with complications of diabetes
3. Healthy coping/stress management/ depression treatment
4. Monitoring: frequency, timing and evaluation of results
5. Risk reduction
6. Problem-solving with case examples
7. Medication: indications and Contraindications

• Sulfonylureas
• Meglitinides
• Thiazolidinediones (TZD)
• Biguanides
• Alpha-glucosidase inhibitors
• DPP-4 inhibitors
• SGLT-2 inhibitors
• Incretin Mimetics
• Combinations

Injectables

-Insulin

• Action times
• Basal/bolus dosing
• Benefits of insulin pump therapy
• Management of insulin pump in the hospital

-Incretin Mimetics

• Amylinomimetics
  • Newer Therapies
  • Glucose sensors
  • Sensor-augmented insulin pumps
  • On the Horizon:
• Closed loop insulin pumps
• Improved pancreatic transplants
• Many combination pills
• More DPP-4 inhibitors
• Obesity medications
• Stem cell research

Healthy Coping/Stress Management Skills

-Healthy Weight

• Genetic component
• The Obesity Paradox
• Healthy choices
• Treatment options with pros/cons
• Focus on healthy behaviors

-Patient Education and Empowerment

• Techniques
• Adult learning styles
• Setting “SMART” goals
• Motivational techniques

-Improving Glycemic Management In Hospitalized Patients

• Standards of care
• Goals
• Surgical considerations
• Insulin pumps in hospitalized patients
• Resources for patients and professionals

Case Studies

• Delaying onset of diabetes for at risk patient
• Choosing the best initial treatment for newly diagnosed diabetes
• How to advance therapy with optimization of oral agents
• Advancing to combination therapy
• Optimizing basal bolus insulin therapy
• Motivational techniques
• How to address weight issues
• Improving glycemic management in hospitalized patients

Target Audience

• Nurses
• Nurse Practitioners
• Clinical Nurse Specialists
• Dietitians
• Certified Diabetes Care and Education Specialists
• Physician Assistants
• Pharmacists