Mary Ann Rosa & Nancy Moline – Comprehensive Diabetes Management Course

Module 1: The Basics of Diabetes

• Glucometrics
• Glucose flow sheets
• Questions to ask yourself

Module 2: Diabetes in the Emergency Department

• The 5 I’s of diabetes
• Diagnostic criteria and treatment of DKA & HHS
• Associating mean blood glucose and in–hospital mortality

Module 3: Insulin

• Guidelines by AACE & ADA
• Guidelines for subcutaneous insulin therapy
• Insulin sensitivity and correction factors

Module 4: Hypoglycemia

• Factors leading to increased risks
• Triggering events
• Keeping a balance with insulin and hypoglycemia

Module 5: Controlling Blood Sugar Levels

• 4/12 rule for initiating basal/prandial insulin
• Counting carbohydrates
• NPO and tube feeding for type 1 & 2 diabetic patients

Module 6: Insulin and Insulin Pumps

• How to use U–500 insulin
• Typical insulin pumps
• Continuous glucose monitoring receiver on tandem pumps

Module 7: Barriers to Glycemic Control

• Avoiding glycemic barriers
• Exercising glycemic control
• Diabetic tools for your smartphone

Module 8: Applying What You Learned

• Reading flowsheets
• Case studies

Module 1: Broad Look at Diabetes & Risk Factors

• Normal blood glucose control
• The role of hormones & the effect on the GI system
• Major metabolic effects of insulin

Module 2: Screening for Diabetes

• Simple diabetes risk test
• Criteria for screening
• Reading your screening results

Module 3: Self Monitoring & Management Strategies

• Dawn phenomenon, somogyi effect, and paired testing
• Causes, consequences, and treatments of hypoglycemia & hyperglycemia
• Diabetic ketoacidosis cycle and treatment

Module 4: Insulin & Non–insulin Management

• Non–insulin injectables and oral medications
• Glycemic control algorithm
• Pediatric diabetic treatments

Module 5: Comorbidities

• Linking diabetes, depression, and dementia
• Microvascular and macrovascular complications
• Pharmacological and non–pharmacological management strategies

Module 6: Nutrition Therapy & Physical Activity

• Carbohydrate consistent diet plans
• Breaking down sugar sources, proteins, and fats
• Implications for older adults and pregnant women

Module 7: Strategies for Patient Adherence

• Causes and treatments for nonadherence
• Enhancing self–management & adherence
• Providing psycho–social support to your patients

Module 8: Telehealth

• Advantages and disadvantages
• Evidence based studies supporting telehealth
• Legal and ethical issues

Module 9: Self–management Education and Case Studies

• Medicare guidelines for coverage
• National standards for educational programs
• Case studies incorporating what you learned