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Exploring the Essential Features of “Laurie Klipfel – The Ultimate One-Day Diabetes Course – PESI”
Speaker: Laurie Klipfel, RN, MSN, ANP-BC, CDCES, WCC®
Format: Audio and Video
Media Type: Digital Seminar
Description
While 1 in 13 Americans have diabetes; 1 in 4 are diagnosed with pre-diabetes.
All healthcare professionals will care for patients with diabetes, pre-diabetes or metabolic syndrome on a daily basis, regardless of specialty. As management of diabetes becomes increasingly complex, it is imperative to keep up to date on new treatment options and standards regarding complication prevention. You play an important role in diabetes prevention, care, and management. Your role begins with a solid understanding of diabetes and its treatment.
Attend this seminar and increase your understanding of diabetes and pre-diabetes, and learn evidence-based pharmacological and non-pharmacological techniques for glucose control. You will leave with an in-depth understanding of the latest approaches in assessing and treating patients with diabetes, as well as new skills to apply for those at risk for diabetes.
Laurie Klipfel will provide you with strategies to optimize patient education and empowerment so you can improve the care you provide to diabetes patients.
Speaker
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 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.
Target Audience
- Nurses
- Nurse Practitioners
- Clinical Nurse Specialists
- Physician Assistants
- Diabetes Educators
- Pharmacists
- Registered Dietitians
- Dietetic Technicians
Objectives
- State diagnostic criteria for diabetes and understand the differences between Type 1, Type 2 and pregnancy induced (gestational) diabetes.
- Evaluate metabolic syndrome (“the deadly quartet”: diabetes, hypertension, hyperlipidemia and obesity) and pre-diabetes.
- Recognize the symptoms of hyper- and hypoglycemia and use current research for optimal pharmacologic and non-pharmacological treatment based on ADA Standards of Care and AADE-7â„¢ behavioral goals.
- Discuss the basal/bolus concept of insulin administration including various insulin administration schedules to achieve optimal control.
- Assess risk and employ prevention/treatment techniques for acute and chronic complications, including how to address weight issues.
- Utilize current research to support the nationwide impetus for tight glycemic control for hospitalized patients, including management strategies during illness or surgery.
- Explain what to do when a patient is wearing an insulin pump.
- Analyze motivational techniques to assist patients to progress from knowing to doing.
- Describe new treatment therapies and what is on the horizon.
Outline
Diabetes: Current Diagnostic Criteria and Prevalence
- Type 1/Type 2
- Pregnancy and diabetes
- Metabolic syndrome/pre-diabetes
- Other causes of hyperglycemia
Importance of Glycemic Control
- Outpatient:
Acute Complications: Causes, Symptoms and Treatment
– Diabetic ketoacidosis (DKA)
– Hyperglycemic hyperosmolar non-ketotic syndrome (HHNK)
– Hypoglycemia
– Infection
– Fatigue/depression
Chronic Complications:
– Prevention, Identification, and Treatment
– Cardiovascular disease
– Peripheral vascular disease
– Retinopathy
– Nephropathy
– Neuropathy - Inpatient:
Morbidity
Mortality
Length of stay
Goals of Therapy
- Glucose control
- Blood pressure control
- Lipid management
- Smoking cessation
- Improved “well-being”
Treatment
- AADE-7 behavioral goals
- Healthy Eating (carbohydrate counting, balanced fat/protein/carb)
- Being active with complications of diabetes
- Healthy coping/stress management/depression treatment
- Monitoring: frequency, timing and evaluation of results
- Risk reduction
- Problem-solving with case examples
- Medication: Indications and Contraindications
Oral medications:
– Sulfonylureas
– Meglitinides
– Thiazolidinediones (TZD)
– Biguanides
– Alpha-glucosidase inhibitors
– DPP-4 inhibitors
– SGLT-2 inhibitors
– Combinations - Insulin:
– Action times
– Basal/bolus dosing
– Benefits of insulin pump therapy
– Management of insulin pump in the hospital
– Incretin Mimetics: Byetta
– Amylinomimetics: Symlin
New Therapies
- Glucose sensors
- Sensor-augmented insulin pumps
- On the Horizon:
Closed loop insulin pumpsImproved pancreatic transplants
Many combination pills
More DPP-4 inhibitors
Obesity medications
Stem cell research
New Medications
Patient Education and Empowerment Techniques
- Adult learning styles
- Setting “SMART” goals
- Motivational techniques
Resources for Patients and Professionals
Please see the full list of alternative group-buy courses available here: https://lunacourse.com/shop/