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1. Apply the evidence-based recommendations for the key diabetes nutrition interventions related to: carbohydrate, protein, and fat.
2. Apply the evidence-based recommendations for the key diabetes nutrition interventions related to sick day management and self-monitoring blood glucose.
3. Summarize the 8 classes of anti-diabetes drugs, their mechanism of action, prescribing and meal planning considerations.
4. Recognize 5 characteristics of candidates appropriate for basic and advanced carbohydrate counting.
5. Determine 6 strengths and weaknesses associated with advanced carbohydrate counting.
6. Apply 3 methods to calculate the insulin-to-carbohydrate ratio.
7. Explain basal-bolus insulin therapy, including determining starting dose, insulin-to-carbohydrate ratio, and correction factor.

New ADA Nutrition Guidelines: First update since 2008

• Macronutrients
  • Carbohydrate
• Sweeteners
• Resistant starch
• Fiber
  • Protein
  • Fat
• Micronutrients
• Vitamins and minerals
• Cardiovascular disease
• Nutrition Intervention
  • Type 1
  • Type 2
  • Gestational
  • Pregnancy and lactation
  • Sick Days

Medication Management

• Anti-diabetes drugs and insulin therapy
  • New class of oral drugs
    • Sodium-glucose co-transporter 2 inhibitors
  • Hypoglycemia treatments
• Meal planning considerations
• Pattern management
• Physical activity and exercise

Management of Complications and Co-Morbidities

• Obesity
  • New FDA approved drugs
• Metabolic syndrome
• Cardiovascular disease
• Kidney disease

Nutritional Intervention and Meal Planning Strategies

• Carbohydrate counting
  • Basic
  • Advanced
• Glycemic index
• DASH diet
• Plant-based diet
• Supplements, alternative and complimentary care

Problem Solving

• Travel
• Sick day guidelines
• Fasting
• Dining out

Putting it All into Practice

• Counseling skills
  • Motivating the non-compliant patient
  • Working with family members
• Case studies

Neuro-Genetic Disorders

• Sample meal plans
• SMBG food and activity diary
• Sick day guide
• Supplemental carbohydrate guidelines for physical activity
• Table for daily carbohydrate choices divided by food group
• Table for carbohydrate grams per meal
• Converting carbohydrate grams to carbohydrate choices
• Step-by-step guide to calculating insulin-to-carbohydrate ratio and sensitivity factor

Marlisa Brown, MS, RD, CDE, CDN, is a Registered Dietitian, certified diabetes educator, chef, author, and international speaker. She is president of Total Wellness, Inc., a nutritional consulting company. Her passion is evident and recognized. Marlisa was awarded the Diabetes Educator of the Year from the American Dietetic Association and Dietician of the Year from the Long Island Association.

She has served as past president, media representative, public relations, and bulletin chair for the New York State Dietetic Association. She serves on the "dlife professional counsel", the online companion to CNBC’s premier diabetes program. In addition, Marlisa has presented across the country for many organizations, companies, and groups, including The American Association of Diabetes Educators, The New York State Dietetic Association, The Kennedy Space Center, Hofstra and Adelphi Universities, Goldman Sachs, Brookhaven National Labs, and The New York Jets. Speaker Disclosures:
Financial: Marlisa Brown has an employment relationship with Total Wellness, Inc. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Marlisa Brown has no relevant non-financial relationships.

For U.S. and Canadian customers, a CE test is available for $9.99 USD per participant. International CE rates may vary; please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion may be emailed, faxed or mailed to participants completing the post-test/evaluation and paying the CE fee.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Certified Diabetes Educators
The National Certification Board for Diabetes Educators recognizes courses sponsored by a CDR approved provider. This self-study course qualifies for 5.5 continuing education hours.

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Registered Dietitians & Dietetic Technicians

PESI, Inc., PE001, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR) from July 1, 2019 through June 30, 2022. Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 5.5 continuing professional education units (CPEUs) for completion of this program/materials. Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program, or materials. This self-study program/material is designated as LEVEL 2.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 5/11/2018
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 5.5 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 5.5 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.8 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 5.5 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 5.5 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 5.5 CE credit hours.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 6.8 contact hours.

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Other Professions
This self-study activity qualifies for 5.5 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Certified Diabetes Educators, Registered Dietitians & Dietetic Technicians, Nurses, Physical Therapists/Physical Therapist Assistants, Physician Assistants, and other Healthcare Professionals