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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.

Importance of Glycemic Control – Acute Complications, 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

Goals of Therapy

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

AADE-7 ®Behavioral Goals

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

Oral Medications

• 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

Laurie Klipfel, RN, MSN, ANP-BC, CDCES, WCC®, has been a Certified Diabetes Care and Education Specialist for over 20 years managing both impatient 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 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.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $29.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). 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 are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**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.

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.

Continuing Education Information
NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others. Continuing Education Information: Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. 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. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before purchase. Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession. 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 profession's standards. For Planning Committee disclosures, please see statement above. For speaker disclosures, please see the faculty biography.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 12.5 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 12.5 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 12.5 self-study contact hours. Please email cepesi@pesi.com with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

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Other Professions
This self-study activity qualifies for 12.5 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.

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