Diabetes: An Introduction
Contact Hours: 3.5
Cost: $35.00
For a complete list of accreditations for this course, please see the accreditation information box below the author’s bio. All states (with the exception of Hawaii) recognize our courses for accredited continuing nursing education, CNE, contact hours.
An online continuing education course for nurses, medical health care professionals, and other interested individuals.
Diabetes (also known as Diabetes Mellitus) is a chronic disease state, in which the pancreas does not produce enough insulin, or the body does not effectively utilize the insulin being produced. The result of such events is that an increased amount of glucose remains in the bloodstream. This is known as hyperglycemia. Uncontrolled hyperglycemia can lead to numerous medical conditions, and, in extreme cases, can be life-threatening. Prompt, early treatment is the best way to control the disease process and reduce the occurrence of associated complications.
The world of diabetes is constantly changing. Newer medications, monitoring devices, and dietary guidelines are showing up in the news on an almost daily basis. Earlier detection and treatment are successfully giving the person with diabetes the ability to take control of their health and well-being.
According to the Centers for Disease Control and Prevention, the National Diabetes Statistics Report of 2017 paints a quite different picture of diabetes than previous years. There are now approximately 30.3 million people with diabetes, roughly 9.4 % of the United States population. 23.1 million are diagnosed, leaving 7.2 million people unknowingly living with a chronic disease.
The World Health Organization gives us a different look at diabetes. According to their research, the number of people with diabetes has risen from 108 million in 1980 to 422 million in 2014. Additionally, the global prevalence of diabetes among adults over 18 years of age has risen from 4.7% in 1980 to 8.5% in 2014.
Type 2 diabetes accounts for 90-95% of all diabetes; Type 1 diabetes accounts for the remaining 5-10%. This important statistic reminds us that the majority of people with diabetes are in a position to make positive lifestyle changes that can affect their diabetes, control their blood sugars and lower their risk of diabetic related complications. Throughout this diabetes educational program, such changes/choices will be discussed.
The goal of this Continuing Education program is to educate all levels of providers on the chronic disease process known as diabetes, and to empower them to recognize their own personal risk factors. The program will discuss lifestyle changes, as well as overview medications available to treat diabetes. Additionally, the program will discuss medication conditions associated with diabetes, their treatment goals, and proper patient education. Finally, the program is written to enhance the practice of healthcare providers in all areas of practice, from acute care settings to long term care facilities. Specific guidelines will be outlined for the care of a diabetic patient in a variety of clinical settings.
Objectives
Upon completion of this course, you will be able to:
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Differentiate between type 1 and type 2 diabetes
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Explain the pathogenesis of diabetes
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Verbalize criteria used to diagnose diabetes
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Discuss the management of diabetes
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Identify potential complications of diabetes
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Verbalize the worldwide impact of diabetes on the economy
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Identify the criteria used to diagnose pre-diabetes
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Identify the criteria used to diagnose metabolic syndrome
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Identify the criteria used to diagnose diabetic ketoacidosis (DKA)
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Identify the criteria used to diagnose a hyperosmolar,hyperglycemic, nonketosis state (HHNK)
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Verbalize risk factors for the development of diabetes
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Verbalize lifestyle changes to reduce/prevent diabetes
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Discuss the Diabetes Prevention Program components
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Discuss (uncontrolled) diabetic related complications
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Explain the different types of oral hypoglycemic medication
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Explain the different types of insulin medication
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Discuss care of multiple diabetic patients in long term care facilities
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Review principles of the Sliding Scale insulin administration
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Discuss glucometer usage and troubleshooting techniques
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Verbalize the 504 plan in relationship to school aged children with diabetes
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Discuss CMS and Joint Commission (HAC and certification)
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Explain the link between Diabetes and Viral Hepatitis in Long Term Care facilities
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Diabetic patient care safety issues-insulin storage, bottle labeling, and hand washing
Curriculum
Chapter 1 Introduction to Diabetes
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Anatomy and physiology of diabetes
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Pathology and pathogenesis of diabetes
Chapter 2 Pre-Diabetes
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Pre-diabetes definition
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A1C versus eAG
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Diabetes Prevention Program
Chapter 3 Metabolic Syndrome
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Metabolic Syndrome definition
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Diagnostic criteria, risk factors, prevention efforts
Chapter 4 Overview of Type 1 Diabetes
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Type 1 diabetes
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Beta cell destruction and lifetime insulin therapy
Chapter 5 Overview of Type 2 Diabetes
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Type 2 diabetes
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Lifestyle changes, risk factors, methods of prevention, and treatment options
Chapter 6 Overview of Gestational Diabetes
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Gestational diabetes
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Diagnostic criteria
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Risk factors
Chapter 7 MODY and LADA
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MODY (maturity onset of diabetes in youth)
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LADA (latent autoimmune diabetes in adults)
Chapter 8 Diabetes and Sick Day Management
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Sick Day Management guidelines
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Diabetic ketoacidosis (DKA)
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Hyperosmolar, hyperglycemic nonketosis (HHNK)
Chapter 9 Diabetes Patient Education
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Diabetic complications: foot care
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Patient education regarding complications (risk reduction and prevention)
Chapter 10 Oral Hypoglycemic Agents
Oral Diabetic Medications
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Meglitinides
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Sulfonylureas
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Dipeptidy Peptidase-4 (DPP-4) inhibitors
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Biguanides
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Thiazolidinediones
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Alpha-glucosidase inhibitors
Injectable Medications (Excluding Insulin)
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Amylin mimetics
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Incretin mimetics (also known as GLP-1 Receptor Agonists)
Overview of Hypoglycemia
Chapter 11 Introduction to Insulin
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Insulin-types of
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Sliding scale insulin administration
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Insulin injection site rotation
Chapter 12 Unique Blood Sugar Phenomenon
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Dawn phenomena
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Somogyi effect
Chapter 13 Diabetes and School Age Children
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School age children with diabetes & the 504 plan
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The School Bill of Rights for Children with Diabetes
Chapter 14 Acute Care Facility of Diabetes
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Centers for Medicare and Medicaid Services (CMS) and Joint Commission-Diabetes specific issues
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Non-reimbursement of Hospital Acquired Conditions (HAC)
Chapter 15 Long Term Care Facilities and Diabetes
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Diabetes and Viral Hepatitis in Long Term Care facilities
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Proper handling and dispensing of medications
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Proper hand washing techniques
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Proper storage of diabetic testing supplies