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Friday, February 19, 2021

Psychosocial Interventions to Promote Self-Care Behavior in People with Diabetes

Mark Heyman. PhD, CDCES

Living with diabetes involves so much more than managing blood sugars. Diabetes takes an emotional and psychological toll as well. The emotional burden of living with diabetes impacts quality of life and diabetes management behaviors. As a result, health care professionals who work with people with diabetes need to be familiar with the emotional challenges of living with diabetes. They should also be trained to provide brief interventions to support their patients in overcoming these challenges.

This presentation will provide an overview of the most common psychological issues people with diabetes experience. Using several case studies, we will talk about how health care providers who care for people with diabetes can help people reduce psychosocial and behavioral barriers to diabetes management. Specifically, we will introduce several brief interventions health care providers can use to address psychosocial barriers to diabetes management in their practice.

Learning Objectives:

  1. List some of the common psychosocial barriers to diabetes management
  2. Describe how diabetes care and education specialists can help people reduce psychosocial and behavioral barriers to diabetes management
  3. Implement brief interventions to address psychosocial barriers to diabetes management in their practice

Nutrition Therapy for Adults with Diabetes or Prediabetes: A Consensus Report

Ka Hei Karen Lau, MS, RDN, LDN, CDCES
Joslin Diabetes Center, Registered Dietitian

Janice MacLeod, MA, RD, CDCES, FADCES
Companion Medical, Director Clinical Advocacy

This session will review the major topics covered in the American Diabetes Association (ADA) nutrition consensus report and highlight key findings, including updated evidence and practice guidelines incorporated into the ADA Living Standards of Care. This session will attempt to address new content as well as reinforce existing findings that continue to be points of debate in the nutrition community.

Learning Objectives:

  1. Define a consensus report and its application into clinical practice.
  2. Describe the key messages presented in the ADA consensus report.
  3. Describe and an apply the major nutrition guidance changes from the ADA into their clinical practice.

Individualizing and Intensifying Nutrition Interventions

Laura Andromalos, MS, RD, CSOWM, CDCES
University of Minnesota Medical Center; Clinical Nutrition Manager

While many eating patterns work for people with diabetes, sustainability of the plan is essential for success. Nutrition professionals can help patients develop a nutrition plan that is evidence-based and aligns with their lifestyle and values. With the chronic nature of diabetes, intensifying therapy beyond lifestyle will be necessary for many patients. To promote lifelong diabetes management, nutrition professionals must be able to determine when nutrition therapy alone is no longer adequate as a primary therapy and to develop nutrition plans to support intensified therapies, such as medications and metabolic surgery.

Learning Objectives:

  1. Implement individualized nutrition interventions based on evidence-based guidelines and patient values
  2. Determine when nutrition interventions are insufficient to achieve health goals
  3. Develop nutrition interventions to support intensified therapies, such as medications and metabolic surgery

Sponsored by General Mills
All content was developed and controlled by the speaker.

Multicultural Counseling in Diabetes and Nutrition Education: Strategies and Techniques

Lorena Drago, MS, RDN, CDN, CDCES
Hispanic Foodways, LLC; Principal

More than 26 million people in the United States have been diagnosed with diabetes. Hispanics, African Americans, Asians, and Native Americans have a higher prevalence of diabetes than non-minority individuals. With the changing demographics, dietetic professionals must become ever more competent in multicultural counseling. Multicultural counseling includes understanding the biological, environmental, socioeconomic, educational complexities of diverse communities. Understanding all of these factors can help dietetic professionals design and implement diabetes and nutrition treatment modalities that can optimize health outcomes.

Learning Objectives:

  1. Name and define one of three communication tools to provide effective culturally competent care
  2. Provide key nutrition counseling strategies that work in clinical practice
  3. Describe how utilizing a cultural food habit questionnaire can be useful in providing culturally competent care

Case Studies and Wrap-Up


Saturday, February 20, 2021

Maximizing Medication Adherence by Minimizing Barriers

Katherine O'Neal, PharmD, MBA, BCACP, CDCES, BC-ADM, AE-C, CLS, FADCES
University of Oklahoma College of Pharmacy; Associate Professor

The CDC reports that about 20-30% of prescriptions are never filled and about 50% of prescriptions are not continued as prescribed. For chronic conditions such as diabetes, medication adherence is about 50%. To achieve success with diabetes management, medication adherence is critical. Patients, healthcare providers and the health care system all play a role in medication adherence. Dietitians caring for persons with diabetes are in a unique position to assess patient adherence, barriers to adherence, and help determine the most effective methods to promote adherence. This educational program will review common barriers to medication adherence and strategies to overcome those barriers, which may help to optimize patient self-management and clinical outcomes.

Learning Objectives:

  1. Describe the economic, clinical and humanistic impact of poor medication adherence
  2. List multidimensional barriers that might affect medication adherence
  3. Describe medication considerations and other resources for patient-centered care

The Diabetes Galaxy: Looking Beyond Glycemic Management

Susan Cornell, PharmD, CDCES, FAPhA, FADCES
Midwestern University College of Pharmacy- Downers Grove; Associate Director/Associate Professor

Evidence-based guidelines and recommendations for the prevention, early detection, and treatment of diabetes are critical to optimal health and outcomes for people with diabetes. It is well known that monotherapy cannot achieve glycemic control for many people. When initiating a second-line therapy, clinicians must select among several treatment options and look beyond glycemic lowering. This interactive session will discuss the evidence and best practices of care for people with diabetes, including a review of current American Diabetes Association pharmacotherapy standards of care and the preferred treatment options to improve A1c, cardio-metabolic and renal health, and reduce the risks associated with diabetes.

Learning Objectives:

  1. Summarize recent changes to the American Diabetes Association Management of Hyperglycemia in Type 2 Diabetes.
  2. Describe recommendations for appropriately selecting glycemic-lowering medications to reduce ASCVD, HF and/or CKD risk in patients with type 2 diabetes.
  3. Discuss contraindications and adverse effect considerations when recommending therapies for people with type 2 diabetes.

Technology and the Nutrition Professional: The Role of Glucose Monitoring to Reduce Hypoglycemia

University of Chicago, Program Manager

The presentation will discuss the current technology used to obtain glucose information, approaches to glucose data interpretation and clinical applications of glucose monitoring in people with diabetes with a focus on prevention and treatment of hypoglycemia.

Learning Objectives:

  1. Identify the current methods to obtain glucose information, along with the current glucose recommendations throughout the lifespan.
  2. Give examples of how to interpret glucose data from downloads focusing on risk of hypoglycemia.
  3. Discuss key teaching points regarding use of glucose data with people with diabetes.

Case Studies and Wrap-Up