Thursday Session Details

Product Theatres 6:30 am – 7:30 am

PT09
Not Just A Little Pink In The Sink—The Diabetes, Dental, and Oral Health Connection

Having diabetes doubles the risk of periodontal disease, and having periodontal disease doubles the risk of type 2 diabetes. In this fun interactive program, you will learn the history (myths and facts) of the relationship of oral and systemic health as well as the new emerging science we have today. Learn simple ways to not only help your patients, but also to help you and your loved ones take better care of their (your) oral and dental health to help prevent or manage diabetes and overall health.

This program is sponsored by The Colgate-Palmolive Company

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General Session 8:00 am – 9:30 am

G02
Beyond GLP-1: The Future of Peptide Hormone Therapies


David M. Kendall, MD
Medical Director and Chief – Clinical and Professional Services, International Diabetes Center
Adjunct Associate Professor of Medicine – University of Minnesota

In the last decade peptide hormones—including the incretin hormones—have emerged as key elements of both the pathophysiology and treatment of diabetes and obesity. International leader Dr. Kendall will share the risks, benefits and clinical applications related to glucagon-like peptide 1 (GLP-1) and other peptide therapeutics that investigators and clinicians are exploring.

UPN: 069-000-09-204-L01-P

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Concurrent Breakout Sessions 10:30 am – 12:00 pm

T01
The Art & Science of Inpatient Diabetes Management

Jane Jeffrie Seley, MPH, MSN, CDE, GNP
Diabetes Nurse Practitioner
New York Presbyterian/Weill Cornell Medical Center, New York, NY

Linda S. Cohen, MPH, MSN, RN, CDE
Professor
Assistant Director of Nursing
SUNY Downstate Medical Center, Brooklyn, NY

This interactive session will focus on the art of inpatient diabetes management and the ever- evolving role of the diabetes educator. Creative strategies that target common challenges will be explored using practical examples. Simple solutions that facilitate translating research into practice and improving care delivery will be discussed. Participants will be encouraged to share their own best practices. Exemplary case studies will be reviewed and discussed. Diabetes educators currently working in inpatient settings and those that are interested in embracing the challenge are encouraged to attend.

UPN: 069-000-09-120-L01-P

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T02
Integration of Creative Teaching Techniques with Immerging Technology: New Dimensions for Diabetes Education & Management

Marcie Draheim, RN, CDE
President
Draheim Dimensional Presentations, Lisbon, IA

Ginger Kanzer-Lewis, RN, BC-ADM, CDE
Consultant
Assistant Director of Nursing
GKL Associates, Marathon, FL

As the horizon of health care dramatically changes, so will we also need to focus more on leveraging entrepreneurial approaches providing diabetes education, diabetes management and ongoing patient support. We tend to gravitate toward what has been familiar to us and we become "stuck in the here and now." This often limits our capability of being futurists. The purpose of this presentation is to assist participants to more fully focus on their investigation of a variety of resource options that are enhanced by a variety of creative teaching techniques, computer technologies and software that are applicable through a number of devices currently available on the market and those that are soon to be launched. Communication, connectivity, sustainable support for our patients and their families has been, and will become even greater as we progress in providing health care.

UPN: 069-000-09-136-L01-P

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T03
Navigating the Maze: Overcoming the Obstacles to Reimbursement for DSME/T in the Community

Greg Milliger, CPC, CPC-H, CEMC, CPC-p, CEC
Reimbursement Expert
Unique Healthcare Consulting, Lolo, MT

Dawn Sherr, RD, CDE, CNSD
Practice Manager
American Association of Diabetes Educators, Chicago, IL

DSME/T services have been provided through hospital-based outpatient and physician office -based programs. In recent years, many DSME/T programs have gone out into the community to provide education in local clinics and community-based organizations. Some DSME/T programs are leaving both a void in the marketplace and an opportunity for diabetes educators to become entrepreneurial. A number of diabetes educators are going into business on their own and/or finding a fit with physician practices and pharmacies. Before you start your own business or join forces with others, do your homework.

UPN: 069-000-09-157-L01-P

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T04
Treating Hypertension in Diabetes: The Role of the Integrated Team

Jan Pearson, RN, CDE
Sr. Consultant
International Diabetes Center, Park Nicollet, Minneapolis, MN

David M. Kendall, MD
Medical Director
International Diabetes Center

A significant majority of diabetes patients also have elevated blood pressure. Some estimates suggest that nearly three in four diabetes patients are candidates for BP lowering therapy. In patients with diabetes, hypertension may be the most significant of the modifiable risk factors for developing cardiovascular disease. Effective BP management can significantly reduce the risk of CVD. However, management of hypertension is a significant clinical challenge with up to one-half of diabetes patients not currently achieving the target blood pressure of <130/80 mmHg. This session will focus on the role of the entire diabetes care team in the management and monitoring of hypertension to achieve optimal outcomes.

UPN: 069-000-09-099-L01-P

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T05
Diabetes Education and Discovering Community Needs Through the Web

Ginny Burns, RN, MEd, CDE
Intermountain Healthcare
Salt Lake City, UT

The Utah Diabetes Prevention and Control Program (UDPCP) sought to develop and implement an interactive Internet-based diabetes resource that fit the needs of diabetes educators and people affected by diabetes. This process involves focus groups, surveys, and usability testing among the UDPCP’s two main audiences: diabetes healthcare providers and individuals/families affected by diabetes. This session is about tapping the Web's potential.

UPN: 069-000-09-132-L04-P

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T06
Whatever It Takes: The Battle of Childhood Obesity and Diabetes Risks


Annabelle McCoy, RD, CDE, LDN

Sharon A. Goodman, RN, CDE
Gibson General Hospital, Princeton, IN

In a society where children are seduced by clever advertisements and spoiled by fast food in a fast world, inspirational and ever-changing approaches are a must. The rural health outreach program, Healthy Lifestyles, provides innovative approaches to prevention education among children in the school setting.

UPN: 069-000-09-167-L01-P

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T07
Patient-Driven Diabetes Care in Primary Care Settings

Kristin Sharma, MS, RD
Diabetes Educator
Mercy Primary Care Center, Detroit, MI

Aiisya Williamson
Executive Director
Mercy Primary Care Center, Detroit, MI

In January 2007, Mercy Primary Care Center implemented the "Call to Care Diabetes Program" which looked at diabetes outcomes and patient engagement indicators that were identified from a community needs assessment. This program builds on the use of a registry/database to track patient outcomes and is enhanced by replicating the use of a patient-provider agreement to engage patients in the management of their care. The use of synchronized diabetes education and provider appointments came about from patients continuing to no-show for separate diabetes education appointments. Point of care testing for hemoglobin A1c, lipids, and microalbumin has increased the accessibility of testing for many patients and has enhanced the patient driven care.

UPN: 069-000-09-115-L01-P

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T08
The Lowdown on Low-Calorie Sweeteners


Lindsey Loving
Director
Food Ingredient Communications, International Food Information Council, Washington, DC

Tami Ross
Diabetes Nutrition Educator
Internal Medicine Associates, Lexington, KY

This session will provide an overview of the approved low-calorie sweeteners, as well as new low-calorie sweeteners coming into the marketplace including the latest research on low-calorie sweetener safety and efficacy. Additionally, common myths related to low-calorie sweeteners will be addressed. The benefits of low-calorie sweeteners specifically for those with diabetes will be discussed, as well as tips and applications (baking and other uses) and the latest news for helping diabetes educators incorporate low-calorie sweeteners into a healthful eating plan for patients.

UPN: 069-000-09-090-L01-P

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T09
'Unhooking' Patients from Problem Foods: The Latest Findings

Neal D. Barnard, BA, MD
Psychiatrist, President
Washington Center for Clinical Research, Washington, DC

Food addictions may be much more common than once thought, suggesting the need for new directions in diabetes and weight management. New research shows that approximately half of people with type 2 diabetes have a gene that makes them vulnerable to addictions. Several common foods also stimulate the release of opiates in the brain. And food manufacturers are using appetite research to find food combinations that are especially hard to resist. In short, certain foods can become habit-forming for almost anyone. This session offers eight simple steps to help your patients shore up their defenses against impulsive eating.

UPN: 069-000-09-068-L04-P

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T10
Cutting Patients' Drug Costs: Overcoming Barriers to Quality Diabetes Care


Miriam Chan, PharmD, RPh, CDE
Director of Clinical Pharmacy Education
Riverside Methodist Hospital Family Medicine Residency, Columbus, OH

In the current economic times, more and more people are scaling back or even stopping their medications because they cannot afford them. The consequences of this practice could turn their controllable conditions into major medical problems or hospitalizations. This presentation will help diabetes educators be proactive and cut the high cost of medications for their patients. Using case studies, they will learn strategies and resources to help their patients overcome the barriers to quality diabetes care.

UPN: 069-000-09-096-L03-P

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T11
Research Presentations: Technology

Must attend all sessions (a,b,c) to receive credit.

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T11a
Research Presentations: Technology
Hemoglobin A1c Values at Diabetes Camp: 1996, 2002 and 2008

Dennis J. Pillion
Professor
UAB School of Medicine / Camp Seale Harris, Birmingham, AL

Research Hypothesis, Purpose, or Objective: Children attending diabetes camp in 2008 have access to improved diabetes management and education compared to children attending diabetes camps in 1996 or 2002. As a result of using improved insulin pump technology and designer insulins, fewer hyperglycemic and hypoglycemic excursions should occur in 2008. Hemoglobin A1c values should also be closer to target levels in 2008 than in earlier years.

Study/Design Methods: Hemoglobin A1c values were recorded in 1996, 2002 and 2008 from children ages 8-16 who attended a residential diabetes camp for one week. Blood glucose levels were measured 4-6 times daily. All children included in the study were diagnosed with Type 1 diabetes and the daily activity regimen was held constant. The same camp facility was utilized in all years.

Results: Children who attended diabetes camp in 2008 were much more likely to be wearing an insulin pump than children who attended camp in 1996. More than half of all campers wore an insulin pump in 2008. Despite the improvements in insulin delivery via a pump, or the improvements in insulin management realized by the introduction of long-acting and short-acting insulin analogs over the past 12 years, the overall hemoglobin A1c values of diabetic children attending residential camp were not significantly improved in 2008 compared to those observed in 1996. The number of moderate or severe hyperglycemic events at camp per week per child were not significantly lower in 2008 than in earlier years. The use of insulin pumps did not provide a significant advantage the use of subcutaneous insulin injections in terms of the number of severe or moderate glucose excursions that occurred at camp.

Conclusions: Hemoglobin A1c values and glycemic excursions were compared from campers who attended residential diabetes camp in 1996, 2002 and 2008. No significant improvement in the hemoglobin A1c levels was observed over the 12 year period studied. The increase in the use of insulin pumps since 1996 has resulted in no significant improvement in either hemoglobin A1c values of children who attend camp or in the number of hyperglycemic and hypoglycemic excursions that occur at camp. The hemoglobin A1c data reflect general diabetes care that took place in the 2-3 months prior to attendance at camp. The glycemic excurions that occurred at camp reflected the day-to-day swings in glucose control that took place in the residential camp environment. Neither parameter showed a significant change over 12 years, an observation that was unexpected and that points out the fact that diabetes care in 2008 remains imperfect. Children who attend residential diabetes camp continue to derive benefit from educational programs and social interactions with other campers, as well as the opportunity to spend time away from home and foster a stronger sense of independence.

UPN: 069-000-09-171-L04-P

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T11b
Research Presentations: Technology
Walk Georgia: An On-line Fitness Program for Adults and Children

Connie C. Crawley
Dietitian
The University of Georgia Cooperative Extension, Athens, GA

Research Hypothesis, Purpose, or Objective: An on-line fitness program allowing participants to log their minutes of activity either as an individual or team member and that permits them to "virtually" walk across Georgia will result in increased levels of physical activity for these participants.

Study/Design Methods: Participants register for Walk Georgia on-line either as an individual or as part of a 4 member team. During registration each participant completes a questionnaire that documents their current level of activity. At the end of the 8 week session, they complete a similar questionnaire. During the 8-week session, participants log their minutes of doing various activities that are converted to miles. Teams and individuals compete against each other. As participants log miles they visit the different Georgia counties.

Results: 4,583 people enrolled, 3,204 actively participated and 1, 637 reported physical activity during at least 6 of the 8 weeks. About equal numbers participated on teams and as individuals. Youth participation was 14% of the total. Overall participants logged 511,000 miles of physical activity. The average person exercised the equivalent of 17 miles/week if they were not on a team and 22 miles/week if they were on a team. Seventy-three percent said they were more active during Walk Georgia than before the program started.

Conclusions: Walk Georgia is an effective way to motivate people to increase their physical activity. It enhances a sense of well-being and encourages people to be more active on a regular basis. "Walking" Georgia using a virtual map, helps maintain interest and serves as an intrinsic reward for being active and logging that activity.

UPN: 069-000-09-171-L04-P

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T11c
Research Presentations: Technology
A RCT of an Automated Telephone Intervention to Improve Self-care Behavior in Adults with Type 2 DM

Judith A. Graziano
Assistant Professor
Metropolitan State University, St. Paul, MN

Research Hypothesis, Purpose, or Objective: The purpose of this randomized controlled trial was to evaluate the effect of an easily implemented automated telephone intervention on glycemic control and self-monitoring of blood glucose frequency in patients with type 2 DM. Previous research has not adequately examined the effects of isolated telephone interventions in patients with type 2 diabetes and the research that has been conducted has not been grounded in theoretical principles that regulate health-related behavior. This study attempted to address these gaps in the literature. The primary aim of this study was to determine the impact of a daily, automated telephone intervention on HbA1c levels compared to standard care in adults with type 2 DM. The secondary aim was to determine the impact of the automated telephone intervention on SMBG frequency in adults with type 2 DM. The tertiary aim of the study was to determine the impact of the automated telephone intervention on self-reported severity of diabetes, susceptibility to complications of diabetes, and the benefits and barriers of self-management of diabetes compared to standard care in adults with type 2 DM.

Study/Design Methods: An experimental pretest post-test design was used. A convenience sample of 120 participants was recruited from two clinics at the University of Minnesota, a primary care clinic and an endocrinology clinic. In addition to usual care provided by the clinics, participants randomized to the telephone intervention received a daily, automated, pre-recorded voice message relaying a short (less than one minute) message related to type 2 DM. Participants randomized to control condition received usual care provided to patients with diabetes by the clinics.

Results: No significant differences between the telephone and control groups on mean change HbA1c were found, suggesting no treatment effect. There was a significant difference in mean change in daily SMBG frequency between the telephone and comparison group. The telephone group had a mean increase in SMBG frequency of 0.66 ± 1.1 time per day and the comparison group had a mean increase in SMBG frequency of .05 ± 0.8 times per day (p = <.001). There was a trend in favor of the treatment group on changes in exercise barriers and changes in positive attitudes.

Conclusions: This study addresses a gap in understanding the effects of isolated telephone interventions on physiologic, behavioral, and psychosocial outcomes in adults with type 2 DM. No overall treatment effect was seen on change in HbA1c, but a significant dose effect was observed. Participants who listened to the majority of the phone messages showed significant improvements in HbA1c. The automated telephone intervention in this study had a significant impact on daily frequency of SMBG, suggesting that regular contact between scheduled clinic visits enhances adherence to this self-care behavior. The intervention showed positive trends in favor of changes in perceived severity to DM complications, improvement in favorable attitudes toward diabetes, and reductions in perceived exercise barriers. The findings from this study are clinically important and add to the body of literature that suggests that contacting people between regularly scheduled clinic appointments improves self-care behaviors.

UPN: 069-000-09-171-L04-P

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T12
Developing a Patient Education Program for Continuous Glucose Monitoring

Celia L. Henderson, BSN, RN, CPT, CDE
Diabetes Educator
Children's National Medical Center, Washington, DC

Continuous glucose monitoring (CGM) is the next generation tool to help with diabetes management and patients need to be educated in how to safely use this technology. The concern is that patients will inappropriately modify their treatment regimen without supervision and thus lead to poorer control. This presentation will provide criteria to help you identify patients who would benefit the most from CGM, strategies for instructing patients in the basic use of CGM, how to help the patient to understand trend management using CGM, and much more.

UPN: 069-000-09-116-L04-P

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T13
Taking Our Message to the Masses


Janis Roszler, RD, CDE, LDN
Manager
Diabetes Directions LLC, Miami Beach, FL

Nearly 24 million Americans have diabetes, yet very few get an opportunity to meet face-to-face with a diabetes educator. Janis Roszler, AADE's 2008-2009 Diabetes Educator of the Year, award-winning medical media producer, author, radio host and television consultant, will help explain how to use different forms of media to take valuable diabetes information to a much wider audience.

UPN: 069-000-09-183-L04-P

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T14
Improving American Indian Health Literacy

Christopher Lamer, PharmD, MHS, RPh, CDE, BCPS
Clinical Informaticist
Indian Health Service, Cherokee, NC

Cecilia Butler, MS, RD, CDE, LD
Director of Nutrition Services/Manager of Diabetes
Santa Fe Indian Hospital, Santa Fe, NM

Diabetes has a prevalence of 11% among American Indians and Alaska Natives, ranging from 5% (and growing) in Alaska to 20% in the Tucson area. Self-management, the cornerstone of diabetes management, requires patients to have a proficient level of health literacy to achieve optimal outcomes. It is strongly believed that the rates of low health literacy are very high in this population. The Indian Health Service is committed to improving health literacy among AI/AN patients through a variety of process changes, patient assessments, healthcare communication, and use of the clinical information system.

UPN: 069-000-09-108-L04-P

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T15
AADE7™ System in Practice

Kellie Beumer
Distance Education Manager
American Association of Diabetes Educators, Chicago, IL

Lois Moss-Barnwell, MS, RD, LDN, CDE
Director, Diabetes Education Accreditation Program
American Association of Diabetes Educators, Chicago, IL

The right technology can streamline your job and enhance your productivity, but knowing how to use it can sometimes be a challenge. In this session, you will learn how to use the AADE7 System, which is online software designed to help you easily collect and track your patients’ clinical and behavior change data, administer patient self-assessments and follow-ups, manage classes, and generate reports. Join the presenters as they demonstrate the features included in the basic package (free to AADE members) and showcase the advanced functionality included in the enhanced package. Additionally, you will also learn how to use the online application process to become an accredited program through AADE. In the end, you will walk away with a better understanding of how your practice can benefit from the AADE7 System.

UPN: 069-000-09-208-L01-P

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Concurrent Breakout Sessions 1:30 pm – 3:00 pm

T16
Enhancing Practice Delivery with Electronic Data Management

Arleen Quintana Barreiros, BA
Education Coordinator
Diabetes Research Institute

Kellie Michelle Rodriguez, RN, MSN
Director of Patient Education
Diabetes Research Institute, Miami, FL

The Diabetes Education Service at the Diabetes Research Institute (DRI) in Miami sought to explore new options for an Electronic Data Management System (EDMS) to enhance practice delivery and professional recognition. Evaluation of existing electronic data systems led to the need to create and implement a program to meet unique service needs. Essential data entry points were established and created using the Access 2007 program. The system captures patient demographics, learning requirements, education visits, clinical outcomes and education goals, reflective of the AADE7™ Self Care Behaviors. Learn how DRI's new EDMS has successfully enabled the Diabetes Education Service to successfully track patient information.

UPN: 069-000-09-086-L04-P

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T17
Demystifying Glycemic Control with Continuous Glucose Monitoring Systems

Jane Lesley Sparrow Bodenmiller, RN, CDE
Assistant Director of Patient Education
Diabetes Research Institute

Allison K. Wick, MSN, FNP-BC, ARANP, CDE
Director of Professional Education
Diabetes Research Institute, Miller School of Medicine, Miami, FL

Continuous glucose monitoring is now being recognized as an effective tool to guide educators, practitioners and patients to objectively analyze therapy decisions affecting glycemic control. This has presented a challenge for educators responsible for teaching the management of these different models in an efficient, yet cost-effective manner. This presentation will assist educators in planning and implementing a CGM patient education program that will both impact clinical disease management outcomes and improve diabetes self management.

UPN: 069-000-09-119-L01-P

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T18
ACCORD in the Context of Other CVD Trials: Translation to Practice

John B. Buse, MD, PhD
Prof. of Medicine, Chief, Division of Endocrinology
University of North Carolina School of Medicine, Chapel Hill, NC

The design and details of findings when the glycemic randomization in ACCORD was stopped will be reviewed in the context of the ADVANCE, VADT, UKPDS and DCCT trials. They seem to be telling us similar things about the risks and benefits of glycemic intervention in diabetes care. Findings include: CVD benefits from glucose lowering are at best relatively modest overall and take a long time to emerge; people with known CVD are at high risk of complications from intensive glucose management strategies; and people with shorter duration disease, better glycemic control and no prior CVD may derive greater CVD benefit from intensification of therapy.

UPN: 069-000-09-154-L01-P

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T19
Fitness and Performance Training: Diabetes and the Endurance Athlete

Charlotte A. Hayes, MMSc, MS, RD, LD, CDE, ACSM Ex. Spec
Senior Director
Programs and Policy Development, Open Hand/Atlanta, Atlanta, GA

Regular exercise is encouraged for all people with diabetes. Individual exercise goals, whether aimed toward achieving better health and fitness or toward reaching highly competitive performance will influence how endurance exercise is integrated into an individual's diabetes management plan. This session will provide an overview of metabolic and hormonal adjustments that occur with endurance exercise training and describe how adjustments in various aspects of a diabetes management plan—including nutrient intake, medications, self-monitoring and exercise itself—must be integrated to help each individual achieve unique goals for exercise performance. Case studies will also be presented.

UPN: 069-000-09-156-L01-P

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T20
Hospital Insulin Pumps: Developing a Policy to Improve Patient Safety

Joanne Dintzis, MSN, CRNP, CDE
Nurse Practitioner
Johns Hopkins University, Baltimore, MD

Latonya Jackson, BSN, RN
Nurse Practitioner, Research RN/JHH Glucose Control Committee Member
Johns Hopkins University

Insulin pumps present major safety challenges in the inpatient setting. This presentation describes the long road in development of the inpatient policy for safe management of patients on insulin pumps as well as describes the role of the diabetes educator in staff education related to the policy.

UPN: 069-000-09-104-L05-P

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T21
"Diabetes Connect": MD Office Consultation to Improve Standards of Care

Sarah P. Smith, BS, MAT, LD, CDE, RD
Registered Dietitian, Certified Diabetes Educator
South Carolina Dept. of Health and Environmental Control, Varnville, SC

Gwen A. Davis, RN, MN, CDE
State Coordinator
Diabetes and Disparities Program at the South Carolina Dept. of Health and Environmental Control, Columbia, SC

Since 2006, the South Carolina DHEC has fine-tuned its Diabetes Connect program. This innovative model of MD office education results in improved implementation of diabetes standards of care. A 2006 grant from the SC DHHS permitted piloting of this program for rural medical providers. Sixty-five percent of contacted MDs participated. Results were a more proactive approach to care with earlier identification of management problems and enhanced office systems to assure quality care in preparation for Pay-4-Performance. State funding allowed further expansion of the program in 10 rural counties. Learn all about the program at this informative session.

UPN: 069-000-09-078-L01-P

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T22
Surviving Diabetes in a High-Tech World: The Changing Face of Diabetes Management

Claire M. Blum, BS, RN, CDE
Program Coordinator
Partners & Peers for Diabetes Care, Chattanooga, TN

Diana W. Guthrie, PhD, ARNP, FAAN, CDE, BD-ADM, AHN-BC, CHTP
Nurse Specialist, Marriage & Family Therapist
Mid-America Diabetes Associates, Wichita, KS

Gita Patel, MS, RD, LD, CDE
Nutrition Consultant
Feeding Health: Vegetarian Nutrition Consultation, Etna, NJ

Technology is increasing at exponential rates. Experts are finding that "high-touch" must increase in order to balance the demands of fast-paced living. Many individuals living with diabetes are finding the use of non-traditional medical therapies a helpful means of finding such balance. But there has been hesitation on the part of many healthcare professionals to integrate their use into practice due to an assumed lack of empirical evidence, concerns for their safety, and lack of familiarity. This insightful session will explore the integration of non-traditional medical therapies with the practice of traditional medicine.

UPN: 069-000-09-061-L01-P

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T23
Kidney Health: An Educational Approach to Managing Diabetes and Hypertension

Janet Regan Klich, CDE, RD, EdS, FADA
Certified Diabetes Educator
Advocate Sykes Health Center, Chicago, IL

Hypertension and diabetes place the kidney at risk. This is especially true in minority populations. This presentation will highlight nutritional interventions and dietary recommendations to improve the management of hypertension in diabetes and address antihypertensive medications in an educational program on diabetes and hypertension used in a large urban primary care setting.

UPN: 069-000-09-125-L01-P

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T24
Diabetes Education Around the World: Exploring New Ideas


Melinda Maryniuk, MEd, RD, CDE
Director of Clinical Education Programs
Joslin Diabetes Center, Boston, MA

Dietitians and diabetes educators around the globe have been extremely creative in addressing the similar challenges to the universal problem of diabetes and obesity. This session will describe how the pandemic of obesity and diabetes is affecting the world, summarize trends and review the countries most at risk. Causes of the pandemic will be discussed with a focus on nutrition-related factors. The role of the International Diabetes Federation (IDF) and the international activities within Joslin Diabetes Center will be described. Stories highlighting innovative approaches to diabetes risk reduction and education by dietitians and diabetes educators will be featured.

UPN: 069-000-09-127-L01-P

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T25
African-American Initiatives in the Diabetes Health Movement

Earnestine Walker-Chavarria
Associate Director
African-American Initiatives, American Diabetes Association, Alexandria, VA

According to the November issue of Diabetes Management, type 2 diabetes is escalating into what many consider to be a global pandemic. The rate of diabetes differs significantly from region to region and among different ethnicities and cultures. So does access to proper diagnosis and adequate treatment. Diabetes takes a toll not only on the health and life of individuals, but also on their families and communities. The American Diabetes Association's African-American Initiatives has taken a holistic approach to working within communities of color, providing vital diabetes education and information to communities in a culturally sensitive and appropriate manner, changing its position from a program to a health movement. This session will review these major areas: faith-based, women's outreach, and the importance of trust, collaboration and volunteer support.

UPN: 069-000-09-184-L04-P

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T26
Weight-Based Insulin Correction: Moving Away From the Sliding Scale


Diane M. Thompson, CDE, RN, BSN
Program Director
Healthways, Ocala, FL

Heatherann Cundiff, RN, BSN
Diabetes Healthways, Ocala, FL

With the number of people diagnosed with diabetes increasing, the need for an individualized management is paramount. In the hospital setting, standard insulin coverage for correction of elevated blood glucose levels is often by utilization of a sliding scale. This method creates wide fluctuations for some individuals and minimal effect on others because of the variations in weight. The diabetes team at Munroe Regional Medical Center developed an innovative weight-based correction protocol to individualize the correction to be more tailored to the individual’s need in collaboration with local endocrinologists and critical care physicians.

UPN: 069-000-09-126-L01-P

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T27
Aim for the Feet! Relaxation, Increased Healing and Pain Relief

Birgitta I. Rice, MS, RPh, CHES
Researcher-Educator
University of Minnesota and Health Education for Life, Saint Paul, MN

This session will introduce to CDEs a novel intervention designed to improve blood flow to the feet. It provides many additional, important benefits for the patient with diabetes. It is an integrative, thermal biofeedback assisted relaxation technique designed to improve peripheral blood flow to the feet that promotes healing. Patients who benefit most are diagnosed with diabetes, slow healing foot ulcers, neuropathy or pain. Over time there's also increased blood flow, improved healing, pain relief, sensory function, lower blood pressure and better coping skills with regular daily practice.

UPN: 069-000-09-185-L01-P

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T28
Using Motivational Education to Improve Diabetes


Ann E. Carnes, MN, RN, CNS, CDE
Diabetes Nurse Educator
Inova Loudoun Hospital, Leesburg, VA

Sally M. Guise, BS, RD, CDE
Registered Dietitian
Inova Health System

Diabetes educators strive to empower people with diabetes to live healthy, fulfilling lives. Yet research shows that only a small percentage of our educational efforts impacts them to positively change self-care behaviors to help reduce the risk of chronic complications. We must realize that we are more than just providers of information in a multicultural age of information overload. The American Association of Diabetes Educators has identified reducing risks as one of the healthcare behaviors important for diabetes self-care. This study evaluates a new dimension in diabetes education of promoting risk reduction by presenting diabetes self-care as a safety issue.

UPN: 069-000-09-075-L04-P

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T29
Living Mindfully (And Healthy) in a Fast-Paced World

David K. Miller, BSN, MS Ed, CDE, BC, CPT
President/CEO
Health Education and Life Promotion, Hope, IN

Gene Harker, MD, PhD
President/CEO
Uncommonly Healthy LLC, Indianapolis, IN

As busy professionals, we all know that it is easy to let our health slip. From bad cholesterol to high blood pressure, it just slowly, insidiously happens. Despite best intentions and heroic efforts, we often find ourselves frustrated, trapped, and unable to make the kind of changes that would lead to better health. It is possible to seamlessly integrate healthy practices into our daily lives. Based on research in the social and physical sciences and tempered by 25 years of experience as a physician, psychologist, husband and father, Dr. Harker has identified seven "Healthy Destinations" that can guide professionals in the direction of a truly remarkable, flourishing life.

UPN: 069-000-09-069-L04-P

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T30
Carilion Clinic's Team Approach to Evidence-Based Diabetes Practice


Deborah Orange Sauve, MSN, RN, CNS, CDE
Program Coordinator, Clinical Nurse Specialist
Carilion Clinic Diabetes Management Program, Roanoke, VA

The role of the diabetes educator is constantly evolving. They work in a variety of settings, and they provide expertise in the care, education, and management of patients with diabetes. It is imperative that they use evidence-based practice guidelines as leaders in the field of diabetes. Carilion's REACH model of care and the concept of a Diabetes Shared Governance Council can support the future goals and strategies to promote the role of the diabetes educator.

UPN: 069-000-09-188-L04-P

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Corporate Symposia 4:15 pm – 5:45 pm

CS01
Celebrity Chefs Cook Vegan, and So Can You!

Neal Barnard, MD
Associate Professor
George Washington University, Washington, DC

Toni Fiore
Host of PBS's Delicious TV's Totally Vegetarian

Bryant Terry
Author, Vegan Soul Kitchen

Jason Wyrick
Chef and Editor
Vegan Culinary Experience e-magazine

Caroline Trapp, MSN, APRN, BC-ADM, CDE
Nurse Practitioner
Premier Internist, Southfield, MI

What better place for health promotion/disease prevention than the kitchen? Rediscover the joy of cooking for yourself, and inspire your patients to cook healthful, fast meals with delicious new recipes. The Physicians Committee for Responsible Medicine has gathered a star panel to present the science and practical considerations behind low-fat, plant-based nutrition, and enthusiastic chefs to provide expert instruction and delicious samples. Useful resources and recipes for patient nutrition education will be provided.

This program is supported by an educational grant provided by Physicians Committee for Responsible Medicine (PCRM)

UPN: 069-999-09-031-L04-P

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CS02
Using a Multidisciplinary Team Approach to Optimize Early Diabetes Care: A Call to Action

Susan Ann Cornell, BS, PharmD, CDE, FAPhA, FAADE
Assistant Professor of Pharmacy Practice
Midwestern University, Orland Park, IL

Donna Rice, MBA, RN, BSN, CDE
President and CEO
Diabetes Health and Wellness Institute, Brighton, MI

Mark W. Stolar, MD
Attending Physician
Northwestern Memorial Hospital, Chicago, IL

Edward Horton, MD
Professor, Harvard Medical School
Director of Clinical Research
Joslin Diabetes Center, Boston, MA

This case-based, interactive activity will emphasize a multidisciplinary team-based approach to optimize the care of patients with type 2 diabetes mellitus (T2DM). The program will include a review of current challenges and barriers to effective management of T2DM, an overview of the role of self-management in improving outcomes and quality of care, and a discussion of current recommendations and approaches to goal-setting, treatment, adherence, and counseling of patients with early T2DM.

This program is supported by an educational grant provided by Merck & Co., Inc.

UPN: 069-999-09-044-L01-P

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CS03
Injecting New Ideas: Counseling Patients Beyond A1C

Jill Flander, MS, RD, CDE
Program Manager
Patient Services, St. Louis Park, MN

William Polonsky, PhD, CDE
Associate Clinical Professor
University of California, San Diego, CA

Martha Funnell, MS, RN, CDE
Director for Administration
University of Michigan School of Nursing, Ann Arbor, MI

David Joffe, PhD, RPh, AASCP, FACA, AAADE, PPDC
Editor-in-Chief, DiabetesinControl.com
University of Florida, St. Petersburg, FL

This case-based activity will introduce a pathophysiological-based treatment algorithm, and considerations beyond A2C and their importance to good outcomes will be discussed (ß-cell health, weight, cardio metabolic risk). A clinical psychologist will highlight patient motivation, behavior change and compliance. A registered dietician will discuss eating plans, continuous glucose monitoring, and postprandial glucose control. A nurse will review the continuum of treatment and summarize the role of OHAs, basal insulin, and GLP-2 analogs in a pathophysiological-based treatment approach.

This program is supported by an educational grant provided by Amylin-Lilly Grants Office 

UPN: 069-999-09-040-L01-P

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CS10
Cases in Practice: Enhancing Patient Success With GLP-1 Analogs

Bruce W. Bode, MD, FACP
Clinical Associate Professor of Medicine
Emory University, Atlanta, GA

Geralyn Spollett, MSN, ANP-CS, CDE
Associate Director, Adult Nurse Practitioner
Yale Diabetes Center, Yale University, New Haven, CT

Davida F. Kruger, MSN, APRN-BC, BC-ADM
Certified Nurse Practitioner - Diabetes
Henry Ford Medical Center, Detroit, MI

This program is designed to increase awareness and understanding of individualizing therapy in type 2 diabetes to achieve optimal glycemic control and the patient education aspects related to successful implementation of incretin mimetics in this approach. The program is designed to meet educational needs across the spectrum of healthcare providers (HCPs) involved in the treatment and education of patients with type 2 diabetes.

This program is supported by an educational grant provided by Novo Nordisk, Inc.

UPN: 069-999-09-056-L01-P

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