Richard W. Nesto, MD
Chair – Cardiovascular Medicine
Chairman – Division of Medicine, Lahey Clinic

UPN: 069-000-09-203-L01-P

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W02
Virtual Educator: Integrating New Technologies to Deliver Diabetes Education

Michele L. Livingston, RD, MS, LDN, CDE
Certified Diabetes Educator
WellDoc Communications, Baltimore, MD

Technology equips educators with exciting new tools to reach out to their patients. Understanding how to deliver education in these evolving formats is crucial. Virtual communication has distinct advantages and can be just as effective as face-to-face communication. This session uses case discussions to show how educators will apply web and phone applications to assess, educate, and engage patients effectively.

UPN: 069-000-09-109-L04-P

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W03
New Recommendations in Self-Monitoring of Blood Glucose

Richard Bergenstal, MD
Executive Director
Park Nicollet Institute

Self-monitoring of blood glucose (SMBG) will continue be valued (clinically important and reimbursable) only if it is considered part of the priorities of care for diabetes. Establishing the evidence base of the essential nature of SMBG and translating that evidence into a practical approach to utilizing SMBG as a management tool should be a professional goal. This presentation focuses on the desire for every patient with diabetes, at every visit or contact receives a treatment plan (that is documented) for optimizing glucose control. To achieve this a new model of diabetes care that engages a team as standard practice is needed. Diabetes educators are at the center of a new dimension in the effective use of SMBG. That dimension will be realized once every patient interacting with a medical team knows when to test, what their values should be and how to take action to improve SMBG and CGM values.

UPN: 069-000-09-225-L01-P

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W04
Diabetes Education in a Primary Care Practice

Carol Rasmussen, MSN, NP-C, CDE
Coordinator, Diabetes Education
Exodus Health Care, Magna, UT

As the number of people with diabetes continues to increase and programs are cutting back, there is a critical need to find other options to provide DSMT. This may be provided in an alternate site such as primary care offices. This would benefit the CDE who may have had their hours cut by helping their client to remain healthy by having programs that are available to them in a primary care practice environment.

UPN: 069-000-09-181-L04-P

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W05
Glycemic Management in Cardiac Rehab

Sandra Pieschel, BSW, RN candidate MPA, CDE
Manager
Diabetes Care and Cardiac Rehabilitation, Torrance Memorial Medical Center, Torrance, CA

This session reviews current policy, reimbursement status and evidence that supports early, aggressive, exercise-based education in a chronic care model for patients with glycemic management concerns. A survey report from the California Society for Cardiac Rehabilitation offers insight into collaborative heightened awareness and shifts in cardiac rehabilitation standards of clinical practice in relation to glycemic management as well as the needs and practice patterns identified in the survey.

UPN: 069-000-09-085-L01-P

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W06
AADE7™ Behavior Change Tool: Tracking Behavior Change Stimulated by Continuous Glucose Monitoring

Virginia Valentine, CNS, BC-ADM, CDE
Clinical Nurse Specialist, CEO
Diabetes Network, Albuquerque, NM

Key strategies to achieve diabetes self-management are: 1) understanding the areas of self care that need behavior change and 2) providing patients with effective tools to make those changes. A simple behavior change tool would assist in identifying areas that have changed after intervention and topics that need further intervention. To address these needs, a simple 10 question tool was developed based on the AADE7™. Continuous glucose monitoring (CGM) has been shown to provide biofeedback to help patients understand the impact of their behavior and therapy. Healthcare professionals who have diabetes served as the subjects because they understand diabetes management and yet, are often confounded by life with diabetes. After wearing a CGM system for one month the survey was repeated to determine survey effectiveness in identifying behavior change needs and changes that occurred. This presentation will share the tool and how CGM can provide biofeedback supporting behavior change.

UPN: 069-000-09-088-L01-P

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W07
Stories to Reach, Teach & Heal People Affected by Diabetes

Catherine C. Feste
Author/Speaker
Humedico, Inc., Minnetonka, MN

Diabetes is about much more than blood glucose. As such, it should not be thought of in purely biomedical terms. Stories help the educational offering to veer off the path of pie charts and bullet points, bringing it into its true realm of lived experience. Patient and healthcare professional stories play a role in connecting the intellectual and emotional levels of diabetes information. They help people to tap their experiences and their perceptions of those experiences in search of ways in which to understand their world—and solve problems

UPN: 069-000-09-102-L01-P

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W08
Pedorthics for Diabetic Foot Care

Donna M. Robertson, MS, PhsEd/Health, NATA, C.Ped
Certified Athletic Sports Pedorthist
Specialist Foot Solutions, Marietta, GA

A certified pedorthist is an important member of the clinical medical team in that they treat people with diabetic foot disorders. Application of proper footwear and appropriate custom foot orthoses are essential elements in the total management of this challenging disease. This session will address various foot complications as well as treatments and footwear remedies.

UPN: 069-000-09-164-L01-P

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W09
Get Up & Go! Exercise Can Help Diabetes

Karen L. Kemmis, DPT, MS, PT, CDE
Physical Therapist / Exercise Physiologist
Joslin Diabetes Center Affiliate at Syracuse, Syracuse, NY

Physical activity and exercise are key components in diabetes self-management, but the Centers for Disease Control and Prevention report that many people with diabetes have substantial mobility limitations including the inability to walk a quarter mile, climb stairs, stand two hours, and stoop, bend, or kneel. These limitations worsen with age. Many diabetes programs do not have an exercise specialist. This session will assist diabetes educators in exploring a new dimension of patient education with exercise. The bottomline? Improved diabetes control, general health and quality of life.

UPN: 069-000-09-095-L01-P

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W10
Strategies & Tools for Helping the Student With Diabetes Succeed

Joanne M. Gallivan, MS, RD
Director, National Diabetes Education Program
NIH, Bethesda, MD

Nicole K. Bobo, MSN, RN, ANP Certificate
Nursing Education Director
National Association of School Nurses, Silver Spring, MD

The National Diabetes Education Program has recently updated “Helping the Student with Diabetes Succeed: A Guide for School Personnel," developed by leading diabetes, pediatric, nursing and education groups, to help empower school personnel to help meet students’ routine and emergency diabetes care needs throughout the school day. Information includes new technology, new training level modules and carb counting. Diabetes coalitions have used the School Guide to frame state-wide guidelines for diabetes management at school.

UPN: 069-000-09-073-L04-P

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W11
F.A.C.E. --Fearless African Americans Connected & Empowered Against Diabetes

Melva T. Covington, PhD
Manager of Health Outcomes
Eli Lilly & Company, Indianapolis, IN

Christine Boyd-Bassette, RN, BSN, CDE
Director of Clinical Education/Nurse Consultant
CKC Health Education and Training Services Inc., Fairburn, GA

Although diabetes self-management education (DSME) has been shown to be useful in behavior modification, African Americans are less likely to receive DSME compared to Caucasians. The F.A.C.E. initiative was created to develop culturally relevant DSME to address the unmet needs of African American patients with diabetes and empower them to adopt healthy self-care behaviors. Input was gathered from a diverse group of community members and leaders on the Southside of Chicago to identify and understand the diabetes education needs, including appropriate ways to intervene. The following DSME modules were implemented: Diabetes & Nutrition; Healthy Cooking; and Physical Activity.

UPN: 069-999-09-067-L04-P

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W12
The Internet: An Option for Patient Education Resources

Dawna R. Knee, BS
Telehealth Technology Coordinator
Saint Francis University/CERMUSA, Loretto, PA

Camille M. Wendekier, MSN, RN, CRRN
Telehealth Development Specialist
Saint Francis University, PA

Educators must adapt to new work demands and challenges by utilizing innovative methods that target patient population. Internet sources of education may be an alternative to serving patients born after 1960. These patients prefer to utilize technology as evidenced by their tendency to conduct Internet searches prior to seeking professional healthcare input. Although educators can capitalize on this behavior, they must avoid unreliable sites hosted by non-professionals. This session, with cost-saving ideas, spotlights Saint Francis University’s CERMUSA website: My Health Education & Resources Online (MyHERO).

UPN: 069-000-09-076-L04-P

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W13
Research Presentations: Lower Limbs

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

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W13a
Research Presentations: Lower Limbs
A Novel Method for Evaluating Diabetic Neuropathy with a Tuning Fork in the Clinical Setting
David Oyer
Clinical Assistant Professor
Northwestern University, Chicago, IL

Susan Bettenhausen
Clinical Nurse Specialist
Associates in Internal Medicine, Chicago, IL

David Saxon
Medical Student
Loyola University Stritch School of Medicine, Chicago, IL

Research Hypothesis, Purpose, or Objective: To describe the clanging tuning fork (CTF) test, a novel method for using the 128-Hz tuning fork to test for diabetic peripheral neuropathy (DPN). To evaluate the accuracy and reproducibility of this technique, and to compare it with the 5.07 (10 g) Semmes-Weinstein monofilament test.

Study/Design Methods: To determine the mean and standard deviation for the CTF test, repeated measurements were taken on one toe of 12 patients with diabetes during one visit. After these tests, 30 randomly selected patients were tested on both feet, with right and left scores compared for reproducibility of the results. The scores of the CTF test were compared with the monofilament scores in 45 patients with diabetes. Presence of foot ulcers in 81 patients was correlated with both test scores.

Results: The mean duration of vibration sensation was 10.2 seconds, with a standard deviation of +/- 1.3 seconds. The Pearson correlation coefficient comparing the right and the left foot scores for the same patient was 0.947 (P<0.05). Among patients with 8 seconds or less of vibration perception, results of monofilament testing were abnormal only in those whose vibration perception was less than or equal to 4 seconds. Of 32 patients with vibration perception of 4 seconds or less, 50% had normal monofilament test scores, including 29% of 17 patients with absent vibratory sensation.

Conclusions: The CTF test is reproducible and accurate. It provides a quantitative assessment of DPN and can document severe neuropathy, even in the presence of a normal result with the 10-g monofilament test. The risk of foot ulcers, which is associated with diminished vibratory sensation, can therefore be detected earlier and more accurately with the CTF test.

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W13b
Research Presentations: Lower Limbs
Will ICD-10-CM Improve Classifications for Chronic Lower Limb Wounds of Patients with Diabetes?

Jeanne R. Lowe
Research Assistant
University of Washington, Seattle, WA

Research Hypothesis, Purpose, or Objective: To compare specificity of codes for people with diabetes and foot ulcers between the ICD-9-CM and ICD-10-CM systems.

Study/Design Methods: Code sets were mapped to compare the ability of ICD-9-CM and ICD-10-CM to correctly classify diabetes and foot ulcers (DFU) in a cohort of 50 Veterans. A wound specialist and certified medical records coder reviewed administrative databases, electronic medical records and detailed research records for each veteran in the cohort, before assigning an ideal ICD-9 and ICD-10 code. The assigned codes in each code set were then assessed for their ability to identify elements accurately for classifying chronic wounds in patients with diabetes.

Results: Algorithms show considerable improvements in ICD-10 for coding diabetic foot ulcers.

Conclusions: Enhanced data collection over time will improve the precision of the data and the evaluation of interventions for patients with diabetes and foot ulcers.

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W13c
Research Presentations: Lower Limbs
Healthy Feet: Developing Valid Evidence-Based Very-Low Low Literacy Foot Care Education Materials

Veronica F. Engle
Professor
University of Tennessee Health Science Center, Memphis, TN

Emily Fox-Hill, PhD, RN
Instructor
University of Tennessee Health Science Center, Memphis, TN

Research Hypothesis, Purpose, or Objective: Southern African American older adults have the lowest education in America and are at greater risk for diabetes. In Memphis, African Americans have twice the diabetes and 6.4 times more leg amputations than Caucasians. Changing self-care behaviors of persons with diabetes is challenging because meta-analysis of patient education research documents that patient education in often not effective and third-party reimbursement for diabetes education is being reduced. Existing diabetes education materials are often at too high a reading level for the South, are not community-based, and may not address all learning styles. The strong faith-based community in the South provides an ideal setting for health education and behavior change. Thus, the purpose of this qualitative study using triangulated qualitative and quantitative data was to develop valid evidence-based: a) very-low low literacy multimodal diabetic foot care education sheets, and b) a low-literacy train-the-trainer manual and processes for use by faith-based health educators.

Study/Design Methods: Foot Care Education Sheets - Using essential foot care content from the AADE, evidence-based foot care literature and low literacy principles, we developed three preliminary low literacy education sheets for daily diabetic foot care, what to do if you have a foot problem, and diabetes symptoms. The sheets combined 3rd to 6th grade reading level text with illustrations to provide contextual clues. Content validity was established by an Expert Panel of Certified Diabetes Educators. Face validity for readability and clarity was evaluated using data from four focus groups with predominantly Black adults and older adults. Qualitative analysis of focus group data and field notes identified the 3rd to 6th grade reading level was too high and some illustrations were confusing. Text and illustrations were revised to < 3rd grade reading level. Face validity of the revised sheets was evaluated in individual interviews with 18 adults from faith groups and two literacy councils. Twelve of the interviewees read at < 3rd grade level. Text and illustrations were revised sequentially throughout these interviews. The final diabetes foot care education sheets are understood at a 3rd grade independent reading level and at a 1st to 2nd grade instructional reading level.

Results: Our study developed valid evidence-based very-low low literacy multimodal diabetic foot care education sheets, and a low-literacy train-the-trainer manual and processes for use by faith-based health educators. Content validity and face validity of the diabetic foot care education sheets was established using Expert Panel, focus group, and individual interview data. Content validity, face validity, and divergent validity for the train-the-trainer manual was established using Expert Panel, focus group, and individual interview data.

Conclusions: Study results confirm the very-low low literacy level of persons with diabetes living in the South, especially for African Americans, and the need to develop very-low low-literacy health education materials. Faith-based health educators can provide culturally-sensitive health education. Additional research is needed to evaluate the efficacy of the diabetes foot care education sheets, and foot care education programs using the train-the-trainer manual.

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W29
Everything You Wanted to Know about AADE's DEAP (Diabetes Education Accreditation Program)

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

On February 27, 2009, AADE became a CMS-approved accrediting organization for outpatient Diabetes Self-Management Education Programs. With the ever increasing numbers of patients being diagnosed with diabetes, the demand for quality diabetes education programs continues to rise. AADE is providing a DSMT accreditation option to healthcare professionals seeking to meet the needs of the diabetes population in their community.

UPN: 069-000-09-209-L04-P

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W14
Diabetes In The Age Of Technology

Toree Malasanos, MD
Gainesville, FL

Heather Lehmkuhl, MD
Pickerington, OH

I) Poor management of type 1 diabetes may result in serious medical complications. Health literacy, self-efficacy and access to health care providers can help improve health status. We’ll discuss improved access to care and a novel online education program and the effects on health status and cost savings with the Florida Initiative in Telehealth and Education.
II) Psychological intervention may improve adherence to medical regimens; however, access to trained professionals is limited. Telehealth interventions allow families to access services at home and improve access to knowledgeable providers. We’ll review results of a randomized waitlist controlled trial of Telehealth Behavioral Therapy for youth with T1D conducted in Florida. Barriers to providing this treatment will be described. Youth with T1D are at higher risk for psychosocial difficulties. In addition to high rates of nonadherence, youth experience burnout, anxiety, and depression. We’ll discuss strategies for identifying problems and review treatments.

UPN: 069-000-09-212-L04-P

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W15
Insulin Pump Education: A New Dimension for Your Practice?

Joe Ward, MSN, APRN, BC-ADM, CPNP, CDE
Diabetes Nurse Practitioner
CDE-2-Go, LLC, Atlanta, GA

If you think CSII is a new television crime drama, then you must attend this session. The basics of insulin pump initiation will be covered along with teaching patients who have had no pump preparation. Educating a patient who may not be the ideal candidate, but has now obtained their pump, will be discussed. This session will also help the diabetes educator develop a plan for patients to be successful pumpers.

UPN: 069-000-09-166-L01-P

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W16
Improving Outcomes With Diabetes Self-Management Support

Paula M. Ackerman, MS, RD, CDE
DM Educator
UP Diabetes Outreach Network, Marquette, MI

Personal Action Toward Health (PATH), a chronic disease self-management program in Michigan, is a client education program designed to help adults learn new skills to manage and cope with their chronic condition. Combining PATH with DSMT reinforces diabetes education and improves outcomes.

UPN: 069-000-09-206-L04-P

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W17
Group Medical Visits Can Impact Finances (And Patient Care)

Chris Walker, MPH
Director
Public Health Programs, Scripps Whittier Diabetes Institute, La Jolla, CA

Project Dulce piloted group medical visits to assess their impact on health status, team productivity and financial viability. An optimum flow for the group medical visit was designed by the team. Each team member performed a specific role within their scope of practice, patients benefited from the group education and support received in the visit, and the provider was satisfied with patient care. This session will address using the group medical visit format to enhance financial viability of providing diabetes management and patient education.

UPN: 069-000-09-177-L04-P

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W19
Diabetes@Work: Employer-Sponsored Education Services That Deliver Results

Joan McGinnis, MSN, RN, CDE
Diabetes Nurse Educator
St. Louis Diabetes Coalition, St. Louis, MO

Eric S. Armbrecht, PhD
Assistant Professor
St. Louis University, St. Louis, MO

Established in 1998, St. Louis Diabetes Coalition (SLDC) is a non-profit multi-stakeholder organization. In response to a community assessment calling for increased access to diabetes self-management education, SLDC created Diabetes@Work in 2004, a worksite-based diabetes education service that involves group sessions co-led by a nurse educator (CDE) and registered dietitian. Building on the experience and clinical outcomes of Diabetes@Work as well as research on other worksite-based diabetes care improvement programs, this presentation will address how providers can partner with employers to develop, deliver and measure effective education programs.

UPN: 069-000-09-179-L04-P

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W20
Healthy Outcomes = Healthy Business in the Primary Care Setting

Annabelle McCoy, RD, CDE, LDN
Coordinator
Joslin Diabetes Center West Penn Hospital/Forbes Regional Campus, Monroeville, PA

Constance P. Frazier, BS, RD, LDN, CDE
Registered Dietitian, Certified Diabetes Educator
West Penn Allegheny Health System-Forbes Regional Campus, Monroeville, PA

More than 90% of people with diabetes are cared for by their primary care providers. Sixty percent of diabetes patients do not receive education. Providing education to this population creates the need for diabetes educators to work with primary care physicians. An accredited diabetes education program can serve the PCP office by providing diabetes education to staff and patients. Education improves self-care behavior and decreases complication risk while saving insurance companies money. This session addresses the process of providing accredited diabetes education program to PCP offices, measuring outcomes and using results to enhance business opportunities.

UPN: 069-000-09-113-L04-P

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W21
Health 2.0: Diabetes Self Management

Sylvestre Quevedo, MD, MPH
Adjunct Faculty
Stanford University School of Medicine, San Jose, CA

Self-management is becoming an important focus for efforts to redesign ambulatory care. It has promise to both improve patient outcomes and simultaneously reduce costs. Dr. Kate Lorig and the Stanford Patient Education Center have done pioneering work in this area, creating the preferred model and demonstrating its value in many settings. From concept and costs to design and utilization—all of which will be addressed—it's a Health 2.0 strategy for future care.

UPN: 069-000-09-145-L01-P

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W22
Increasing Diabetes Care Quality Through a Disease Registry

Edward Shahady, MD
Medical Director
Diabetes Master Clinician Program, Florida Academy of Family Physicians, Fernandina Beach, FL

This session will address the award-winning Diabetes Master Clinician Program of the Florida Academy of Family Physicians. It will also provide participants an opportunity to see and hear how a diabetes registry has aided over 80 office practices improve achievement of the ADA quality goals for HbA1c, LDL, BP and other yearly activities. The Internet-based registry has been in use since 2003 and serves over 15,000 patients. This project has significantly reduced the mortality and morbidity of the diabetic patients in these practices and produced a cost savings of $2.7 million in the past year.

UPN: 069-000-09-165-L01-P

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W23
PICTURE THIS! Enhancing Diabetes Education With Pictograms

Bonnie J. Bartos, PA-C, MHP, CDE
St. James Medical Center, St. James, MN

It's all about visuals! Pictograms enhance diabetes education by being able to cross communication barriers due to disability, language preference, or literacy levels. The challenge builds when the patient has factors such as learning disabilities, reduced mobility or sensation due to neuropathy, reduced literacy levels, visual or auditory impairment, or differences in primary language. Learn all about pictograms—and how they can be used from pediatrics to geriatrics-at this in'sight'ful session.

UPN: 069-000-09-180-L04-P

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W24
Culturally Sensitive Diabetes Care for Latino Families

Rita Temple-Trujillo, BA, MSW, LCSW, CDE
Licensed Clinical Social Worker
University of Colorado Health Sciences Center, Aurora, CO

Julia A. Burgos
Director
American Diabetes Association, Alexandria, VA

Attendees will learn about the cultural attitudes and beliefs many Latino families have about diabetes and insulin. They'll learn how they can help families overcome issues at diagnosis such as fear of death, fear of insulin, beliefs about causation of illness, fear of healthcare provider/system and language barriers. And they’ll learn strategies on how to provide effective care for Latino children with type 1 diabetes including the American Diabetes Association's new resource for Latino families with a child with type 1 diabetes.

UPN: 069-000-09-100-L04-P

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W25
Influencing Positive Change in High-Risk Adolescents

Patricia Kearney
President/CEO
PMK Associates, Alexandria, VA

Craig Johnston
Instructor
Baylor College of Medicine, Houston, TX

Chermaine Tyler, PhD
Instructor
Baylor College of Medicine, Houston, TX

This session will highlight effective strategies used in a school-based weight loss trial in high-risk adolescents conducted by the U.S. Department of Agriculture Children’s Nutrition Research Center at Baylor College of Medicine in Houston. More research is showing that a “traffic-light” approach to making change is not effective. Thus, the use of positive approaches as a means to influence behavior and dietary changes that improve health will be discussed. Children in the study have lost and maintained weight for over two years and have improved blood indicators of disease risk.

UPN: 069-000-09-111-L04-P

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W26
Practice Pearls for the Advanced Practice Nurse (APN)

Celia Ann Levesque, MSN, RN, CNS-BC, CDE, BC-ADM
Advanced Practice Nurse
Anderson Cancer Center, Houston, TX

Veronica Joyce Brady, RN, BSN, MSN, FNP-C, CDE
Family Nurse Practitioner at Anderson Cancer Center

The APN caring for people with diabetes is responsible for performing and recording histories, physical assessments, ordering tests, medications, and treatments to meet the patient's dynamic needs. This session will focus on setting therapy goals and prescribing the best treatment plan for the patient under their current circumstances. It will also assist the APN in managing diabetes in patients who are receiving steroids, TPN, or tube feeding, those starting insulin pump therapy, and in those with gastroparesis and renal disease.

UPN: 069-000-09-148-L04-P

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W27
Keeping Active with Diabetes & Arthritis: It’s a Win-Win

Kris Ernst, BSN, RN, CDE
Public Health Advisor and Program Consultant
Centers for Disease Control and Prevention, Atlanta, GA

The American Diabetes Association and the American College of Sports Medicine agree that increasing physical activity among persons with diabetes is important for reduction of blood glucose and risk factors for complications such as obesity and hypertension. Being active is also one of the principles of the AADE7™ promoted by diabetes educators. However, many adults with both diabetes and arthritis are fearful that swollen, stiff painful joints will only become worse if they exercise. This presentation provides an overview of osteoarthritis and describes the benefits and components of a comprehensive, yet safe, exercise program. A discussion of how diabetes educators can facilitate the individual’s engagement in physical activity without pain or injury will also be examined.

UPN: 069-000-09-207-L04-P

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W28
Guidelines for the Practice of Diabetes Education

Panel Chair:
Donna Rice, MBA, BSN, RN, CDE
Wellness Program Manager
Baylor Healthcare System, Dallas, TX

Panelists:
Debbie Hinnen, ARNP, BC-ADM, CDE, FAAN
Mid-America Diabetes Associates, Wichita, KS

Amparo Gonzalez, RN, CDE, FAADE
Program Director
Latino Diabetes Education Program
Emory University, Atlanta, GA

Tami Ross, RD, LD, CDE
Diabetes Nutrition Educator
Internal Medicine Associates, Lexington, KY

Nancy D'Hondt, RPH, CDE
Staff/Clinical Pharmacist
St. John's Hospital and Medical Center, Gross Point Park, MI

Evidence suggests that diabetes self-management education, support and treatment are more successful when provided by a multidisciplinary team that functions in a collaborative manner. An important dimension of a successful team is role clarity among team members. This program will provide participants with the necessary information they need to provide services utilizing a team approach by clarifying the different levels of practice among those involved in diabetes care and by identifying the specific roles and responsibilities attributed to each level. Knowledge obtained from this program will enable diabetes educators to function more effectively as a team member, provide services more efficiently by appropriate use of team members and/or construct effective teams that will likely result in high quality care, positive outcomes and enhanced access to a broad range of services for people with diabetes or at risk for developing it.

UPN: 069-000-09-210-L04-P

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PT03
Addressing Barriers and Treatment for Diabetes

"Addressing Barriers and Treatment for Diabetes" is an educational meeting series focused on diabetes treatment and management, particularly the identification of common barriers to insulin initiation and intensification often faced by Allied Healthcare Professionals involved in diabetes patient care. It's unique format features multidisciplinary panel discussion, scientific date presentations, interactive video-vignette case study exercises, audience responses, and open forum questions and answer sessions.

This program is sponsored by Novo Nordisk, Inc.

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• Discuss strategies for earlier combination therapy in the management of type 2 diabetes.
• Explain the complimentary mechanisms of action of a combination therapy option.
• Describe the efficacy and safety/tolerability profile of a combination therapy option for type 2 diabetes.

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