Activity 3: The Role of Diabetes Education in Optimizing Glycemic Control and Improving Outcomes in Type 2 Diabetes

Program Overview

Patient self-management is a critical component of successful diabetes care. Proper diabetes education can positively impact glycemic control and clinical outcomes. In addition to educating patients about why they need to start insulin, it is essential to also teach them when, where and how to accurately inject the insulin. Providing patients with instruction regarding proper monitoring and documenting of blood glucose levels helps ensure that clinicians receive the information they need to accurately evaluate and optimize therapy.

In the third activity of our series on type 2 diabetes, The Role of Diabetes Education in Optimizing Glycemic Control and Improving Outcomes in Type 2 Diabetes, Frances Love, MSN, RN, CDE, BC-ADM, provides her perspective as a diabetes educator regarding the essential elements of diabetes education and discusses the applicable practice guidelines. Video dramatizations demonstrate appropriate patient instruction about blood glucose monitoring and insulin injection techniques.

Intended Audience

This continuing medical education program is intended for family practitioners and other healthcare professionals who manage type 2 diabetes.

Learning Objectives

After completing this activity, participants will be better able to:

• Integrate diabetes education into the care of patients with type 2 diabetes, including patients with disabilities such as vision impairment
• Provide proper instruction regarding insulin injection and self-monitoring of blood glucose
• Prepare patients to manage hypoglycemia and intercurrent illness

Faculty

Frances Love, MSN, RN, CDE, BC-ADM
Clinical Nurse Specialist/Diabetes Education Coordinator
PENN Rodebaugh Diabetes Center
University of Pennsylvania

Planning Committee

Neil Skolnik, MD
Professor of Family and Community Medicine
Temple University School of Medicine
Family Medicine Residency Program
Abington Memorial Hospital
Abington, PA

Serena Cardillo, MD
Assistant Professor of Medicine
Hospital of the University of Pennsylvania
Philadelphia, PA

Frances Love, MSN, RN, CDE, BC-ADM
Clinical Nurse Specialist/Diabetes Education Coordinator
PENN Rodebaugh Diabetes Center, Univ of Pennslyvania
Philadelphia, PA

John Russell, MD
Associate Director of Family Medicine Residency
Abington Memorial Hospital
Clinical Associate Professor of Family and Community Medicine
Temple University School of Medicine

CME Accreditation

This activity has been reviewed and is acceptable for up to 2.0 Prescribed credits by the American Academy of Family Physicians. Of these credits, 1.0 conforms to the AAFP criteria for evidence-based CME clinical content. CME credit has been increased to reflect 2 for 1 credit for only the EB CME portion. AAFP accreditation begins October 1, 2009. The term of approval is for two years from this date with the option of yearly renewal. When reporting AAFP credit, claim total Prescribed and Elective credit for this activity. It is not necessary to label credit as evidence-based CME for reporting purposes.

The EB CME credit awarded for this activity was based on practice recommendations that were the most current with the strongest level of evidence available at the time this activity was approved. Since some clinical research is ongoing, the American Academy of Family Physicians recommends that learners verify sources and review these and other recommendations prior to implementation into practice.

The AAFP is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Academy of Family Physicians designates this education activity for a maximum of 1.0 AMA PRA Category 1 credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Agenda

Introduction and Opening Remarks
Module 1: Overview of Education Process and Lifestyle Principles
Module 2: Part 1 - Demonstration of Blood Glucose Monitoring
Module 2: Part 2 - Demonstration of Proper Insulin Injection Techniques
Module 3: Special Situations and Resources
Closing Remarks

Disclosures:

It is the policy of the AAFP that all CME planning committee/faculty/authors/editors/staff disclose relationships with commercial entities upon nomination/invitation of participation. Disclosure documents are reviewed for potential conflict of interests and, if identified, they are resolved prior to confirmation of participation. Only these participants who have no conflict of interest or who agree to an identified resolution process prior to their participation were involved in this CME activity.

The AAFP and MedEd Architects staffs have indicated that they have no relationships to disclose relating to the subject matter of the activity. Frances Love, MSN, RN, CDE, BC-ADM have returned a disclosure form indicating that she/he have no financial interest in or affiliation with any commercial supporter or providers of any commercial services discussed in this educational material.

Please note that faculty is required to disclose all relevant relationships prior to the beginning of the activity.