Manual with 1 Reporting Form, 134 pgs.
This comprehensive, up-to-date manual
has been written by one of the most renowned diabetes educators in the
country. You will learn how you can have a major impact on medical and
clinical outcomes and help patients with diabetes achieve dramatic improvements
in the quality of life. You will discover how to:
- apply strategies for attaining and maintaining blood glucose control
in type 1 diabetes
- implement strategies to achieve nutrition goals for persons with
type 2 diabetes
- recommend guidelines for carbohydrate in diabetes meal planning
- identify long-term complications of diabetes
- specify guidelines for fat in diabetes meal planning
- recognize five stages of intentional behavior change as outlined
by the transtheoretical model of change
- provide follow-up and ongoing nutrition care for people with diabetes
- plus much, much more
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Approved/Accepted by CDR, CBDM,
For RDs/RDNs & DTRs/NDTRs for the Professional Development
SUGGESTED Learning Need Codes:
2000, 2020, 2060, 2070, 2090, 2100, 2110, 3000, 3005, 3010, 3030, 3040,
3060, 3080, 3090, 3100, 4000, 4010, 4020, 4030,4040, 4050, 4060, 4120,
4130, 4140, 4150, 4160, 4170, 4180, 4190, 5000, 5010, 5040, 5050, 5090,
5100, 5120, 5130, 5160, 5190, 5200, 5220, 5260, 5310, 5360, 5370, 5380,
5390, 5400, 5410, 5460, 6000, 6010, 6020, 6030, 6040, 6060, 6070, 6080,
SUGGESTED Performance Indicators (PIs):
1.2.2, 8.1.1, 8.1.2, 8.1.5, 8.3.1, 9.3.5, 10.1.3, 10.2.1, 10.2.2, 10.2.24, Series 10.2.7-10.2.10, 10.4.2, 12.4.6
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There are many Performance Indicators (PIs) that are applicable we can't list them all &
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Copyright 2014 Wolf Rinke Associates, Inc. All rights reserved for
this self-directed, accredited learning program. Reproduction in whole
or part without written permission from the publisher is prohibited.
Cynthia Jones: "In comparison to other courses I've completed, this one is more precise and provided all the information and up-to-date recommendations for preparing me for the CDE exam. Thank you!"
Lori Johnson: "I loved the case studies in the book. I am very familiar with the author, Marion Franz, and I respect her knowledge and enjoy learning from her."
Joan Panepinto: "I appreciated how this author utilized the most current recommendations for diagnosis, treatment and explained Nutrition Care Process. A thorough overview of diabetes which would be helpful for any dietitian or student of dietetics! Thank-you."
Sharon Specht: "The information was up-to-date and will enhanc
my skills as a clinical dietitian in both the hospitla and outpatient
Lisa Maroun: "It was very organized and informative. I am happy
to have this reference for my future!"
Cristina Santos: "The course is written in simple, plain, easy
to understand language. Complete information and study done in the comfort
of my home and at my own pace, and the price was right."
Alicia Calvo: "Easy to read, efficient, effective and will enhance
my nutrition counseling"
Kathy Ann Schmitt: "It was very informative. I'll be more ordering
Christine Doubrava: "I enjoyed the questions as they related to
individuals and their problems. It is similar to patients presented
to you in a nutrition counseling session."
Louise Joseph: "Marian Franz was my teacher at the IDC several
years ago. This was a marvelous update!"
Courtney Goff: "The info was clear and concise. This course has
already helped me at my job. The course was great in providing complete,
up to date info to use.
Dyana Hoffend: "Very well organized."
Dawn Kern: "Well written and well organized material: summary
given at the end of each chapter."
Priscilla Winn: "Very easy to apply to current clinical practice."
Jo Dragoon-Morse: "Very organized and to the point."
Ancy George: Simple, easy to read chapters. Great info. Worth the CPEU'S."
Lupe Taimoori: "I found the case studies very useful! I was able
to apply the information to daily life situations. Easy to understand
OVERVIEW AND INSTRUCTIONS
Diabetes is a serious chronic disease affecting approximately thirteen out of every 100 U.S. adults age 20 and older, but, unfortunately, approximately a third of them have not been diagnosed (Centers for Disease Control and Prevention, 2011). It is costly in both economic terms and its impact on an individual's quality of life. Clinical trials and outcomes research report that diabetes medical nutrition therapy (MNT) provided by Registered Dietitian Nutritionists (RDNs) and delivered using a variety of nutrition interventions and multiple encounters is effective in improving glycemic and other metabolic outcomes (Pastors, 2012). However, for RDNs to be effective clinicians and educators, requires not only knowledge and skills in diabetes nutrition therapy, but also knowledge and skills in the overall management of diabetes and in effective diabetes education and counseling. By developing these competencies, MNT can be integrated effectively into diabetes management. This allows the person with diabetes flexibility in lifestyle and improved quality of life while still maintaining excellent metabolic control. The goal of this continuing education program is to provide the information and skills needed by dietetic/nutrition professionals to develop these competencies.
Chapter 1 discusses the classifications, diagnosis, and screening of diabetes. Chapter 2 outlines lifestyle strategies for the prevention of diabetes. Chapter 3 reviews the management of diabetes. It begins by reviewing how monitoring of diabetes management outcomes is done and used to achieve treatment goals. The section on MNT reviews the goals and expected outcomes of MNT and the nutrition-related strategies that have been shown to be effective. Also summarized are the roles of physical activity and medications, both glucose-lowering medications and insulin. Chapter 4 provides an overview of the acute complications of diabetes--hypo- and hyperglycemia--and the role of nutrition therapy in treatment and prevention. The long-term complications of diabetes and MNT for cardiovascular disease, hypertension, and nephropathy are discussed in chapter 5. Issues related to nutrition therapy for preexisting diabetes and pregnancy and for gestational diabetes are covered in chapter 6.
The implementation of MNT for diabetes is a primary responsibility for RDNs and is addressed in chapter 7. Implementation steps as outlined in the Nutrition Care Process include nutrition assessment, nutrition diagnosis, nutrition intervention (planning and implementation), nutrition monitoring, and evaluation (American Dietetic Association, 2011). Chapter 7 also includes a brief discussion of implementation of nutrition therapy in health care facilities. A case study provides the opportunity to apply the overall information gained from the learning program to life situations and is included after the final chapter.
This learning program is a level 2 Continuing Professional Education (CPE) program approved for 18 continuing education units (CPEUs). That means that the reader has general knowledge of literature and professional practice in the area covered. The focus of the program is to enhance knowledge and application. To get the most benefit from this program, we suggest you adhere to the following four steps:
Step 1: Review the objectives for the learning program.
Step 2: Study each chapter. As you read, think of patients from your own practice who fit the situation described.
Step 3: Assess what you have learned by completing the self assessment instrument at the end of this learning program.
Step 4: Compare your answers to the answer key that has been provided. If you score at least 80% correct, you are ready to transfer your answers to the CONTINUING PROFESSIONAL EDUCATION REPORTING FORM If you scored less than 80% correct, re-read this learning program until you score at least 80% correct.
After you have successfully completed the program complete the CPEU REPORTING FORM and
Submit on-line at www.easyCPEcredits.com,
Or fax to: (410) 531-9282,
Or mail to: Wolf Rinke Associates, Inc., 13621Gilbride Lane, Clarksville, MD 21029.
Upon receipt of your successfully completed CONTINUING PROFESSIONAL EDUCATION REPORTING FORM, a certificate of completion for 18 CPEUs will be sent to you.
Marion J. Franz, MS, RDN, LD, CDE
Upon completion of this accredited, self-directed learning program,
the nutrition professional should be able to:
- Recognize the types of glucose intolerance, screening recommendations, and diagnosis criteria.
- Assess symptoms and discuss etiologies of type 1 and type 2 diabetes.
- Identify recommended blood glucose, lipid, and blood pressure goals.
- Describe expected outcomes from medical nutrition therapy for diabetes and when to evaluate outcomes
- Implement lifestyle factors with research support for the prevention of diabetes.
- Recognize two types of monitoring for glucose.
- List goals of medical nutrition therapy.
- Apply strategies for attaining and maintaining blood glucose control in type 1 diabetes.
- Implement strategies to achieve the primary nutrition goals for persons with type 2 diabetes.
- Recommend guidelines for total and types of carbohydrate in diabetes eating patterns.
- Define acceptable daily intake for nonnutritive sweeteners.
- Discuss the role of protein in overall diabetes management.
- State guidelines for types and amounts of fat in diabetes eating patterns.
- State guidelines for the use of alcoholic beverages.
- Recommend guidelines that allow a person with diabetes to exercise safely.
- Recognize classes of glucose-lowering medications and their primary mode of action.
- Identify types, peak effect, and usual duration for insulin.
- Recognize the causes and treatment for hypoglycemia, hyperglycemia, and ketoacidosis.
- Identify five long-term complications of diabetes.
- Implement nutrition therapy for the prevention and treatment of cardiovascular disease, hypertension, and nephropathy.
- Implement nutrition therapy interventions for pregnancy with preexisting diabetes and gestational diabetes.
- Recognize the four components of the nutrition care process and their application to diabetes medical nutrition therapy.
- Specify areas of assessment needed in order to provide diabetes medical nutrition therapy.
- List potential nutrition diagnosis for diabetes.
- Plan and implement nutrition interventions for persons with diabetes.
- Recognize the five stages of intentional behavior change as outlined by the transtheoretical model of change.
- Assess factors to be addressed in nutrition care monitoring and evaluation.
- Provide follow-up and ongoing nutrition care for persons with diabetes.
- Discuss use of a consistent-carbohydrate diabetes meal planning system for acute and long-term care health care facilities.
TABLE OF CONTENTS
Chapter 1. Classification, Screening, and Diagnosis of Pre-Diabetes and Diabetes
MEDICAL NUTRITION THERAPY AND DIABETES
DIABETES MELLITUS FACTS
Type 1 Diabetes
Type 2 Diabetes
Prediabetes or Categories of Increased Risk for Diabetes
Gestational Diabetes Mellitus
Other Types of Diabetes
SCREENING FOR DIABETES
DIAGNOSIS OF PREDIABETES
DIAGNOSTIC CRITERIA FOR DIABETES
Chapter 2. Prevention of Diabetes
DIABETES PREVENTION RESEARCH STUDIES
MEDICAL NUTRITION THERAPY FOR PRE-DIABETES
Weight Loss Interventions
Other Food- and Nutrition-Related Factors
DIABETES IN YOUTH
Chapter 3. Management of Diabetes
Self-Monitoring of Blood Glucose
Monitoring of Ketones, Lipids, and Blood Pressure
MEDICAL NUTRITION THERAPY
Goals and Outcomes of Medical Nutrition Therapy for Diabetes
Nutrition Intervention Priorities for Persons on MNT Alone or Glucose-Lowering Medications
Nutrition Intervention Priorities for Patients Requiring Insulin Therapy
Potential Problems with Exercise
Exercise Precautions for Persons with Type 2 Diabetes
Exercise Precautions for Persons Taking Insulin and/or Insulin Secretagogues
Glucose-Lowering Medications for Type 2 Diabetes
Glucagon-like Peptide (GLP-1) Receptor Agonist
Dipeptidyl Peptidase-4 Inhibitors (DPP-4)
Alpha Glucoside Inhibitors
Sodium-Glucose Transporter 2 (SGLT-2) Inhibitors
Types of Insulin
Chapter 4. Nutrition Therapy and the Acute Complications of Diabetes
HYPEROSMOLAR HYPERGLYCEMIC STATE
Chapter 5. Nutrition Therapy and the Long-Term Complications of Diabetes
Medical Nutrition Therapy for Prevention and Treatment of Cardiovascular Disease and Diabetes
Medical Nutrition Therapy for Hypertension
Medical Nutrition Therapy for Nephropathy
Chapter 6. Nutrition Therapy for Diabetes and Pregnancy
WEIGHT GAIN DURING PREGNANCY
ENERGY AND NUTRIENT INTAKE DURING PREGNANCY
PREEXISTING DIABETES AND PREGNANCY
Nutrition Therapy for Preexisting Diabetes and Pregnancy
GESTATIONAL DIABETES MELLITUS
Nutrition Therapy for Gestational Diabetes Mellitus
Chapter 7. Putting It All Together: Implementing the Nutrition Care Process
IMPLEMENTING THE NUTRITION CARE PROCESS
Planning Nutrition Interventions
Nutrition Monitoring and Evaluation
MPLEMENTING DIABETES NUTRITION INTERVENTIONS
INTO HOSPITALS AND LONG-TERM CARE FACILITIES
Long-Term Care Settings
FOR YOUR CONTINUING EDUCATION
LIST OF ABBREVIATIONS
SELF ASSESSMENT QUESTIONS
EXPLANATIONS TO QUESTIONS
ABOUT THE AUTHOR
ABOUT WOLF RINKE ASSOCIATES, INC.
ABOUT THE AUTHOR
Marion J. Franz is a registered dietitian and a certified diabetes educator
with a master's degree in nutrition from the University of Minnesota.
She is a nutrition/health consultant with Nutrition Concepts by Franz,
Inc. For more than 20 years she was the Director of Nutrition and Health
Professional Education at the International Diabetes Center, Minneapolis.
She has authored books, numerous articles in professional and lay journals,
and chapters in texts and manuals for professionals and the lay public.
She lectures frequently in the United States and internationally on
nutrition, obesity, exercise, and diabetes. She has co-chaired and been
a member of task forces to write the American Diabetes Association's
nutrition recommendations and technical reviews, the American Dietetic
Association's evidence-based nutrition practice guidelines for type
1 and type 2 diabetes, and was editor of the American Association of
Diabetes Educators Core Curriculum for Diabetes Education, 4th and 5th
editions. She received the 2001 American Diabetes Association Charles
H. Best Medal for Distinguished Service in the Cause of Diabetes, the
American Dietetic Association 2006 Medallion Award, and was the American
Dietetic Association 2002 Lenna Frances Cooper Memorial Lecturer.
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