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Type 2 Diabetes and Obesity, Fourth Edition
K. Chapman-Novakofski, RDN, LDN, PhD

C340
10 CPEUs
HARD COPY
$89.95
C340E
10 CPEUs
ELECTRONIC
$84.95

Manual with 1 Reporting Form, 89 pgs.
This learning program will help you:

  • recognize the role of adipose tissue in the development of obesity and type 2 diabetes
  • discover the role of obesity in the development of insulin resistance
  • use endocrine changes to explain how medical nutrition therapy can be successful in the prevention and treatment of obesity and type 2 diabetes
  • diagnose obesity, pre-diabetes, and type 2 diabetes
  • discuss the differences between methods of body fat assessments
  • use medical nutrition guidelines to develop meal plans with modifications of fat, protein, carbohydrate and calories
  • explain the glycemic index and glycemic load
  • describe dietary fat modification and its implications on obesity and type 2 diabetes treatment
  • recognize the importance of both aerobic and strength training in the treatment of both obesity and type 2 diabetes
  • explain the rationale and mechanism of medication used for the treatment of obesity and type 2 diabetes

For more information and customer comments, click here.

Approved/Accepted by CDR, NCBDE

For RDs/RDNs & DTRs/NDTRs for the Professional Development Portfolio:

SUGGESTED Learning Need Codes:
2000, 2020, 2050, 2070, 2090, 2100, 2110, 3000, 3005, 3010, 3020, 3030, 3040, 3060, 3080, 4000, 4010, 4020, 4030, 4040, 4050, 4060, 5000, 5190, 5260, 5370

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

DON'T SEE your Performance Indicators or Code Listed here?
There are many Performance Indicators (PIs) that are applicable we can't list them all &
Per CDR you may use ANY PI or CODE as long as it relates to your Learning Plan.
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To order an ADDITIONAL Reporting Form click below:

C340F
10 CPEUs
REPORTING FORM
$40.00


Type 2 Diabetes and Obesity, Fourth Edition
Karen Chapman-Novakofski, PhD, RDN, LDN

© 2020 Wolf Rinke Associates, Inc. All rights reserved for this self-directed learning program. Reproduction in whole or part without written permission from the publisher is prohibited.

CUSTOMER COMMENTS

Courtney Goff: "this course is exactly what I needed--up to date, comprehensive, confidence boosting. I also always appreciate the ease of ordering and timely delivery service."

Karen Coles: "The case studies were helpful, kept my interest and applied knowledge."

Amelia Murphy Bell: "Course was practically oriented. Course was peer reviewed."

OVERVIEW AND INSTRUCTIONS

Obesity and diabetes are both increasing in the U.S. population. Obesity is a strong predictor of type 2 diabetes, although everyone who is obese does not have diabetes. Indeed, it is estimated that up to 25% of overweight people do not develop type 2 diabetes, and many of those with pre-diabetes are not overweight (Garber, 2012). Nutrition therapy has been shown to have a significant impact on weight loss, glycemic control, hypertension, and lipid profiles in persons with diabetes. Effective nutrition therapy requires careful meal planning and food selection, and should be individualized to the person (Evert et al., 2013). Adherence to a meal plan or dietary recommendations has been reported to be low, with few adhering to all the dietary recommendations provided (Broadbent et al, 2011). Indeed, research has shown that people with diabetes have limited knowledge of how to apply nutrition information to meal plans (Herrejon et al., 2009). Patients with diabetes have also indicated that adherence to both oral medication and insulin regimens are higher than adherence to moderate dietary modifications (Broadbent et al., 2011). The goal of this CPE program is to provide the nutrition professional with an understanding of the pathology of these conditions. In addition, the nutrition professional will develop competency in designing strategies to prevent or treat obesity and type 2 diabetes.

Chapter 1 describes the normal physiology of tissues and systems involved in the non-obese, non-diabetic person as well as how these tissues and secretions change with obesity and insulin resistance. In Chapter 2, the theories of how obesity is involved in the development of type 2 diabetes are explained. The pathophysiology and diagnosis of pre-diabetes, type 2 diabetes, and obesity are included in Chapter 3. Medical Nutrition Therapy for type 2 diabetes and its application to obesity are the focus of Chapter 4. Modifications of fat, protein, and carbohydrate are described as well as the recommended distribution of the macronutrients. Information about sugar substitutes, fiber, and the glycemic index are also included. Exercise and physical activity are important considerations in both type 2 diabetes and obesity. The role of aerobic and strength training in these conditions is explored in Chapter 5. Equally important is knowledge of medications used to treat diabetes and obesity, which are included in Chapter 6. Clinical implications are highlighted in each chapter. A case study integrates the information from these six chapters and provides examples of diagnosis and treatment. Also included is a listing of additional sources for your continued learning as well as organizations that are resources for additional information or updates.

This pre-approved CPE self-study program is a Level 2 CPE program approved for 10 Continuing Professional Education Units (CPEUs), meaning that the reader has general knowledge of the literature and professional practice within the area covered. The focus of this CPE program is to enhance knowledge and application.
To get the most benefit from this CPE program, I suggest that you follow these four steps:
Step 1: Review the objectives for the program.
Step 2: Study each chapter. As you read, think of patients or clients 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 program.
Step 4: Compare your answers to the answer key that has been provided. If you score at least 80% correct (40 questions), you are ready to transfer your answers to the CPE REPORTING FORM. If you scored less than 80% correct, re-read this program until you score at least 80% correct.
After you have successfully completed this CPE program, fill out the CPE REPORTING FORM and:
Submit on-line at www.easyCPEcredits.com,
Or fax to: (410) 531-9282,
Or mail to: Wolf Rinke Associates, Inc., 13621 Gilbride Lane, Clarksville, MD 21029

We will e-mail your Certificate of Completion.

When you submit your CPE Reporting Form to us via www.easyCPEcredits.com, fax or mail, be sure to write your correct email address in the space provided on the CPE Reporting Form. If writing by hand, be sure to print your e-mail address clearly.

To ensure that our e-mails are delivered to your inbox (instead of your junk/spam folders), please add cpesupport@wolfrinke.com to your Address Book or Safe List of allowed email senders. Also, be sure to allow attachments from this email address.

Happy Learning!
Karen Chapman-Novakofski, PhD, RDN, LDN

OBJECTIVES

Upon completion of this accredited, self-directed learning program, the nutrition professional should be able to:

  • assess the role of adipose tissue in the development of obesity and type 2 diabetes
  • formulate three hypotheses that explain the role of obesity in the development of insulin resistance
  • interpret endocrine changes to explain how medical nutrition therapy can be successful in the prevention and treatment of obesity and type 2 diabetes
  • apply guidelines for the diagnosis of obesity, pre-diabetes, and type 2 diabetes
  • assess the effectiveness of different methods of body fat assessment
  • apply medical nutrition guidelines to develop meal plans with modifications of fat, protein, carbohydrate, and calories
  • explain the glycemic index and glycemic load to patients and clients
  • discuss dietary fat modification and its implications on obesity and type 2 diabetes treatment with patients and clients
  • evaluate the importance of aerobic and strength training in the treatment of obesity and type 2 diabetes
  • explain the rationale and mechanism of medication used for the treatment of obesity and type 2 diabetes to patients and clients
TABLE OF CONTENTS

CHAPTER 1. NORMAL PHYSIOLOGY
Adipocytes
Adipose Tissue
Adipose Tissue Distribution
Endocrine Function
Pancreas
Insulin
Glucagon
Somatostatin
Pituitary gland
Growth hormone
Adrenal glands
Cortisol
Epinephrine and norepinephrine
Stomach and gastrointestinal tract
Ghrelin
Peptide YY3-36
Adipose tissue
Leptin
Adiponectin
Resistin
Tumor necrosis factor a
Plasminogen activator inhibitor-1
Clinical Implications
CHAPTER 2. OBESITY'S ROLE IN TYPE 2 DIABETES
Genetic Studies
Ectopic Lipid Accumulation
Activation of Unfolded Protein Response Pathway
Inflammatory Response
Clinical Implications
CHAPTER 3. PATHOPHYSIOLOGY, CLASSIFICATIONS, DIAGNOSIS AND SYMPTOMS
Pre-Diabetes
Type 2 Diabetes
Obesity
Body mass index
Waist circumference
Skinfold thicknesses
Measurements of body fat for research rather than clinical applications
Bioelectrical impedance analysis
Dual energy x-ray absorptiometry
Computed tomography
Magnetic resonance imaging
Clinical implications
CHAPTER 4. DIET AND THE TREATMENT OF TYPE 2 DIABETES AND OBESITY
Modification of Fat
Total fat
Saturated fat
Unsaturated fat
Omega-three fatty acids
Trans fatty acids
Modification of Protein
Modification of Carbohydrate
Total carbohydrates
Fructose
Whole grains and fiber
Glycemic response
Low calorie nutritive and nonnutritive sweeteners
Modification of Calories
Distribution of Macronutrients
Meal Planning Tools
The plate method
Pre-planned menus
The exchange system
Carbohydrate counting
Clinical Implications
CHAPTER 5. PHYSICAL ACTIVITY AND THE TREATMENT OF TYPE 2 DIABETES AND OBESITY
Aerobic Activity
Resistance Training or Strength Training
Recommendations
Clinical Implications
CHAPTER 6. MEDICATIONS AND THE TREATMENT OF TYPE 2
DIABETES AND OBESITY
Oral Medications for Treatment of Diabetes
Sulfonylureas
Glinides
Biguanides
Thiazolidinediones
Alpha-glucosidase inhibitors
Dipeptidyl peptidase inhibitors
Injectable Medications for Treatment of Diabetes
Insulin
Amylin analogs
Incretin mimetics
Oral Medications for Treatment of Obesity
Clinical Implications
CASE STUDIES
Case Study #1
Case Study #2
Case Study #3
REFERENCES
FOR YOUR CONTINUING LEARNING
LIST OF ABBREVIATIONS
GLOSSARY
RESOURCES
SELF-ASSESSMENT QUESTIONS
ANSWER KEY
EXPLANATION OF ANSWERS TO SELF-ASSESSMENT QUESTIONS
ABOUT THE AUTHOR
ABOUT WOLF RINKE ASSOCIATES, INC

ABOUT THE AUTHOR

Dr. Chapman-Novakofski received her BS and PhD degrees from the University of Illinois; her MS degree from Eastern Illinois; and interned at the University of Alabama in Birmingham. She worked at a Veteran’s Affairs Medical Center for over ten years while completing her education. She currently holds the rank of Professor of Nutrition in the Department of Food Science and Human Nutrition; the Division of Nutritional Sciences; the Department of Internal Medicine; and the Department of Kinesiology and Community at the University of Illinois in Urbana-Chapman. She also is an Extension Specialist at the University and serves as the Editor in Chief of the Journal of Nutrition Education and Behavior.
Karen’s research and teaching have focused on implementation of theoretical behavior change in a number of topical areas, although she has had a long-term focus on healthy bones for women, healthy aging, and diabetes. She has authored more than 200 publications and is a recognized speaker nationally and internationally. She has received many awards for her teaching, research and outreach, including the prestigious Excellence in Nutrition Education award from the American Society for Nutrition; the Abbott Award for Women’s Health from the Academy of Nutrition and Dietetics Foundation; the Healthy Aging Dietetic Practice Group’s Distinguished Service Award; and, most recently, the Medallion award for lifetime achievement from the Academy of Nutrition and Dietetics.

ABOUT THE EDITORS

Mary Ann Cockram, MS, RD is retired from Abbott Nutrition where she was a Research Scientist in the Scientific and Medical Affairs group. In this role, she provided clinical nutrition education and brand support internally to Sales and Marketing and externally to clinicians and consumers for Abbott’s critical care and surgical enteral nutrition products. Her area of interest is enteral feeding.
Mary Ann received a Bachelor of Science in Home Economics from Valparaiso University in Valparaiso, IN, and a Master of Science in Clinical Nutrition from Rush University in Chicago.
Mary Ann served as chair of the Medical Nutrition Practice Group, and as the assistant editor and editor of Medical Nutrition Matters, the newsletter of this practice group. Mary Ann participated as an evidence analyst on the Evidence Analysis Team for Adult Weight Management for the Academy of Nutrition and Dietetics, and she attended the test item writer workshop sponsored by the Commission on Dietetic Registration.

Wolf J. Rinke, PhD, RDN is the president and founder of Wolf Rinke Associates, Inc., a company that has provided high-quality CPE programs to nutrition and dietetics practitioners since 1990.
Dr. Rinke earned a BS at Drexel University, an MS at Iowa State University, a PhD in Continuing and Vocational Education (Adult Ed) at the University of Wisconsin and interned at Walter Reed Army Medical Center. He participated in a test item writer workshop sponsored by the Commission on Dietetic Registration (CDR).
Dr. Rinke is a past Adjunct Associate Professor, Graduate School of Management & Technology at the University of Maryland, and a former Adjunct Faculty Member of the School of Continuing Studies at The Johns Hopkins University.
He has served as past president of the District of Columbia (DC) Dietetic Association and has been honored by the Academy of Nutrition and Dietetics with the Award for Excellence in the Practice of Management, the Outstanding Dietitian of the Year Award, and the Outstanding Service Award, in addition to delivering the Lenna Frances Cooper Lecture.
Dr. Rinke has served in numerous leadership roles at the Academy of Nutrition and Dietetics: Chair of the Scholarship Committee for Dietitians in Business and Communications; Chair of the Communication Committee, Honors Committee, and Licensure Panel and Ethical Practices Task Force for the Commission on Dietetic Registration; Chair of the Area Coordinating Committee and Chair for the Code of Ethics; Member of the Resource for Education Programs Committee; Member of the House of Delegates; and Member of the Board of Directors.
Dr. Rinke is the author of more than 500 articles, numerous CPE self-study programs, and several popular books including Make It a Winning Life: Success Strategies for Life, Love and Business; Winning Management: 6 Fail-Safe Strategies for Building High-Performance Organizations; and Don’t Oil the Squeaky Wheel and 19 Other Contrarian Ways to Improve Your Leadership Effectiveness.

ACKNOWLEDGMENTS

Special thanks to the following individuals for their careful review.

Mary “Mickey” Kinney Bielamowicz, PhD, MS, RD, LD, CFCS
Regents Fellow
Emerita Professor and Nutrition Specialist
Texas Cooperative Extension
Texas A&M University System
Department of Nutrition and Food Science
College Station, TX

Lorri Kanauss, PhD, MS Ed, RD, LD, CDE
Professor
Department of Dietetics, Fashion Merchandising, and Hospitality
Western Illinois University
Macomb, IL

Stacey L. Krawczyk, MS, RD, LDN
President & Principal Consultant
FoodWell Strategies, LLC
Flint, MI

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