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Diabetes Management in Long-Term Settings
A Clinician's Guide to Optimal Care for the Elderly

Book by Linda B. Haas, PhC, RN, CDE
And Sandra Drozdz Burke, PhD, ANP-BC, CDE, FAADE
Study Guide by Kathleen Stanley, CDE, RD, LD/N, MSEd, BC-ADM
Edited by Wolf J. Rinke, PhD, CSP, RDN

20 CPEUs

Book, 265 pgs, and Study Guide with 1 Reporting Form, 26 pgs.
A practical and comprehensive CPE program that outlines the latest evidence and guidelines for geriatric diabetes care which will enable you to develop effective programs to care for this growing population.

For more information and customer comments, click here.

Approved/Accepted byCDR, NCBDE

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

SUGGESTED Performance Indicators (PIs):
6.3.11, 8.1.1, 8.1.2, 8.1.4, 8.1.5, 8.2.1, 8.2.4, 8.3.1, 8.3.6, 10.1.1, 10.1.2, 10.1.3, 10.2.1, 10.2.2, 10.2.4, 10.2.7, 10.2.9, 10.2.10, 12.2.1, 12.4.6

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

C292F 20 CPEUs

Diabetes Management in Long-Term Settings
A Clinician's Guide to Optimal Care for the Elderly

Book by Linda B. Haas, PhC, RN, CDE
And Sandra Drozdz Burke, PhD, ANP-BC, CDE, FAADE
Study Guide by Kathleen Stanley, CDE, RD, LD/N, MSEd, BC-ADM
Edited by Wolf J. Rinke, PhD, CSP, RDN

©2017 Wolf Rinke Associates. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, without the prior written permission of the Publisher.


Joyce Matera: "The course was very well written and very detailed and informative. I gained valuable knowledge about about Insulin and diabetic medications as well as many other aspects of diabetes care in the elderly."

Jennifer Bernstein: "The case study format for testing is a great way to learn and remember the skills you are working to improve."

Rose Cretella: "Book was very detailed & informative-a very useful resource."


Welcome to the pre-approved, accredited CPE program for Diabetes Management in Long-Term Settings. The program consists of a book of the same title by Linda B. Haas and Sandra Drozdz Burke and this study guide. This CPE program is designed to help you apply current practices and recommendations for the treatment and care of residents of long-term care facilities who have diabetes. It is also designed to help you earn 20 Level 2, Continuing Professional Education Units (CPEUs).

To get the most out of this CPE program, it is suggested that you adhere to the following four steps:

  • Review the objectives in this study guide.
  • Read and study the book.
  • Assess what you have learned by answering the self-assessment questions in this study guide.
  • Compare your answers to the answer key, which you will find at the end of the study guide. If you scored at least 80% (40 questions) correct, you have completed the program and are ready to transfer your answers to the CONTINUING PROFESSIONAL EDUCATION REPORTING FORM in front of this study guide. If you scored less than 80% correct, re-read the appropriate sections of the book and until you score at least 80% (40 questions) correct.

After you have successfully completed the program, complete the CPE REPORTING FORM and:
Submit on-line at www.easyCPEcredits.com,
Or fax to: (410) 531-9282,
Or mail to: Wolf Rinke Associates, 721 Valley Forge Road #486, Valley Forge, PA 19481

We will email 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 email 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.


Upon completion of this CPE program you will be better able to:

  • Discuss target A1C and target glucose ranges for older adults with diabetes in long term care (LTC) settings based on current recommendations.
  • Recommend a diabetes meal plan prescription for older adults with diabetes in a LTC setting.
  • Evaluate blood glucose and food intake records using pattern management techniques, to recommend modifications to a basal/bolus insulin regime if needed to achieve glucose goals.
  • Suggest medical nutrition therapy (MNT) and treatment strategies to prevent recurrent hypoglycemia in the LTC resident.
  • Recommend possible pharmaceutical regime strategies to prevent hypoglycemia in the insulin treated elderly individual with diabetes, including considerations of co-morbidities and other health conditions.
  • Assess various physiological and physical factors which can lead to dehydration in the elderly adult with diabetes.
  • Apply current recommendations from leading organizations in developing a MNT plan for the overweight/obese older adult with diabetes.
  • Explain common barriers to physical activity in the older adult with diabetes in a LTC facility.
  • Recommend an initial physical activity action plan, including justification for the use of aerobic and/or resistance types of exercise for the older adult with diabetes.
  • Address common staff concerns, fears, and issues related to the incidence, prevention, and treatment of hypoglycemia of the older adult with diabetes in a LTC facility.
  • Explain how diabetes-related acute and chronic complications can increase fall risk factors in the older adult with diabetes.
  • Assess patient related variables affecting diabetes management in the LTC setting.
  • Describe the role of the food service department, nursing staff, and RDN in terms of optimizing nutritional intake and clinical outcome potential of MNT in the LTC setting for residents with diabetes.


Chapter 1 Introduction
Chapter 2 The Medical Director's Viewpoint
Chapter 3  Diabetes Management in Long-Term Care Settings: Nursing Perspective
Chapter 4 Geriatric Syndromes and Diabetes
Chapter 5 Glycemic Management in Long-Term Care
Chapter 6 Self-Care: Promoting Functional Abilities among Older Adults
Chapter 7 Key Concepts for Nutrition Therapy in Older Adults
Chapter 8 Physical Activity and Diabetes: Considerations for Older Adults in Long-Term Care Facilities
Chapter 9 Fundamentals of Medication Management for the Older Adult with Diabetes in Long-Term Care
Chapter 10 Diabetes Medications and Long-Term Care Insulin Therapy
Chapter 11 Monitoring
Chapter 12 Foot Care in Long-Term Care
Chapter 13 Visual Impairment in Older Adults
Chapter 14 Cardiovascular Disease in the Older Adult with Diabetes
Chapter 15 Transitions of Care Settings
Chapter 16 Where Do We Go from Here?
Conclusions and Recommendations


Linda B Haas, PhC, RN, CDE, recently retired as the Endocrinology Clinical Nurse Specialist at the VA Puget Sound HCS and as the Metabolic Syndrome/Diabetes Clinical Nurse Advisor to the Office of Nursing Services of the Veteran’s Health Administration. She is a Clinical Assistant Professor at the School of Nursing, University of Washington, and a past president of the American Association of Diabetes Educators and the American Diabetes Association.

Sandra Drozdz Burke, PhD, ANP-BC, CDE, FAADE, is an adult nurse practitioner, diabetes educator, and clinical associate professor. She earned her PhD from the University of Illinois at Chicago in 2004. Both her teaching and her research focus on the older adult. Ms. Burke served as the 2012 President of the American Association of Diabetes Educators.


Kathleen Stanley, CDE, RDN, LD/N, MSEd, BC-ADM, has been a diabetes educator, dietitian, and program coordinator for over 25 years. She is currently the program coordinator for the diabetes education programs, outpatient nutrition programs, and Diabetes Prevention Programs at Baptist Health Lexington, in Lexington, Kentucky. Ms. Stanley is a published author for various publications, including articles and a book chapter related to the older adult with diabetes, and has served on national committees of the American Association of Diabetes Educators, the American Diabetes Association, and the Academy of Nutrition and Dietetics.


Wolf J. Rinke, PhD, RDN, CSP is the president and founder of Wolf Rinke Associates, a company that has provided high quality CPE programs to nutrition professionals since 1990.
He earned a BS at Drexel University, a 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).
Wolf is a past Adjunct Associate Professor, Graduate School of Management & Technology, University of Maryland, and a former Adjunct Faculty Member, School of Continuing Studies, The Johns Hopkins University.
He is the past president of the DC Dietetic Association and has been honored by the Academy with the Award for Excellence in the practice of Management; the Outstanding Dietitian of the Year Award; the Outstanding Service Award; and has delivered the Lenna Frances Cooper Lecture.
At the Academy he has served in numerous leadership roles including Chair, Scholarship Committee, DBC; Chair, Communication Committee, CDR; Chair, Area Coordinating Committee, COE; Chair, COE, and member of Resource for Education Programs Committee; Honors Committee; CDR, Licensure Panel and Ethical Practices Task Force; CDR; House of Delegates and Board of Directors.
He is the author of more than 500 articles, numerous CPE home-study programs, several popular books, and the free monthly eNewsletter “Read and Grow Rich” written specifically for savvy Nutrition Professionals like YOU! Subscribe now at www.easyCPEcredits.com--you’ll be glad you did!


Special thanks to the following individuals for their careful review of this CPE program.

Terri Clapsaddle, RD, LDN
Nutrition and Diabetes Educator
Caldwell Nutrition and Diabetes Health
UNC Health Care Systems/Caldwell Campus
Lenoir, NC

Allison Gomes MS, RD, CNSC, CDN
Doctorate of Clinical Nutrition Student
Department of Nutritional Sciences
School of Health Professions
Rutgers, The State University of New Jersey
Newark, NJ

Keri Lynn MacElhinney, RD, CDN, CLT
Certified Functional Dietitian & Certified LEAP Therapist
Independent Consulting Dietitian
Nutrition Consulting, PLLC
Somers, NY

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