Managing Diabetes and Hyperglycemia in the Hospital Setting, A Clinician's Guide
Book by Boris Draznin, MD, PhD
Study Guide by Jennifer Tomesko, DCN, RD, CNSC
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.

CUSTOMER COMMENTS

Sara Tzeggai - "This information is vital to my work as a dietitian in using for me, my patients in the hospital as well in the community."

Sandra K. Leitz - "The challenge and all the new information about diabetes that I didn't know."

Tammy Bogdan - "I liked the way the book was grouped into disease states. It was easy to understand the rationale for the treatment of each co-morbidity."

Judy M. Porter - "I liked that it shared practical approaches, shared case studies and highlighted key research strategies. Also, think it will be a great resource."

Karen Pan - "Very comprehensive and I learned so many new guidelines that I can use in the hospital setting."

Patricia S. Keller - "Very efficient and organized. The courses push me beyond my comfort level so that I learn more."

 

OVERVIEW AND INSTRUCTIONS

Welcome to the pre-approved, accredited CPE program for Managing Diabetes and Hyperglycemia in the Hospital Setting, A Clinician's Guide. The program consists of a book of the same title by Boris Draznin, MD, PhD and this study guide. This CPE program is designed to help you gain an understanding of a whole body system approach to healing using noninvasive, low-risk, natural interventions. It is also designed to help you earn 35 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:

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.

TABLE OF CONTENTS

Introduction
Chapter 1: The Evolution of Glycemic Control in the Hospital Setting
E. Moghissi and S. Inzucchi
Chapter 2: The Diagnosis and Classification of Diabetes in Nonpregnant Adults
I.B. Hirsch and L.M. Gaudiani
Chapter 3: Perils of Glycemic Variability and Rapid Correction of Chronic Hyperglycemia
S.S. Braithwaite and I.B. Hirsch
Chapter 4: Insulin Errors in the Inpatient Setting
R. Hellman
Chapter 5: Food, Fasting, Isulin, and Glycemic Control, in the Hospital
M. Korytkowski, B. Draznin, and A. Drincic
Chapter 6: Glycemic Control in the Setting of Parenteral Nutrition or Enteral Nutrition via Tube Feeding
C.C. Low Wang, R.M. Hawkins, R. Gianchandani, and K, Dungan
Chapter 7: Steroid-Associated Hyperglycemia
N. Mathioudakis, K. Dungan, D. Baldwin, M. Korytkowski, and J. Reider
Chapter 8: Transitioning from Intravenous to Subcutaneous Insulin
L.E Lien, C.C. Low Wang, K. Evans Kreider, and D. Baldwin, Jr.
Chapter 9: Preoperative, Intraoperative, and postoperative Glucose Management
R. Gianchandani, E. Dubois, S. Alexanian, and R. Rushakoff
Chapter 10: Treatment of Hyperglycemia on Medical and Surgical Units
RJ. Rushakoff, H. Windham MacMaster, M. Falciglia, and K. Kulasa
Chapter 11: Hospital Glucose Management of Post-Transplant Patients
A. Sadhu, A. Kansara, U. Masharani, D. Baldwin, R. Rushakoff, and A.Wallia
Chapter 12: Hyperglycemia in Patients Undergoing Hematopoietic Stem Cell Transplantation
S.J. Healy, B. Draznin, and KM. Dungan
Chapter 13: Management of Hospitalized Adult Patients with Cystic Fibrosis-Related Diabetes
B. Draznin and R. Gianchandani
Chapter 14: Improving the Safety and Effectiveness of Insulin Therapy in Hospitalized Patients with Diabetes and Chronic Renal Failure
J. Apel and D. Baldwin
Chapter 15: Insulin Resistance in Patients Treated with Therapeutic Hypothermia and in Patients with Severe Burns
B. Draznin, K. Dungan, and S. Seggelke
Chapter 16: Inpatient Management of Patients with Extreme Insulin Resistance Receiving U-500 Insulin
A. Diesburg-Stanwood, N. Rasouli, and B. Draznin
Chapter 17: Management of Patients Postpancreatectomy
S. Kim, B. Draznin, and RJ. Rushakoff
Chapter 18: Inpatient Management of Patients with Diabetes after Bariatric Surgery
S. Alexaman and LLingvay
Chapter 19: Emergency Department Management of Diabetes Patients with Non-crisis Hyperglycemia
M.F. Magee, C.M. Nassar, J.J. Reyes-Castano, and M.E. McDonnell
Chapter 20: Diabetic Gastroparesis: Update with Emphasis on Inpatient Management
J. Calles-Escandon, K.L. Koch, B. Draznin, and A. Drincic
Chapter 21: Inpatient Management of the Pregnant Woman with Diabetes
E.O. Buschur, M.E. McDonnell, M.K. Figaro, and E.M. Eggleston
Chapter 22: Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar State
J.S. Haw, R. Rushkoff, and G.E. Umpierrez
Chapter 23: Hypoglycemia Prevention and Treatment
J.L. Gilden, D.J. Rubin, K. Kulasa, and G. Maynard
Chapter 24: Use of Continuous Subcutaneous Insulin Infusions in the Inpatient Setting: A Guide to Management
E. Faulds, R. Rushakoff, U. Masharani, and K. Dungan
Chapter 25: Continuous Glucose Monitoring in the Hospital
P. Peter and S.E. Inzucchi
Chapter 26: Noninsulin Therapies
C.E. Mendez, R.Y. Gianchandani, and G.E. Umpierrez
Chapter 27: Patient Education
K. Rodriguez, L. Meneghini, J. Jeffrie Seley, and M.E Magee
Chapter 28: Nursing Education
J.Jeffrie Seley, M.F. Magee, and RJ. Rushakoff
Chapter 29: Resident Education
R.J. Rushakoff, C. Low Wang, J.Jeffrie Seley, and A.L. Warnock
Chapter 30: Transition of Care: Discharge from the Hospital
D.J. Rubin, L.F. Meneghini, J.Jeffrie Seley, E. Cagliero, L.M. Gaudiani, and J.L. Gilden
Index

ABOUT THE AUTHOR OF THE STUDY GUIDE

Jennifer Tomesko, DCN, RD, CNSC is an Assistant Professor in the Department of Nutritional Sciences at Rutgers University in the School of Health Professions. She teaches medical nutrition therapy, nutrition assessment, management, and supervised practice rotation courses for students in the Bachelor of Science in Nutrition and Dietetics Coordinated Program.
Prior to her role in academia Jennifer has worked in acute care for 18 years as a Registered Dietitian, of which 13 years she worked as a clinical nutrition manager. She also provided leadership support and mentoring to new dietitians and managers in the field. Jennifer was an active preceptor and educator in the hospital setting for students and interns.
She obtained her Bachelor of Science in Nutrition and Dietetics at the University of Delaware, Master of Science in Clinical Nutrition at the Indiana University of Pennsylvania, and Doctorate in Clinical Nutrition at Rutgers University. Jennifer completed her dietetic internship at Indiana University of Pennsylvania. She has been a certified nutrition support clinician since 1999, and is actively involved as a board member for the New Jersey American Society of Parenteral and Enteral Nutrition Support Chapter (J.A.S.P.E.N.). Jennifer continues to sit on various committees, and is currently Accreditation Council for the Education of Nutrition and Dietetics (ACEND) Program Reviewer.

ABOUT THE EDITOR OF THE STUDY GUIDE

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!

ACKNOWLEDGEMENTS

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

Heather Cunningham, MS, RD, CDE, CNSC
Education Coordinator/Registered Dietitian
Center-Raritan Bay Medical Center
Old Bridge, NJ

Monique Johnson, MBA, MS, RD, CDE, CDN
Diabetes Educator
Novo Nordisk
Brooklyn, NY

Christina Mastriano, MS, RD, CDE
Diabetes Educator
Cape Cod Healthcare System
Hyannis, MA