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1. Differentiate the various pharmacologic treatment options for diabetes.
2. Breakdown effective new strategies to improve patient outcomes.
3. Formulate a plan of care for the patient with complications related to diabetes.
4. Integrate motivational interviewing strategies to facilitate patient behavioral changes.
5. Evaluate biomechanical treatment strategies to improve patient outcomes.
6. Assess the new recommendations for cardiometabolic disease.
7. Develop management strategies for the patient experiencing a diabetic emergency.

New Recommendations

• American Diabetes Association (ADA)
  • All NEW 2015 Standards of Care
    • BMI Classifications
    • E-cigarettes
• Immunization Recommendations
• American Association of Clinical Endocrinologists (AACE)
  • Updates to the Comprehensive
• Diabetes Algorithm
• Reimbursement Strategies

Cardiometabolic Disease

• Dyslipidemia
  • New American College of Cardiology Guidelines
  • Recommended Treatment Based on Risk Factors
• Critical Lab Values
• Statin Therapy
• Non-statin LDL-C-lowering Therapy
• Fibrates
• Omega 3
• Niacin
• Hypertension
  • Modifications in Diagnostic Criteria
  • Beta-Blockers
  • Calcium Channel Blockers
  • Diuretics
  • Low Dose vs. Aggressive Therapy

Biomechanical Complications

• New Guidelines for Assessment
• Foot Exam & Treatment Alterations
• Skin Assessment
• Ulcers
  • Strategies for Patient Compliance
  • Recurrence Prevention
• Neurological Predisposition
  • Peripheral & Autonomic
• Neuropathies
• Vascular Considerations
  • Microvascular changes
  • Challenges with Retinopathies

Non-Insulin Medications

• AACE Profiles & Recommendations
  • Sulfonylureas
  • Meglitinides
  • Thiazolidinediones
  • Biaguanides
  • Alpha-glucosidase Inhibitors
  • DPP-4 Inhibitors
  • SGLT-2 Inhibitors

Blood Glucose Pattern Analysis

• 2015 Glycemic Targets
• Adjusting Treatment
• Utilizing CGM

Individualized Glycemic Treatment Goals

• Monotherapy
• Dual Therapy
• Benefit of Early, Aggressive Control

When to Transition to Insulin

• Progressive B-cell Failure
• Insulin Profiles
• Basal Therapy
• Intensifying Therapy
• Benefits of Insulin Pump Therapy
  • New Options
  • Sensor-augmented
  • Closed Loop Therapy

Management Strategies for Acute Complications

• Diabetic Ketoacidosis (DKA)
• Hyperglycemic Hyperosmolar Non-ketotic Syndrome (HHNK)
• Infection
• Surgery & Hospitalization

Addressing Special Populations

• Type II in Children/Adolescents
  • Variations in Targets and Therapies
• Elderly
  • Impact of Co-Morbidities

Putting it All Together

• AADE-7 Behavioral Goals
• Strategies for Compliance
• Motivating Change

Mary Ann Rosa, DNP, GNP-BC, CDCES, has 25+ years of experience working with patients, and helping patients manage cardiac disease and diabetes, and educating clinicians to decrease readmissions and improve outcomes. She is an associate professor, a board certified gerontological nurse practitioner, and a certified diabetes care and education specialist.
br> As a nurse practitioner, Mary Ann has experience in a cardiac angioplasty program, acute care, private practice, community care, extended care, and in program development. She co-developed, and implemented a community diabetes disease management program, developed and implemented a community heart failure disease management program, and implemented a telehealth program for Northwell, the third largest health system in the US.

She has presented locally at numerous events including post-graduate medicine, long-term facilities, many hospitals and universities, and nationally at events including the National Association of Home Care Annual Conference, the NLN Summit, OADN Annual Conference, NLN Technology Conference, The American Association of Diabetes Care and Education Specialist Annual Conference, the VA Hospital System, and the Montana Health System. Mary Ann is a published author with articles in Home Healthcare Nurse including, "How a Heart Failure Home Care Disease Management Program Makes a Difference" and "The Interdisciplinary Development of a Diabetes Disease Management Program." Speaker Disclosures:
Financial: Mary Ann Rosa has employment relationships with Queensborough Community College, Hunter College Graduate Program, and LIJ Home Care Network. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Mary Ann Rosa is a member of the American Association of Diabetes Care and Education Specialists, the Eastern Nursing Research Association, the American Association of Nurse Practitioners, and the NLN.

For U.S. and Canadian customers, a CE test is available for $9.99 USD per participant. International CE rates may vary; please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion may be emailed, faxed or mailed to participants completing the post-test/evaluation and paying the CE fee.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses, Nurse Practitioners, and Clinical Nurse Specialists
This self-study activity consists of 6.25 clock hours of continuing education instruction. Credit requirements and approvals vary per state board regulations. Please save the course outline, the certificate of completion you receive from this self-study activity and contact your state board or organization to determine specific filing requirements.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.3 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Certified Diabetes Educators, Registered Dietitians & Dietetic Technicians, Nurses, Pharmacists, Physician Assistants, and other Healthcare Professionals