Description & Objectives
This conference is intended for primary-care physicians, including those in family practice and internal medicine, as well as all other allied health professionals and registered dieticians treating patients with diabetes in the Pacific Northwest.
Diabetes is an ever-increasing chronic disease that is apparent across the whole continuum of life. It is a factor that is increasing our health care costs as the number of individuals affected by diabetes continues to grow, and health-care professionals are increasingly called upon to help their patients manage the disease and related complications. With early detection and current treatment methods many of these complications can be reduced or prevented. To meet these rising health-care demands, there is a continuing need to provide updates to health-care providers to enable them to provide the most current treatment options to their patients.
Surveyed members of the target audience indicated a need for updates on research guiding how tight is tight control, managing diabetes in pregnancy, starting medication: oral agents vs. insulin, behavior change in patients and practitioners and hands-on practicum demonstrating devices patients use when they have diabetes. This course will address these and other related topics.
At the conclusion of this symposium, the participant will provide better patient care through an increased ability to:
- Recognize the differences in study populations for the various clinical trials and how that impacts treatment targets in any individual patient, discuss the critical primary and secondary outcomes, review epidemiological analysis of the major Type 2 trials and how that translates to clinical glycemic targets and appreciate the major limitations of HbA1c
- Identify risk factors for gestational diabetes to counsel women interested in pregnancy, review the diagnosis of diabetes in pregnancy and assess the role of diet, diabetes education, and medications, including insulin, in the care of diabetes in pregnancy
- Evaluate the place for total pancreatectomy and autoislet transplantation for patients with unrelentingly painful chronic pancreatitis and formulate a decision-making plan for referral for total pancreatectomy, autoislet transplantation and post-operative follow-up
- Discuss the desirability for prediction of Type 1 diabetes before clinical onset and describe the immunogenetic basis for prediction of Type 1 diabetes before clinical onset
- Review the rationale of insulin pump therapy as a treatment option, compare basic functions of insulin pump therapy and identify self-care management issues related to maintenance of insulin pump therapy
- Identify two factors in patient provider resistance to starting insulin, analyze the pros and cons of each insulin administration method and perform a self-injection of saline with insulin syringe
- Discuss current guidelines for Type 2 diabetes treatment and compare medication options for Type 2 diabetes
- Evaluate the factors that influence patient behavior, outline how to set realistic goals for patients and discuss effective techniques for behavior change.
- Apply practical tips for relaying nutrition information, review pitfalls to avoid when discussing nutrition and manage common patient complaints and confusion regarding nutrition
- Describe continuous glucose monitoring and identify what a continuous glucose monitor download can tell you
During the lunch break there will be an optional, non-accredited talk: Diabetic Complications on the Front Line: A Physician's Personal Story. When Seattle Family Doctor Linda Gromko finally met her life partner, she had no idea that she'd be doing a 'life lab' that would cover a full menu of diabetic complications! Steve's story reviews the very real issues of living with diabetes: ASCVD, Acute-on-Chronic Renal Failure, Home Dialysis, kidney transplant, peripheral vascular disease, and amputation. This true story underscores why we do the work we do, and why we should be zealous about diabetes prevention.
View Brochure (pdf)