Diabetes Self-Management Education & SupportBy Robin Allen MSPH, RDN, LDN
What a great webinar today The ABCs of MDI: Gaining a working knowledge of Multiple Daily Injection insulin therapy presented by Kimberly Bisanz, MFCS, RDN, LD, CDE. If you missed it you can still watch the recording, complete the evaluation, and earn CPEUs here.
Here are the highlights:
- 1 million people with diabetes in the US, 82,000 RDNs, 8,100 Diabetes credentialed RDNs
- There are 4 major times to evaluate the need for Diabetes Self-Management Education and Support (DSME/S): at diagnosis, annually, when complicating factors arise, and when transitions in care occur. (Expert Opinion, ADA 2018)
- MDI involves 4 or more injections per day, Basal-Bolus insulin therapy, intensive insulin therapy.
- MDI is the Gold-standard for people with Type 1 diabetes.
- MDI is used for Type 2 Diabetes when control cannot be achieved with other agents.
- Carbohydrate Intake timing;
- Carbohydrate with bolus insulin, separate meals by at least 4 hours to avoid insulin stacking.
- Use “Teach Back” approach to demonstrate understanding View this video as a demonstration of the “Teach Back” method http://nchealthliteracy.org/teachingaids.html.
- Use the plate method to have your patient identify which foods have carbohydrates.
- Have patient to plan a 60 gm carbohydrate meal
- Have the patient plan good snack after working in the yard or exercising.
- ETOH and diabetes:
- Intake of alcohol results in ceasing gluconeogenesis which can lead to hypoglycemia.
- Advise alcohol in moderation and only with meals.
- Do not insulin dose for the carbohydrates in alcohol.
- Ketogenic diets and diabetes:
- Caution that controlling diabetes is not just about controlling blood sugar. It is also about maintaining good health to prevent complications.
- People with diabetes have a 2 to 5 times risk of stroke or heart attack.
- Controlling diabetes is about minimizing all complications.
There are many more highlights. Be sure to tune into the recording. You can still earn CPEUs by watching the recording and completing the evaluation.
Please share your highlights or thoughts.
This blog was posted by Robin Allen, a member of the Military Families Learning Network (MFLN) Nutrition and Wellness team that aims to support the development of professionals working with military families. Find out more about the MFLN Nutrition and Wellness concentration on our website on Twitter, and LinkedIn.