What’s New in Diabetes Education?. Presented by Lisa Kiblinger, RN, MS, CDE Vicki Karnes, RN Georgia Free Clinic Network Conference May 3, 2010. Objectives. Following the program the learner will be able to: Recognize one new teaching skill Identify weight based insulin doses
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Lisa Kiblinger, RN, MS, CDE
Vicki Karnes, RN
Georgia Free Clinic Network Conference
May 3, 2010
Following the program the learner
will be able to:
patients in our community
treatment. It is called clinical inertia.
identified early, treated aggressively
and monitored regularly.
patients under the care of a practitioner.
overweight or obese and have one or
more additional risk factors for diabetes.
begin at age 45.
least every 3 years.
> 25 * Caucasian, Hispanic, African-
> 23 Asian American
> 26 Pacific Islanders
*Note:Weight shown on the American Diabetes Association handouts for the public indicates risk begins at a BMI of 30.
2010 ADA Clinic Practice Guideline
Hemoglobin A1c > 6.5 % = Diabetes
Hemoglobin A1c 5.7 to 6.4% = Pre-diabetes
Impaired Glucose Tolerance (IGT) and Impaired Fasting Glucose (IFG) values remain the same.
Note: Health plans may not cover the Hemoglobin A1c blood test. Home
test kits are available for $9 (results in 5 days) or $29 (results in 5 min.)
Exercise 150 minutes/week
Limit Saturated Fat
Moderate Weight Loss: 7 to 10%
obese, sedentary, vegetable-phobic
patient to take better care of himself?
InteractiveTeaching / Learning Style
Humulin N, Novolin N
Novolin R, Humulin R(must wait 30
min. to eat)
70/30, 75/25, 50/50
(NPH / Regular or Rapid)
Weight in kg divided by 2 = TDD
ISF is the estimated point drop in BG per one unit of insulin.
I:C ratio = grams of carb for 1 unit. If I:C is 15, then before 45 gram carb meal, 3 units of insulin is given.
* When using rapid-acting insulin
Monthly Cost of Test Strips
*Twice daily when adjusting meds or BG higher than 200 mg/dl
Calculations based on $20 cost for 50-strip box
Monitor glucose before and after a specific meal or event. For example, before and 2 hrs after lunch.
Write down the results.
Do this for the same meal/ event for 7 days.
Notice how levels changed.
What can be learned fromthe changes?
or Sliding Scale
Available to Member Clinics
New GA Partnership for Caring Applic. 3/2010,
Merck is only PAP that doesn’t require proof of
financial need. Metformin now free at Publix.
program to offer Tramadol for $10 / 90 days
25 copies free of flyers, brochures
Available in 15 languages
Download handouts in 36 languages
education brochures in Spanish
when diagnosed then 2 hours/year.
Classes in the community setting targeting African-
American and Latino Medicare beneficiaries.
Online Sample Calorie-Count Menus: www.fcs.uga.edu
Will Provide Agent for Community Classes
Support Group Meetings
Sunday, 7 pm ET
Manage Your Diabetes”
and health: my personal roadmap”
American Association of Diabetes
We appreciate your
time and attention