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Building Competency In Diabetes Education: The Essentials
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The knowledge shared in this manual is based on the Clinical Practice Guidelines of Diabetes Canada including updates and the clinical experience of the authors who are all practicing certified diabetes educators with multiple years of experience.
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The novice educator right through to the expert will find ‘pearls for practice’ embedded in each chapter of the Essentials
The Essentials manual has been written for all health care practitioners who are interested in providing the best up to date, evidenced -based education and care for patients with diabetes.
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Explore the concepts of compliance versus empowerment leading into the review and application of behavour change theories.
The value of collaborative practice, health coaching and how technology is changing practice, this chapter lays the foundation for our patient engagement.
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In chapter 3 we are looking at the pathophysiology of diabetes viewing it as a problem with glucose metabolism leading to abnormalities in glucose homeostasis.
The diagnostic criteria for diabetes and the classification of the types of diabetes are defined with evidence from the supporting research. The genetics of diabetes continues to be an area of extreme interest and debate. The highlights of this work are reviewed in this chapter with the current expert opinions summarized.
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This chapter explores how the skills for diabetes management must be adapted for each stage of development from the infant through to the frail elderly.
The essential role of ‘the supporter’ is discussed including the recognition and approach to deal with the psychosocial and emotional stress that accompanies the diagnosis and treatment of diabetes. Diabetes is truly a ‘family affair’ affecting not only the individual but their significant other, family and community.
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The essential message conveyed in chapter 5 is that the lifestyle modalities of healthy eating and active living are critical to the success of diabetes self-management.
Lifestyle modalities would not be complete without exploring the very important role that physical activity plays in the management of diabetes. Recent research discussed in this chapter shows us the very interesting and complex role of glucose metabolism during exercise in a person with diabetes.
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In this chapter the relationship between glycemic control , diabetes complications and medication management is explored in regard to oral and injectable antihyperglycemic agents.
The classifications, mechanisms of action, side effects and considerations for initiating each agent are reviewed. Regardless of which medication is being considered, from metformin to insulin, it is the clinician’s responsibility to educate the patient assisting them to make an informed decision
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This chapter reflects the rapid development of new technology as updated in the 2021 Diabetes Canada Glycemic monitoring guidelines.
An essential part of this chapter are the education tips to help the HCP teach the person with diabetes how to analyze and use the ambulatory glucose profile in their management.
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The acute complications of diabetes relating to hyperglycemia ( diabetic ketoacidosis and hyperosmolar hyperglycemic state) and hypoglycemia (unawareness, nocturnal) are clearly identified in this chapter with emphasis on their early recognition and treatment.
To help avoid these complications the Sick day management guidelines as well as the Driving Guidelines are covered extensively with teaching tools included for the clinician.
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Preventing the longterm complications of diabetes is a primary goal in diabetes management.
In chapter 9 the relationship of these complications to metabolic control is articulated highlighting the potential microvascular and macrovascular issues. The risk factors for these complications are reviewed along with suggested screening protocols, surveillance tests and treatment/intervention options.
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Chapter 10 gives us an indepth review of the etiology, risk factors and treatment of gestational diabetes.
Since the implications of GDM for the mother as well as the fetus can be devastating, preventive diabetes education is stressed for all postpartum women.