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Kansas City Medical Society NOVEMBER 17 TH , 2016 Our Mission To - - PowerPoint PPT Presentation
Kansas City Medical Society NOVEMBER 17 TH , 2016 Our Mission To - - PowerPoint PPT Presentation
Kansas City Medical Society NOVEMBER 17 TH , 2016 Our Mission To empower patients, health care providers, families, and their communities by providing education, research, and skills needed to successfully manage their diabetes. How Do
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How Do Diabetes Educators Help?
- AADE7™ Self-Care Behaviors:
Healthy eating Being active Monitoring Taking medication Problem- solving Healthy coping Reducing risks
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Diabetes Education Patient Benefits
- Studies have shown people who receive diabetes education:
Use primary care / prevention services Take medications as prescribed Control glucose, blood pressure, LDL cholesterol Have lower health costs
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Diabetes Education Underutilized
- Few people with diabetes receive diabetes education…
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People with Diabetes
- Don’t follow through
- n referral
- Are emotional /
shocked at diagnosis
- End up relying on
family / friends
- Believe they know
enough / can handle it
- n their own
Providers
- Know importance of
DE, but don’t necessarily prescribe – or don’t prescribe definitively enough
- Sometimes forget to
follow up with patients to encourage attendance
The research shows:
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Hypoglycemia Unawareness
- “the onset of neuroglycopenia
before the appearance of autonomic warning symptoms”
- 30% of patients with type 1 DM
affected by severe hypoglycemia (unable to (1)
- Hypoglycemia unawareness
reported in up to 40%, less prevalent in type 2 DM but increased risk with longer duration
- f disease (2)
- Cause is multifactorial, each
patient is unique
- Unawareness can be reversed and
awareness restored
(1) Choudhary et al, 2010 (2) Martin-Timon et al, 2015
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Causes of Hypoglycemia
Too much insulin SFU Missed meals
Alcohol consumption Exercise
Medication timing
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Reasons for Delaying Treatment
Embarrassment No clear action plan Treatment not on hand Something else more important Fear of hyperglycemia “I’ll be fine”
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Triggers of Hypoglycemia Unawareness
Fast drop in blood sugar
Alcohol consumption within the past 12 hours Having diabetes for many years
Low blood sugar in past 24-48 hours
History of frequent low blood sugars Stress or depression
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Hypoglycemia Unawareness Takeaways
- Set target blood sugars slightly higher to reduce risk of
hypoglycemia
- Reduce frequency of lows
- Reduce recurrent low blood sugar
- Adjust for exercise and/or delayed
meals
- Have action plan ready