Complete Comprehensive Diabetes Educator modules available at CCCEP File #: I-P (Expires: Mar.

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Diane Stone
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1 CDE Preparation Program Topics (Accredited by CCCEP for 0.5 CEUs/Module section Total = 20 CEUs) Module 1 Pathophysiology of Diabetes 5 segments Module 2 Diabetes and Nutrition 5 segments Module 3 Medications for Management of Diabetes and Complications 6 segments Module 4 Self-Care Management 5 segments Module 5 Blood Glucose and Urine Monitoring 5 segments Module 6 Psychosocial/Lifestyle Issues and Diabetes 4 segments Module 7 Chronic Complications of Diabetes 7 segments Module 8 Theory 3 segments Total = 40 segments Segment # and Title Module 1 Pathophysiology of Diabetes 1. The Basic Pathophysiology of Diabetes - Basic pathophysiology of diabetes including characteristic signs and symptoms o Beta cell dysfunction o Metabolic syndrome o Signs and symptoms - Genetic transmission of diabetes - Identify conditions in which diabetes may be a secondary complication 2. Type 1 vs. Type 2 Diabetes: Characterizing the Differences - Etiology - Risk Factors - Defining characteristics and incidence, prevalence 3. Blood Glucose Ranges/Targets and Diagnostic Criteria for Diabetes - Abnormal and normal ranges in various circumstances o o Without diabetes With diabetes and Child Pregnancy Adult with type 1 or type 2 diabetes - Diagnostic criteria for Diabetes Relates to Competency # 1.A, 1.G, 5.E 1.B 1.C, 1.I

2 4. Effect of Insulin, Counter-regulatory Hormones and hormonal 1.D, 1.H Changes on Glycemic Control - Description of insulin and other hormones and pathophysiological effects on glycemic control - Effects of hormonal changes at different life stages on blood glucose levels 5. Characterizing the Complications of Diabetes and Associated Risk 1.F Factors - Nephropathy and Risk Factors - Retinopathy and Risk Factors - Neuropathy and Risk Factors - Macrovascular Disease and Risk Factors Module 2 Diabetes and Nutrition 1. Techniques to Assess a Patient s Nutrition Education Needs 2.A 2. Nutritional Issues Affecting Glycemic Control - General introduction to the effect of nutrition on blood glucose - Glycemic index - Nutrient values of food, fats, fibre and artificial sweeteners 3. Helping Patients Make Appropriate Nutrition Choices - Rationale and use of CDA s Beyond the Basics: Meal Planning for Healthy Eating, Diabetes Prevention and Management - Estimate the food choice value of foods based on nutrition information provided 4. Practical Application of Carbohydrate Counting - Outline of how carbohydrate counting is conducted - Application using examples 5. Individualizing Nutrition Planning Strategies - Individualized nutrition strategies to accommodate life cycle stage, socioeconomic and other lifestyle factors (e.g., shift work, physical activity, travel, alcohol and delayed meals) - Nutrition strategies to accommodate nutritional needs for persons with diabetes who also have secondary complications - Nutrition strategies to manage sick days 1.E, 2.B, 2.E 2.F, 2.G 2.H. 3.5.E 2.C, 2.D, 2.I, 3.5.E Module 3 Medications for Management of Diabetes and Complications 1. Characterizing Oral Antihyperglycemic Medications 3.1.A - Listing of types of oral antihyperglycemic medications according to mechanism of action - Indications for use - Side effects - Administration and precautions

3 2. Characterizing Options for Insulin Management - Listing of types of insulin in terms of duration of action - Indications for use - Side effects - Safe administration and precautions 3. Indications for Insulin Use and Common Regimens - Factors that affect subcutaneous absorption - Review of common regimens used for insulin administration - Current recommendations for care and storage of insulin during everyday use and travel - Review of insulin delivery systems and comparative advantages and disadvantages 4. Recommending Appropriate Insulin Adjustments - Reviews various circumstances and protocols for recommending insulin adjustment 5. Overall Approach to Pharmacological Management of Diabetes - Review of CDA approach to pharmacological management according to presenting A1C value - Principles and application of intensive diabetes management 6. Medicines Other Than Antihyperglycemics Commonly Used by People with Diabetes - Prescription medications o ACEs and ARBs o Antihypertensives o Cholesterol lowering o Antiplatelet - OTC medications o Foot care o General skin care o Glucose gel or tablets Module 4 Self-Care Management 1. Characterizing and Managing Hypoglycemia - Causes - Signs and symptoms and treatment 2. Hypoglycemia Issues and Management Strategies - Hypoglycemia unawareness presenting symptoms, potential causes, diagnostic methods and treatment plan - Somogyi effect and dawn phenomenon and appropriate interventions - Altering treatment plan to prevent or respond to hypoglycemia - MedicAlert identification information 3.1.B 3.1.C, 3.1.D, 3.1.E, 3.1.F 3.1.G, 3.5.E 3.1.A, 3.1.C, 5.H 3.1.H, 3.1.I 3.2.A 3.2.B, 3.2.C, 3.2.D, 3.2.E

4 3. Hyperglycemia - Differentiates between hyperglycemia, diabetic ketoacidosis and hyperosmolar hyperglycemic state (HHS) in terms of: o Pathophysiology o Etiology o Progression in signs and symptoms o Intervention and prevention - Appropriate self-care action during period of concurrent illness 4. Physical Activity and Diabetes - Benefits and risks related to various types of physical activity for individuals with type 1 and type 2 diabetes - Strategies to deal safely with physical activity - Potential effects of physical activity on blood glucose levels, in euglycemic, hypoglycemic and hyperglycemic states 5. Safety Issues in Diabetes Management - Information on safe disposal of sharps - Infection control related to diabetes equipment - Outline of activities to facilitate safe travel - Describe strategies for dealing with preparation for surgery or diagnostic tests Module 5 Blood Glucose and Urine Monitoring 1. Characterizing Self-Monitoring of Blood Glucose (SMBG) - Purpose, potential benefits and appropriate scheduling of SMBG 2. Appropriate Management of Issues in SMBG - Quality control purpose and methods - Factors contributing to variances and acceptable levels of variance between SMBG and laboratory results - Acceptable protocols for use of blood testing devices used outside of home or healthcare institutions (e.g., daycare settings) 3. Utilizing SMBG Results - Case situations with varying blood glucose levels, medication doses, meal plan and activity levels: assessment of relationship, identification of need for alteration and recommendation of appropriate course of action 4. Characterizing A1C - Definition, interpretation, purpose and recommended frequency of A1C testing - A1C targets and reason for variations 5. Urine Monitoring - Clinical recommendations for urine testing for ketones and microalbuminuria - Case studies to illustrate 3.6.A, 3.6.B 1.E, 3.3.A, 3.3.B 3.8.A, 3.8.B, 5.G, 5.H 3.5.A 3.5.B, 3.5.C, E 3.5.D 3.4.A

5 Module 6 Psychosocial/Lifestyle Issues and Diabetes 1. Potential Effects of Diabetes on Day to Day Living - Discuss impact of cultural background and beliefs on adaptation to diabetes and self-care practices - Identify possible feelings or attitudes held by a person with diabetes at various stages in the life cycle and describe appropriate interventions - Strategies to assess the relationship between social and socioeconomic support systems, environment and daily living with diabetes - Identification of the impact of diabetes on life events, including interpersonal relationships, vocation, education and recreation - Differentiation between characteristics of normal grieving and depression (related to diabetes) requiring psychological consultation/intervention 2. Facilitating Diabetes Patient Behaviour Change - Identification of potential psychosocial strengths and barriers to diabetes self-care - Use communication strategies to promote therapeutic interaction - Identify strategies for facilitating behaviour change o e.g., motivational interviewing 3. Lifestyle Issues and Diabetes - Potential effects of substance abuse on diabetes self-care - Identify potential destabilizing effects of stress on blood glucose and approaches to self-care - Describe possible alterations in sexual function, contributing factors and potential interventions - Describe strategies and information that can be used to facilitate decision-making for contraception 4. Diabetes and Stage of Life Issues - Identify aspects of assessment, education and management of diabetes that are unique to the elderly - Identify aspects of assessment, education and management that are unique to children and/or adolescents with diabetes, identify aspects of assessment, education and management that are unique to pregnant women with type1, type 2 or gestational diabetes Module 7 Chronic Complications of Diabetes 1. Nephropathy 4.A, 4.C, 4.D, 4.J, 4.L 4.B, 4.E, 4.M 4.F, 4.G, 4.H, 4.I 5.A, 5.C, 5.D

6 2. Retinopathy 3. Neuropathy 4. Cardiovascular Disease - Dyslipidemia 5. Cardiovascular Disease Hypertension 6. Cardiovascular Disease Coagulation Issues

7 7. Erectile Dysfunction Module 8 Education Theory 1. Principles of Education - Identify principles of education (including self-management education) - Identify principles of learning - Identify different learning styles - Identify principles of program development - Differentiate between cognitive, affective and psychomotor behavioural objectives 2. Planning for Education - Apply principles of learning to the development of teaching plans - Adapt educational strategies based on principles of motivation for learning - Acknowledge and plan activities for people with different learning styles - Describe the Standards for Diabetes Education in Canada and apply them in program development - Define components of a quality improvement process for diabetes education 3. Translating Education Principles into Practice - Describe the components of the Transtheoretical Model of Behaviour Change and apply this model in developing teaching/counselling strategies - Describe the concept of patient self-management - Identify appropriate use, advantages and disadvantages of various teaching methods and tools 6.C, 6.E, 6.G 6.A, 6.B, 6.D, 6.H, 6.I 6.F, 6.J

New Hires Program Canadian Diabetes Educator Certification Board Competencies Addressed

New Hires Program Canadian Diabetes Educator Certification Board Competencies Addressed Competency Pathophysiology 1.A Describes the pathophysiology and progression of all types of 1.B Distinguishes between