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Medical Nutrition Therapy for
Diabetes Mellitus, Sixth Edition
M.J. Franz, MS, RD, LD, CDE
To order the complete course click below:
| C200 |
18CPEUs |
$144.95 |
|
(Manual, 192 pgs) This comprehensive, up-to-date manual
has been written by one of the most renowned diabetes educators in the
country. You will learn how you can have a major impact on medical and
clinical outcomes and help patients with diabetes achieve dramatic improvements
in the quality of life. You will discover how to:
- apply strategies for attaining and maintaining blood glucose control
in type 1 diabetes
- implement strategies to achieve nutrition goals for persons with
type 2 diabetes
- recommend guidelines for carbohydrate in diabetes meal planning
- identify long-term complications of diabetes
- specify guidelines for fat in diabetes meal planning
- recognize five stages of intentional behavior change as outlined
by the transtheoretical model of change
- provide follow-up and ongoing nutrition care for people with diabetes
- plus much, much more
For RDs & DTRs:
Suggested Learning Need Codes for the Prof. Dev. Portfolio:
2000, 2020, 2060, 2070, 2090, 2100, 2110, 3000, 3005, 3010, 3030, 3040,
3060, 3080, 3090, 3100, 4000, 4010, 4020, 4030,4040, 4050, 4060, 4120,
4130, 4140, 4150, 4160, 4170, 4180, 4190, 5000, 5010, 5040, 5050, 5090,
5100, 5120, 5130, 5160, 5190, 5200, 5220, 5260, 5310, 5360, 5370, 5380,
5390, 5400, 5410, 5460, 6000, 6010, 6020, 6030, 6040, 6060, 6070, 6080,
7170
For more information and customer comments, click
here.
This course is approved by ADA, DMA
To order the complete course click below:
| C200 |
18CPEUs |
$144.95 |
|
Share with a friend and Save!
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sharing.
To order an additional Reporting Form click below:
| C200F |
18CPEUs |
$50.00 |
|
MEDICAL NUTRITION
THERAPY FOR DIABETES MELLITUS
Sixth Edition
Marion J. Franz, MS, RD, LD, CDE
Copyright 2010 Wolf Rinke Associates, Inc. All rights reserved for
this self-directed, accredited learning program. Reproduction in whole
or part without written permission from the publisher is prohibited.
CUSTOMER COMMENTS
Sharon Specht: "The information was up-to-date and will enhanc
my skills as a clinical dietitian in both the hospitla and outpatient
settings."
Lisa Maroun: "It was very organized and informative. I am happy
to have this reference for my future!"
Cristina Santos: "The course is written in simple, plain, easy
to understand language. Complete information and study done in the comfort
of my home and at my own pace, and the price was right."
Alicia Calvo: "Easy to read, efficient, effective and will enhance
my nutrition counseling"
Kathy Ann Schmitt: "It was very informative. I'll be more ordering
more"
Christine Doubrava: "I enjoyed the questions as they related to
individuals and their problems. It is similar to patients presented
to you in a nutrition counseling session."
Louise Joseph: "Marian Franz was my teacher at the IDC several
years ago. This was a marvelous update!"
Courtney Goff: "The info was clear and concise. This course has
already helped me at my job. The course was great in providing complete,
up to date info to use.
Dyana Hoffend: "Very well organized."
Dawn Kern: "Well written and well organized material: summary
given at the end of each chapter."
Priscilla Winn: "Very easy to apply to current clinical practice."
Jo Dragoon-Morse: "Very organized and to the point."
Ancy George: Simple, easy to read chapters. Great info. Worth the CPEU'S."
Lupe Taimoori: "I found the case studies very useful! I was able
to apply the information to daily life situations. Easy to understand
program/study guide."
OVERVIEW AND INSTRUCTIONS
Diabetes is a serious chronic disease affecting approximately thirteen
out of every 100 U.S. adults age 20 and older, but, unfortunately, 40%
of them have not been diagnosed (Cowie, 2009). It is costly in both
economic terms and its impact on an individual's quality of life. Clinical
trials and outcomes research report that diabetes medical nutrition
therapy (MNT) provided by Registered Dietitians (RDs) and delivered
using a variety of nutrition interventions and multiple encounters is
effective in improving glycemic and other metabolic outcomes (Franz,
2008). However, for RDs to be effective clinicians and educators, requires
not only knowledge and skills in diabetes nutrition therapy, but also
knowledge and skills in the overall management of diabetes and in effective
diabetes education and counseling. By developing these competencies,
MNT can be integrated effectively into diabetes management. This allows
the person with diabetes flexibility in lifestyle and improved quality
of life while still maintaining excellent metabolic control. The goal
of this continuing education program is to provide the information and
skills needed by dietetics professionals to develop these competencies.
Chapter 1 discusses the classifications, diagnosis, and screening of
diabetes. Chapter 2 outlines lifestyle strategies for the prevention
of diabetes. Chapter 3 reviews the management of diabetes. It begins
by reviewing how monitoring of diabetes management outcomes is done
and used to achieve treatment goals. The section on MNT reviews the
goals and expected outcomes of MNT and the nutrition-related strategies
that have been shown to be effective. Also summarized are the roles
of physical activity and medications, both glucose-lowering medications
and insulin. Chapter 4 provides an overview of the acute complications
of diabetes-hypo- and hyperglycemia-and the role of nutrition therapy
in treatment and prevention. The long-term complications of diabetes
and MNT for cardiovascular disease, hypertension, and nephropathy are
discussed in chapter 5. Issues related to nutrition therapy for preexisting
diabetes and pregnancy and for gestational diabetes are covered in chapter
6.
The implementation of MNT for diabetes is a primary responsibility for
RDs and is addressed in chapter 7. Implementation steps as outlined
in the Nutrition Care Process include nutrition assessment, nutrition
diagnosis, nutrition intervention (planning and implementation), nutrition
monitoring, and evaluation (American Dietetic Association, 2008a). Chapter
7 also includes a brief discussion of implementation of nutrition therapy
in health care facilities. A case study provides the opportunity to
apply the overall information gained from the learning program to life
situations and is included after the final chapter.
This learning program is a level 2 Continuing Professional Education
(CPE) program approved for 18 continuing education units (CPEUs). That
means that the reader has general knowledge of literature and professional
practice in the area covered. The focus of the program is to enhance
knowledge and application. To get the most benefit from this program,
we suggest you adhere to the following four steps:
Step 1: Review the objectives for the learning program.
Step 2: Study each chapter. As you read, think of patients from your
own practice who fit the situation described.
Step 3: Assess what you have learned by completing the self assessment
instrument at the end of this learning program.
Step 4: Compare your answers to the answer key that has been provided.
If you score at least 80% correct, you are ready to transfer your answers
to the CONTINUING PROFESSIONAL EDUCATION REPORTING FORM If you scored
less than 80% correct, re-read this learning program until you score
at least 80% correct.
After you have successfully completed the program complete the CPEU
REPORTING FORM and
Mail to: Wolf Rinke Associates, Inc., P.O. Box 350, Clarksville, MD
21029,
Or fax to: (410) 531-9282,
Or submit on-line at www.easyCPEcredits.com.
Upon receipt of your successfully completed CONTINUING PROFESSIONAL
EDUCATION REPORTING FORM, a certificate of completion for 18 CPEUs will
be sent to you.
HAPPY LEARNING!
Marion J. Franz, MS, RD, LD, CDE
OBJECTIVES
Upon completion of this accredited, self-directed learning program,
the nutrition professional should be able to:
- Recognize the types of glucose intolerance, screening recommendations,
and diagnosis criteria.
- Assess symptoms and discuss etiologies of type 1 and type 2 diabetes.
- Identify recommended blood glucose, lipid, and blood pressure goals.
- Describe expected outcomes from medical nutrition therapy for diabetes
and when to evaluate outcomes.
- Implement lifestyle factors with research support for the prevention
of diabetes.
- Recognize two types of monitoring for glucose.
- List four goals of medical nutrition therapy.
- Apply strategies for attaining and maintaining blood glucose control
in type 1 diabetes.
- Implement strategies to achieve the primary nutrition goals for
persons with type 2 diabetes.
- Recommend guidelines for total and types of carbohydrate in diabetes
food and meal planning.
- Define acceptable daily intake for nonnutritive sweeteners.
- Discuss the role of protein in overall diabetes management.
- State guidelines for types and amounts of fat in diabetes meal planning.
- State guidelines for the use of alcoholic beverages.
- Recommend guidelines that allow a person with diabetes to exercise
safely.
- Recognize classes of glucose-lowering medications and their primary
mode of action.
- Identify types, peak effect, and usual duration for insulins.
- Recognize the causes and treatment for hypoglycemia, hyperglycemia,
and ketoacidosis.
- Identify five long-term complications of diabetes.
- Implement nutrition therapy for cardiovascular disease, hypertension,
and nephropathy.
- Implement nutrition therapy interventions for pregnancy with preexisting
diabetes and gestational diabetes.
- Recognize the four components of the nutrition care process and
their application to diabetes medical nutrition therapy.
- Specify areas of assessment needed in order to provide diabetes
medical nutrition therapy.
- List potential nutrition diagnosis for diabetes.
- Plan and implement nutrition interventions for persons with diabetes.
- Recognize the five stages of intentional behavior change as outlined
by the transtheoretical model of change.
- Assess factors to be addressed in nutrition care monitoring and
evaluation.
- Provide follow-up and ongoing nutrition care for persons with diabetes.
- Discuss use of a consistent-carbohydrate diabetes meal planning
system for acute and long-term care health care facilities.
TABLE OF CONTENTS
Chapter 1. Classification, Screening, and Diagnosis of Pre-Diabetes
and Diabetes 1
CLASSIFICATION CRITERIA
Type 1 Diabetes
Type 2 Diabetes
Pre-Diabetes
Gestational Diabetes Mellitus
Other Types of Diabetes
SCREENING FOR DIABETES
DIAGNOSIS OF PRE-DIABETES
DIAGNOSTIC CRITERIA FOR DIABETES
Hemoglobin A1c (A1C)
Fasting or Plasma Glucose, Oral Glucose Tolerance Test
Chapter 2. Prevention of Diabetes
DIABETES PREVENTION RESEARCH STUDIES
MEDICAL NUTRITION THERAPY FOR PRE-DIABETES
Weight Loss Interventions
Physical Activity
Other Food- and Nutrition-Related Factors
BARIATRIC SURGERY
DIABETES IN YOUTH
Chapter 3. Management of Diabetes MONITORING
Self-Monitoring of Blood Glucose
Monitoring of Ketones, Lipids, and Blood Pressure
MEDICAL NUTRITION THERAPY
Goals and Outcomes of Medical Nutrition Therapy for Diabetes
Nutrition Intervention Priorities for Persons on MNT Alone or Glucose-Lowering
Medications
Nutrition Intervention Priorities for Patients Requiring Insulin Therapy
Nutrient Recommendations
Carbohydrate
Protein
Dietary Fat
Alcohol
Micronutrients
PHYSICAL ACTIVITY/EXERCISE
Benefits
Potential Problems with Exercise
Hypoglycemia
Hyperglycemia
Other Potential Problems
Exercise Recommendations
Exercise Precautions for Persons with Type 2 Diabetes
Exercise Precautions for Persons Taking Insulin and/or Insulin Secretagogues
Insulin Adjustments
Carbohydrate Adjustments
MEDICATIONS
Glucose-Lowering Medications for Type 2 Diabetes
Biguanides
Sulfonylureas
Thiazolidinediones
Incretins (GLP-1 Agonist)
Alpha Glucoside Inhibitors
Glinides
Pramlintide
Dipeptidyl Peptidase-4 Inhibitors (DPP-4)
Insulin
Types of Insulin
Insulin Regimens
Insulin Pumps
Insulin-to-Carbohydrate Ratios
Correction Factors
SELF-MANAGEMENT EDUCATION
.
Chapter 4. Nutrition Therapy and the Acute Complications of Diabetes
HYPOGLYCEMIA
HYPERGLYCEMIA/DIABETIC KETOACIDOSIS
Fasting Hyperglycemia
HYPEROSMOLAR HYPERGLYCEMIC STATE (HHS)
Chapter 5. Nutrition Therapy and the Long-Term Complications of Diabetes
MACROVASCULAR DISEASE
Cardiovascular Disease
Medical Nutrition Therapy for Prevention and Treatment of Cardiovascular
Disease and Diabetes
Hypertension
Medical Nutrition Therapy for Hypertension MICROVASCULAR DISEASE
Nephropathy
Medical Nutrition Therapy for Nephropathy
Retinopathy
NEUROPATHY
Chapter 6. Nutrition Therapy for Diabetes and Pregnancy
WEIGHT GAIN DURING PREGNANCY
ENERGY AND NUTRIENT INTAKE DURING PREGNANCY
PREEXISTING DIABETES AND PREGNANCY
Nutrition Therapy for Preexisting Diabetes and Pregnancy
GESTATIONAL DIABETES MELLITUS
Nutrition Therapy for Gestational Diabetes Mellitus
LACTATION
Chapter 7. Putting It All Together: Implementing the Nutrition
Care Process
IMPLEMENTING THE NUTRITION CARE PROCESS
Nutrition Assessment
Nutrition Diagnosis
Nutrition Interventions
Planning Nutrition Interventions
Nutrition Education
Nutrition Counseling
Nutrition Monitoring and Evaluation
Reimbursement
MPLEMENTING DIABETES NUTRITION INTERVENTIONS
INTO HOSPITALS AND LONG-TERM CARE FACILITIES
Hospital Settings
Long-Term Care Settings
SUMMARY
Case Study
References
For Your Continuing Education
List of Abbreviations
Glossary
Resources
Self Assessment Questions
Answer Key
Explanations for Questions
About the Author
About Wolf Rinke Associates, Inc.
ABOUT THE AUTHOR
Marion J. Franz is a registered dietitian and a certified diabetes educator
with a master's degree in nutrition from the University of Minnesota.
She is a nutrition/health consultant with Nutrition Concepts by Franz,
Inc. For more than 20 years she was the Director of Nutrition and Health
Professional Education at the International Diabetes Center, Minneapolis.
She has authored books, numerous articles in professional and lay journals,
and chapters in texts and manuals for professionals and the lay public.
She lectures frequently in the United States and internationally on
nutrition, obesity, exercise, and diabetes. She has co-chaired and been
a member of task forces to write the American Diabetes Association's
nutrition recommendations and technical reviews, the American Dietetic
Association's evidence-based nutrition practice guidelines for type
1 and type 2 diabetes, and was editor of the American Association of
Diabetes Educators Core Curriculum for Diabetes Education, 4th and 5th
editions. She received the 2001 American Diabetes Association Charles
H. Best Medal for Distinguished Service in the Cause of Diabetes, the
American Dietetic Association 2006 Medallion Award, and was the American
Dietetic Association 2002 Lenna Frances Cooper Memorial Lecturer.
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