Module C: Non-Pharmaceutical Treatment of Diabetes Mellitus

CE Credits: 2.0

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This module covers the healthy habits that patients must develop to manage their DM effectively. That starts with monitoring blood glucose levels with a meter and test strips and understanding the glycemic goals. The module also details the importance of medical nutrition therapy, exercise (both aerobic and resistance), and other self-management issues, such as foot care and regular checkups, to curb the potential for complications (such as those related to the eyes and digestive system). The module also clarifies how management differs slightly for children with diabetes and gestational diabetes patients.

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Learning objectives: After completing this module the case manager will be able to:
» Describe two interventions that prevent or delay the progression of pre-diabetes to diabetes
» Describe the key components of a treatment and management plan for diabetes mellitus
» Describe glycemic goals recommended by the American Diabetes Association
» Describe factors that should be considered when individualizing glycemic goals
» Discuss the key steps in medical nutrition therapy for diabetes mellitus
» Describe exercise recommendations for patients with type 2 diabetes mellitus
» Discuss the role of SMBG (self-monitoring of blood glucose) in diabetes management
» Describe three areas of self-care patients with diabetes should engage in daily
» Discuss screenings and risk factor management related to diabetes complications
» Discuss how diabetes care can be managed to address the unique needs of children
» Describe key guidelines for monitoring patients

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Advance your professional practice:: Managing diabetes is a long-term (and often costly) process for DM patients. Case managers need to understand the interventions that can prevent pre-diabetes from developing into DM, as well as the habits than can reduce the chances of serious complications. By counseling patients on lifestyle changes (from smoking cessation to weight loss) and glycemic goals, we can empower patients to have better self-management in the long term.

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Improve organizational performance: Given the potential for the high costs related to complications and hospitalizations due to poorly managed DM, it benefits patients and the care team to work together to encourage the non-pharmaceutical treatments of DM that can improve patients’ overall health.