Prediabetes: An Opportunity to Prevent Diabetes
Course #94194 - $90 -
- Participation Instructions
- Review the course material online or in print.
- Complete the course evaluation.
- Review your Transcript to view and print your Certificate of Completion. Your date of completion will be the date (Pacific Time) the course was electronically submitted for credit, with no exceptions. Partial credit is not available.
Prediabetes is a condition that affects more than one-third of the adult population in the United States. As a major risk factor for diabetes and cardiovascular disease, its potential toll on the healthcare system and on the individual is significant. Also known as "glucose intolerance," prediabetes is diagnosed when the blood glucose is higher than normal but does not meet the diagnostic criteria for diabetes. Results from the Diabetes Prevention Program showed that the onset of diabetes could be delayed or prevented with lifestyle interventions in subjects with glucose intolerance who were also overweight and sedentary. This course will describe the pathophysiology and risks associated with prediabetes and diabetes. It will also discuss the lifestyle interventions recommended by the Diabetes Prevention Program. Because lifestyle change can be challenging, the course will provide strategies for motivating and helping patients making these changes.
- INTRODUCTION
- SIGNIFICANCE OF THE PROBLEM
- EVALUATION AND CLASSIFICATION OF HIGH BLOOD GLUCOSE
- HEALTH RISKS ASSOCIATED WITH PREDIABETES
- RISK FACTORS FOR DIABETES AND PREDIABETES
- AN OVERVIEW OF TYPE 2 DIABETES
- DIABETES PREVENTION PROGRAM
- NUTRITIONAL INTERVENTIONS TO PREVENT DIABETES
- EXERCISE TO PREVENT DIABETES
- PHARMACOTHERAPY FOR PATIENTS WITH PREDIABETES
- METABOLIC SURGERY
- PREVENTING DIABETES IN CHILDREN
- ETHNIC VARIABILITY AND CULTURAL CONSIDERATIONS
- BEHAVIOR CHANGE
- TOBACCO CESSATION
- FOLLOW-UP AND REFERRAL
- HEALTH EDUCATION FOR DIABETES PREVENTION
- CASE STUDY
- CONCLUSION
- RESOURCES
- GLOSSARY OF TERMS
- Works Cited
- Evidence-Based Practice Recommendations Citations
This course is designed for nurses in adult primary care, clinical, and acute care settings, healthcare and behavioral health professionals in public health and preventive medicine settings, and health education specialists.
Studies have shown that diabetes can be delayed or prevented in people with prediabetes, but risk reduction relies heavily on lifestyle changes on the part of the patients, making education and counseling of vital importance. The purpose of this course is to provide healthcare professionals with the information and skills necessary to effectively deal with this common condition and learn ways to help patients make healthy lifestyle choices.
Upon completion of this course, you should be able to:
- Identify the incidence and prevalence of prediabetes in the United States.
- Define the diagnostic criteria for prediabetes and diabetes.
- Discuss major health risks associated with prediabetes.
- Identify risk factors for diabetes and prediabetes.
- Review the pathophysiology of type 2 diabetes.
- Describe the results of the Diabetes Prevention Program and the associated recommendations.
- Identify appropriate nutritional interventions to prevent diabetes.
- Describe types of exercise and recommendations related to each for patients with prediabetes.
- Discuss strategies and resources for helping patients select an exercise program.
- Discuss medications used in prediabetes.
- Evaluate the role of bariatric surgery in preventing diabetes.
- Describe strategies to prevent diabetes in children.
- Identify food preferences of different cultures.
- Assist a patient in making an action plan for behavior change.
- Outline key points included in health education for diabetes prevention.
Susan Semb, MSN, CDCES, is a retired RN who received her Master's degree in nursing from the University of San Diego. Her nursing experience includes direct patient care, case management, staff development, program development, and health education. She spent the majority of her nursing career working as a diabetes educator in the health education department of a major health maintenance organization. Ms. Semb has also authored other continuing education courses for nurses published by NetCE and contributed to nursing books and other publications. In her retirement, Ms. Semb enjoys travel, line dancing, and pursuing an interest in antiques and vintage items.
Contributing faculty, Susan Semb, MSN, CDCES, has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.
Mary Franks, MSN, APRN, FNP-C
Alice Yick Flanagan, PhD, MSW
The division planners have disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.
Sarah Campbell
The Director of Development and Academic Affairs has disclosed no relevant financial relationship with any product manufacturer or service provider mentioned.
The purpose of NetCE is to provide challenging curricula to assist healthcare professionals to raise their levels of expertise while fulfilling their continuing education requirements, thereby improving the quality of healthcare.
Our contributing faculty members have taken care to ensure that the information and recommendations are accurate and compatible with the standards generally accepted at the time of publication. The publisher disclaims any liability, loss or damage incurred as a consequence, directly or indirectly, of the use and application of any of the contents. Participants are cautioned about the potential risk of using limited knowledge when integrating new techniques into practice.
It is the policy of NetCE not to accept commercial support. Furthermore, commercial interests are prohibited from distributing or providing access to this activity to learners.
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The role of implicit biases on healthcare outcomes has become a concern, as there is some evidence that implicit biases contribute to health disparities, professionals' attitudes toward and interactions with patients, quality of care, diagnoses, and treatment decisions. This may produce differences in help-seeking, diagnoses, and ultimately treatments and interventions. Implicit biases may also unwittingly produce professional behaviors, attitudes, and interactions that reduce patients' trust and comfort with their provider, leading to earlier termination of visits and/or reduced adherence and follow-up. Disadvantaged groups are marginalized in the healthcare system and vulnerable on multiple levels; health professionals' implicit biases can further exacerbate these existing disadvantages.
Interventions or strategies designed to reduce implicit bias may be categorized as change-based or control-based. Change-based interventions focus on reducing or changing cognitive associations underlying implicit biases. These interventions might include challenging stereotypes. Conversely, control-based interventions involve reducing the effects of the implicit bias on the individual's behaviors. These strategies include increasing awareness of biased thoughts and responses. The two types of interventions are not mutually exclusive and may be used synergistically.