This course is Lesson 6 of a recently completed webinar entitled, "Managing Diabetes Complications." Successfully completing this lesson will earn 1.5 CEs. For accreditation information and presenter biographies, Click here.

Topics:

I. Interventions for autonomic neuropathies

a. Gastrointestinal

1. Gastroparesis

b. Genitourinary:

1. Neurogenic bladder
2. Sexual dysfunction

c. Cardiovascular

1. Orthostatic hypotension
2. Cardiac denervation
3. Abnormal cardiovascular response to exercise

d. Impaired insulin counter-regulation

1. Hypoglycemia unawareness

e. Sudomotor dysfunction
f. Abnormal pupillary function

II. Stages of Periodontal Disease

a. Gingivitis
b. Periodontitis
c. Advanced periodontitis
d. Principles of prevention

1. Control diabetes
2. Preserve natural teeth
3. Maintain good oral hygiene
4. Client education principles
5. Dental visit every 6 months: treat/refer problems

III. Flu and pneumonia/guidelines for managing illness in persons with diabetes

a. Maintain hydration
b. Frequent monitoring (blood glucose and ketones)
c. Medication use and adjustment: Rx and OTC
d. Medical Nutrition Therapy (MNT)
e. When to contact the health care professional (hcp)
f. Developing a plan for use when ill.
g. Preventing illness

1. flu and pneumonia vaccinations
2. healthy eating
3. hydration
4. plenty of rest
5. not using tobacco

Behavioral/Learning Objectives:

1. Identify intervention strategies for 2 types of autonomic neuropathy.
2. State the 3 stages of periodontal disease.
3. List 3 guidelines for managing illness in persons with diabetes.