Medical Nutrition Therapy for Diabetes Mellitus, 8th Edition

Medical Nutrition Therapy for Diabetes Mellitus, 8th Edition is organized by Wolf Rinke Associates, Inc.

Program expire: The programs are approved for one year from date of purchase. All programs are stamped with a "Complete by" date.

Overview and Instructions:
Diabetes and prediabetes are serious chronic diseases affecting over 100 million Americans or approximately 43% of the U.S. population, but, unfortunately, a large majority have not been diagnosed. More than 23% of people with diabetes are undiagnosed and more than a third of U.S. adults have prediabetes with only a third aware of it (Centers for Disease Control and Prevention, 2017). 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 Dietitian Nutritionists (RDNs) and delivered using a variety of nutrition interventions and multiple encounters is effective in improving glycemia and other metabolic outcomes (Franz, 2017a). However, for RDNs 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 achieving and maintaining metabolic goals. The goal of this continuing education program is to provide the information and skills needed by dietetic/nutrition professionals to develop these competencies.

Learning Objectives:
Upon completion of this accredited, self-directed learning program, the nutrition professional should be able to:
• Recognize types of glucose intolerance, screening recommendations, and diagnostic criteria.
• Identify symptoms and discuss etiologies of the different classifications of diabetes.
• Implement lifestyle interventions with research support for the prevention of diabetes.
• Implement the Academy of Nutrition and Dietetics Nutrition Practice Guideline (Academy NPG) for the Prevention of Type 2 Diabetes (T2D).
• Monitor outcomes from the implementation of the Academy NPG.
• Recommend blood glucose, lipid, and blood pressure goals for persons with diabetes.
• Evaluate and monitor outcomes from MNT for diabetes.
• Identify interventions leading to desired MNT outcomes.
• List goals of MNT.
• Apply strategies for attaining and maintaining blood glucose targets in type 1 diabetes (T1D).
• Monitor outcomes from implementation of MNT for T1D.
• Implement strategies to achieve the nutrition goals for persons with T2D.
• Monitor outcomes from implementation of MNT for T2D.
• Recommend guidelines for total and types of carbohydrates in diabetes Eating Plans.
• Define acceptable daily intake for nonnutritive sweeteners.
• Discuss the role of protein in overall diabetes management.
• Recommend guidelines for types and amounts of fat in diabetes Eating Plans.
• Suggest 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 two types of monitoring of glucose.
• Monitor outcomes from implementation of self-management education and support.
• Evaluate the role of technology in MNT, patient care, and lifestyle change.
• Recognize how the diabetes-focused dietitian/educator can be a leader/expert consultant in health care in optimizing diabetes care in evolving payment and care models.
• Integrate digital health technology, such as eHealth tools, into clinical practice.
• Recognize the causes and treatment for hypoglycemia, hyperglycemia, and ketoacidosis.
• Identify four long-term complications of diabetes.
• Implement MNT for the prevention and treatment of macrovascular disease, hypertension, microvascular disease, and nephropathy.
• Monitor outcomes from the implementation of MNT for the prevention and treatment of long-term diabetes-related complications.
• Implement MNT interventions for pregnancy with preexisting diabetes and gestational diabetes (GDM).
• Monitor outcomes from the implementation of MNT intervention for pregnancy with preexisting diabetes and GDM.
• Recognize the roles of RDNs beyond implementation of MNT.
• Assess the components of the NCP and their application to diabetes MNT.
• Recognize potential nutrition diagnoses related to diabetes.