Medical Management of Type 1 Diabetes, (CHES) 8th Ed.

CPE Type: 740 Online/Web-based

CHES Competencies for 30 hour course – 20 CHES hours

1.1.2 Identify priority populations

1.2.4 Procure secondary data

1.3.2 Determine the knowledge, attitudes, beliefs, skills and behaviors that impact the health and health literacy of the priority populations

MCHES Competencies for 30 hour course – 10 MCHES hours

1.4.1 Compare findings to norms, existing data and other information

2.4.1 Develop an implementation plan inclusive of logic model, work plan, responsible parties, timeline, marketing and communication

3.1.4 Establish training protocol

Upon completion of this course, users will be able to:

1. Describe five unique characteristics, labs, or criteria that diagnose and differentiate type 1
diabetes.

2. Discuss the hormones involved in the physiology of glucose regulation and carbohydrate metabolism.

3. Give three benefits of early use of intensive therapy for people with type 1 diabetes.

4. Discuss the significance of A1c in diabetes control.

5. Compare and contrast two benefits of real time continuous glucose monitoring (CGM) with more random or less frequent testing.

6. Identify three possible triggers and three symptoms of hyperglycemia and three for hypoglycemia.

7. Discuss two possible negative consequences of strict carbohydrate restriction, especially for
children and teens.

8. Identify the typical beginning dose of insulin and three preferred sites of injection.

9. Describe the suggested changes in insulin or food intake for the following: vomiting, overnight hypoglycemia or hyperglycemia, ketosis, long steady exercise, and intense bursts of exercise.

10. Discuss and define the significance of ketones and diabetic ketoacidosis and the therapy needed to bring it under control including with fluids, potassium, insulin, and food.

11. Discuss four preventive health guidelines for a pregnant woman with type 1 diabetes and at
least four risks involved.

12. Identify three adjustments of food and insulin to have a healthy baby and mom with type 1 diabetes in labor and delivery.

13. Name two suggested diet and insulin adjustments for a breastfeeding mother with type 1 diabetes.

14. Name two adjustments in food and insulin for planned surgery for a person with type 1
diabetes.

15. Discuss and explain three psychological issues often seen in people of all ages with type 1 diabetes.

16. Describe four possible negative long term health consequences of having type 1 diabetes.