The Diabetes QIP program is offered as 9 modules
1
Hospitalized Patient with Type II Diabetes
- Identify glycemic control guidelines for hospitalized patients
- Prescribe appropriate basal/bolus insulin
- Assess and accurately estimate basal insulin requirements
- Assess and accurately estimate meal time insulin requirements
- Assess and accurately estimate correction insulin requirements
2
Management of New Onset Diabetes and Hypoglycemia - Part 1
- Identify the typical clinical characteristics distinguishing T2DM from T1DM
- Choose appropriate initial therapy for a patient with new onset T2DM
- Initiate basal insulin using a weight based formula
- Assess approximate daily caloric requirements
- Assess and accurately estimate correction insulin requirements
- Order an appropriate diet
3
Management of New Onset Diabetes and Hypoglycemia - Part 2
- Define hypoglycemia
- Describe ‘insulin stacking’ and its potential contribution to hypoglycemia
- Identify factors contributing to hypoglycemic unawareness
4
Managing the Hyperglycemic in the ICU
- Recall the current literature with respect to intensive glycemic control in critically ill patients
- Identify the glucose targets for Hospitalized patients admitted to the ICU
- Identify the glucose targets for Hospitalized patients admitted to general wards
- Identify indications for initiating IV insulin therapy
- Understand elements of a successful IV insulin protocol
- Appropriately transition the patient from IV to subcutaneous insulin
5
The NPO Diabetic Patient
- Review common oral diabetic medications, their mechanisms, and their utility in the hospital
- How to manage glycemic control in type 1 and type 2 diabetic patients who are not eating
- The use of subcutaneous and intravenous insulin in hospitalized patients and how to transition between the two.
6
Management of Diabetic Ketoacidosis
- Identify the diagnostic criteria for DKA
- Correctly calculate and administer fluids
- Assess response to treatment and correctly adjust fluid rates
- Correctly calculate dose and administer IV insulin
- Appropriately transition the patient from IV to subcutaneous insulin
- Correctly assess and administer appropriate potassium replacement
- Identify circumstances that may precipitate DKA
7
Nutrition and Going Home - Part 1
- Correctly assess and estimate daily energy needs
- Prescribe insulin appropriately for patients being provided nutrition using TPN
- Prescribe insulin appropriately for patients being provided nutrition using enteral tube feedings
- Appropriately prescribe insulin to mirror the nutritional intake of the patient
- Assess the patient’s nutritional needs and prescribe the appropriate medical nutritional therapy
8
Nutrition and Going Home Part 2 - Discharge Time
- Identify glycemic control guidelines for hospitalized patients
- Prescribe appropriate basal/bolus insulin
- Assess and accurately estimate basal insulin requirements
- Assess and accurately estimate meal time insulin requirements
- Assess and accurately estimate correction insulin requirements
9
Special Scenarios
- Identify circumstances when patients should continue current insulin pump treatment while in the hospital
- Identify circumstances when patients should discontinue insulin pump treatment while in the hospital
- Appropriately manage in patient insulin orders for patients utilizing insulin pumps in the hospital