The Diabetes QIP program is offered as 9 modules

1

Hospitalized Patient with Type II Diabetes
  1. Identify glycemic control guidelines for hospitalized patients
  2. Prescribe appropriate basal/bolus insulin
  3. Assess and accurately estimate basal insulin requirements
  4. Assess and accurately estimate meal time insulin requirements
  5. Assess and accurately estimate correction insulin requirements

2

Management of New Onset Diabetes and Hypoglycemia - Part 1
  1. Identify the typical clinical characteristics distinguishing T2DM from T1DM
  2. Choose appropriate initial therapy for a patient with new onset T2DM
  3. Initiate basal insulin using a weight based formula
  4. Assess approximate daily caloric requirements
  5. Assess and accurately estimate correction insulin requirements
  6. Order an appropriate diet

3

Management of New Onset Diabetes and Hypoglycemia - Part 2
  1. Define hypoglycemia
  2. Describe ‘insulin stacking’ and its potential contribution to hypoglycemia
  3. Identify factors contributing to hypoglycemic unawareness

4

Managing the Hyperglycemic in the ICU
  1. Recall the current literature with respect to intensive glycemic control in critically ill patients
  2. Identify the glucose targets for Hospitalized patients admitted to the ICU
  3. Identify the glucose targets for Hospitalized patients admitted to general wards
  4. Identify indications for initiating IV insulin therapy
  5. Understand elements of a successful IV insulin protocol
  6. Appropriately transition the patient from IV to subcutaneous insulin

5

The NPO Diabetic Patient
  1. Review common oral diabetic medications, their mechanisms, and their utility in the hospital
  2. How to manage glycemic control in type 1 and type 2 diabetic patients who are not eating
  3. The use of subcutaneous and intravenous insulin in hospitalized patients and how to transition between the two.

6

Management of Diabetic Ketoacidosis
  1. Identify the diagnostic criteria for DKA
  2. Correctly calculate and administer fluids
  3. Assess response to treatment and correctly adjust fluid rates
  4. Correctly calculate dose and administer IV insulin
  5. Appropriately transition the patient from IV to subcutaneous insulin
  6. Correctly assess and administer appropriate potassium replacement
  7. Identify circumstances that may precipitate DKA

7

Nutrition and Going Home - Part 1
  1. Correctly assess and estimate daily energy needs
  2. Prescribe insulin appropriately for patients being provided nutrition using TPN
  3. Prescribe insulin appropriately for patients being provided nutrition using enteral tube feedings
  4. Appropriately prescribe insulin to mirror the nutritional intake of the patient
  5. Assess the patient’s nutritional needs and prescribe the appropriate medical nutritional therapy

8

Nutrition and Going Home Part 2 - Discharge Time
  1. Identify glycemic control guidelines for hospitalized patients
  2. Prescribe appropriate basal/bolus insulin
  3. Assess and accurately estimate basal insulin requirements
  4. Assess and accurately estimate meal time insulin requirements
  5. Assess and accurately estimate correction insulin requirements

9

Special Scenarios
  1. Identify circumstances when patients should continue current insulin pump treatment while in the hospital
  2. Identify circumstances when patients should discontinue insulin pump treatment while in the hospital
  3. Appropriately manage in patient insulin orders for patients utilizing insulin pumps in the hospital