Ringkasan
- The speaker, a clinical care specialist, addresses the reluctance of healthcare professionals towards technology due to perceived time consumption, cost, and the need for special training. The presentation focuses on integrating basic carbohydrate knowledge with advanced diabetes management technology to improve patient outcomes. The session will cover basics of carbohydrate counting, interactive exercises, integration of technologies, and a clinical case scenario.
- The presentation explains how carbohydrates digest into glucose, entering the bloodstream. Insulin, an anabolic hormone, converts glucose into energy. Type 1 diabetes involves absolute insulin deficiency, while type 2 involves insulin resistance. Both require insulin regimens mimicking the body's physiology by matching glucose spikes after meals. Maintaining a basil-bolus insulin ratio of 50/50 or 40/60 is crucial for managing glucose variability.
- Carbohydrate counting is a key meal planning tool, balancing carbohydrate intake with insulin dosage. The goal is to maintain blood glucose within the target range. The emphasis is on empowering patients with dietary knowledge, avoiding restrictive approaches, and integrating treatment plans into their lifestyles. One serving size equals 15 grams of carbohydrates, and patients should learn serving sizes, either through memorization or calculation.
- Insulin dosage is based on the carbohydrate-to-insulin ratio (ISR) and insulin sensitivity factor (ISF). ISR indicates how much one unit of insulin burns from sugar, while ISF indicates how much one unit reduces blood sugar. The speaker presents a calculation example involving a patient's total daily dose.
- Technologies used in diabetes management include continuous glucose monitoring (CGM) systems and continuous subcutaneous insulin infusion (CSII), or insulin pumps. CGMs provide real-time data and predictive alerts. Insulin pumps mimic healthy pancreas, offering different basal rates for exercise and illness.
- The presentation illustrates how carbohydrate counting can be integrated within the different CGM and CSII systems. Dixcom and Libri sensor provides features to record carbohydrate, insulin and exercise information. Different types of bolus can be used with CSII devices, like extended bolus which is useful for food that takes longer time to digest and dual bolus can be used for pizza or pasta to handle sugar intake in a proper way.
- A clinical case of a 16-year-old with Type 1 diabetes illustrates how carbohydrate counting and technology can improve outcomes. By adjusting insulin doses based on the patient's weight, glucose levels stabilized and improved with a reduction of hyperglycemia and hypoglycemia incidents. Ultimately leading to an improved emotional confidence of the patient. The final results can be achieved by involving a multi-disciplinary team, diverse group of expert around the patient.
Contoh Sertifikat
Tentang Pembicara
Dr. Zainab M. R. Al Abadla
Senior Diabetes Clinical Care Specialists (Adult and Paediatric), President of Emirates Diabetes Educator Club - UAE
Pengungkapan Keuangan
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