PRESENT Presentdiabetes is an online community of learning, networking and collaborating for all who care for patients with presentdiabetes. An extensive curriculum of free online multimedia CME and CE lectures is offered, including streaming video and audio podcasts. The live conference experience is simulated on our website using cutting edge social networking tools. Programs are included in the areas of General Diabetes, the Diabetic Foot, Wound Care, Vascular Therapy, Nursing, Nutrition, and Diabetes Education http://presentdiabetes.com http://presentdiabetes.com Sat, 25 May 2013 08:06:14 -04:00 Sat, 25 May 2013 08:06:14 -04:00 None PRESENT Presentdiabetes Podcast PRESENT Presentdiabetes PodCasts are audio programs designed to keep the presentdiabetes care professional up to date with the latest advances in the field of presentdiabetes. Our world renowned faculty creates these 30-60 minutes programs based on their research and experience in the treatment of patients with diabetes. Topics are included in the areas of General Diabetes, the Diabetic Foot, Wound Care, Vascular Therapy, Nursing, Nutrition, and Diabetes Education. PRESENT Presentdiabetes Faculty PRESENT E-Learning Systems podcasts@presentelearning.com http://www.presentdiabetes.com/images/lecture_hall/podcast.JPG http://presentdiabetes.com PRESENT Diabetes Podcast Derek LeRoith MD, an international expert on diabetes mellitus, offers a thorough and informative overview on type 2 diabetes. He reviews the pathophysiology and natural history of the disease. Emphasis is placed on the roles of insulin resistance and impaired insulin secretion, as well as the affect of glucotoxicity and lipotoxicity. Key clinical evidence in the prevention of type 2 diabetes is also discussed. http://presentdiabetes.com/description.php?id=2Thu, 13 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeDerek, LeRoith, MD,, an, international, expert, on, diabetes, mellitus,, offers, a, thorough, and, informative, overview, on, type, 2, diabetes, He, reviews, the, pathophysiology, and, natural, history, of, the, disease, Emphasis, is, placed, on, the, roles, of, insulin, resistance, and, impaired, insulin, secretion,, as, well, as, the, affect, of, glucotoxicity, and, lipotoxicity, Key, clinical, evidence, in, the, prevention, of, type, 2, diabetes, is, also, discussed, With the rapid acceptance and increased use of negative pressure therapy in foot wounds, it is important to understand this new science. Dr. Armstrong provides a structured approach to explore the indications, mechanism of action, and application of VAC therapy in various wound types. Detailed discussion will take you step by step through the components of the VAC therapy system and the proper way in which they are applied. The lecture begins with a presentation of diabetic foot wound epidemiology to form the background for many of the discussion points. Emphasis is placed on the significant rates of contralateral amputation and death which frequently follow a limb loss in a patient with diabetes. Several case discussions are used to highlight the practical points of negative pressure wound therapy in various wound types and etiologies. The role of VAC therapy in conjunction with split thickness skin grafting and other adjunctive procedures is presented. http://presentdiabetes.com/description.php?id=3Thu, 13 Dec 2007 12:00:00 -05:00no34health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeWith, the, rapid, acceptance, and, increased, use, of, negative, pressure, therapy, in, foot, wounds,, it, is, important, to, understand, this, new, science, Dr, Armstrong, provides, a, structured, approach, to, explore, the, indications,, mechanism, of, action,, and, application, of, VAC, therapy, in, various, wound, types, Detailed, discussion, will, take, you, step, by, step, through, the, components, of, the, VAC, therapy, system, and, the, proper, way, in, which, they, are, applied, The, lecture, begins, with, a, presentation, of, diabetic, foot, wound, epidemiology, to, form, the, background, for, many, of, the, discussion, points, Emphasis, is, placed, on, the, significant, rates, of, contralateral, amputation, and, death, which, frequently, follow, a, limb, loss, in, a, patient, with, diabetes, Several, case, discussions, are, used, to, highlight, the, practical, points, of, negative, pressure, wound, therapy, in, various, wound, types, and, etiologies, The, role, of, VAC, therapy, in, conjunction, with, split, thickness, skin, grafting, and, other, adjunctive, procedures, is, presented, In this lecture Dr Frykberg thoroughly reviews the epidemiology and underlying pathophysiology of the diabetic Charcot foot. Theories of pathogenesis and classification entity are discussed in order to provide a more comprehensive understanding of this limb threatening foot deformity. Finally, the author discusses the rationale and options for conservative care for neuropathic osteoarthropathy based on the natural history of the disease. http://presentdiabetes.com/description.php?id=5Thu, 13 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeIn, this, lecture, Dr, Frykberg, thoroughly, reviews, the, epidemiology, and, underlying, pathophysiology, of, the, diabetic, Charcot, foot, Theories, of, pathogenesis, and, classification, entity, are, discussed, in, order, to, provide, a, more, comprehensive, understanding, of, this, limb, threatening, foot, deformity, Finally,, the, author, discusses, the, rationale, and, options, for, conservative, care, for, neuropathic, osteoarthropathy, based, on, the, natural, history, of, the, disease, This lecture by our renowned Editor John Steinberg, DPM presents several of the newest technologies in use for healing challenging diabetic foot wounds. There is a review of standard wound care including debridement, offloading, and moist wound care. Following is a discussion which includes case presentations on surgical balancing, bioengineered tissues, and negative pressure wound healing techniques for various wound types. http://presentdiabetes.com/description.php?id=12Thu, 13 Dec 2007 12:00:00 -05:00no41health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeThis, lecture, by, our, renowned, Editor, John, Steinberg,, DPM, presents, several, of, the, newest, technologies, in, use, for, healing, challenging, diabetic, foot, wounds, There, is, a, review, of, standard, wound, care, including, debridement,, offloading,, and, moist, wound, care, Following, is, a, discussion, which, includes, case, presentations, on, surgical, balancing,, bioengineered, tissues,, and, negative, pressure, wound, healing, techniques, for, various, wound, types, Jeffrey Mechanick, MD describes comprehensive overview on nutrition. He provides the national guidelines for Dietary Reference Intake. Specifically, Dr. Mechanick gives an example for calories restriction for Type II Diabetes as well other types of Diabetes. http://presentdiabetes.com/description.php?id=15Thu, 13 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeJeffrey, Mechanick,, MD, describes, comprehensive, overview, on, nutrition, He, provides, the, national, guidelines, for, Dietary, Reference, Intake, Specifically,, Dr, Mechanick, gives, an, example, for, calories, restriction, for, Type, II, Diabetes, as, well, other, types, of, Diabetes, Lois Jovanovic, an international expert on diabetes in the pregnant patient, offers a thorough and informative overview of Gestational Diabetes Mellitus. She reviews the reasons for tight glucose control during pregnancy and what these goal numbers should be. Emphasis is placed on how to manage the pregnant patient with diabetes mellitus in terms of glucose monitoring and specific treatment recommendations based on the best known studies. A comparison of current insulins available is made, as well as, a brief discussion on which diabetic medications are acceptable in pregnancy. http://presentdiabetes.com/description.php?id=255Thu, 13 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeLois, Jovanovic,, an, international, expert, on, diabetes, in, the, pregnant, patient,, offers, a, thorough, and, informative, overview, of, Gestational, Diabetes, Mellitus, She, reviews, the, reasons, for, tight, glucose, control, during, pregnancy, and, what, these, goal, numbers, should, be, Emphasis, is, placed, on, how, to, manage, the, pregnant, patient, with, diabetes, mellitus, in, terms, of, glucose, monitoring, and, specific, treatment, recommendations, based, on, the, best, known, studies, A, comparison, of, current, insulins, available, is, made,, as, well, as,, a, brief, discussion, on, which, diabetic, medications, are, acceptable, in, pregnancy, Dr. John Steinberg provides an overview of the associated risk factors and proper evaluation of diabetic foot ulcerations. The lecture begins by discussing the epidemiology and economic impact of diabetes and diabetic foot ulcers. He then addresses the screening questions one should ask when evaluating the diabetic foot. Amputation risk factors such as infection and limb ischemia are also covered. Finally, the importance and application of the University of Texas Foot Risk and Diabetic Wound Classification Systems are explained in detail. http://presentdiabetes.com/description.php?id=17Thu, 13 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeDr, John, Steinberg, provides, an, overview, of, the, associated, risk, factors, and, proper, evaluation, of, diabetic, foot, ulcerations, The, lecture, begins, by, discussing, the, epidemiology, and, economic, impact, of, diabetes, and, diabetic, foot, ulcers, He, then, addresses, the, screening, questions, one, should, ask, when, evaluating, the, diabetic, foot, Amputation, risk, factors, such, as, infection, and, limb, ischemia, are, also, covered, Finally,, the, importance, and, application, of, the, University, of, Texas, Foot, Risk, and, Diabetic, Wound, Classification, Systems, are, explained, in, detail, <p align="left">Diabetic foot infections are one of the most common reasons for a podiatric surgeon to get called to the ER, The very serious medical condition of a diabetic foot infection requires prompt and appropriate attention. However, if a step-wise approach is followed, the treatment plan is generally simplistic and can make the difference in saving a patient\s life and limb. This lecture by John Steinberg, DPM will review the principles of care for diabetic foot infections and the necessary surgical approach which should be followed for most patients. A brief review of the plantar compartment anatomy of the foot is presented and several cases are discussed.</p> <div align="center"> <table border="0" id="table2"> <tr> <td> <img border="0" src="http://podiatry.com/shop/images/pe/Steinberg-Basic1.jpg" width="200" height="150"></td> <td> <img border="0" src="http://podiatry.com/shop/images/pe/Steinberg-Basic2.jpg" width="200" height="152"></td> </tr> <tr> <td> <img border="0" src="http://podiatry.com/shop/images/pe/Steinberg-Basic3.jpg" width="200" height="153"></td> <td> <img border="0" src="http://podiatry.com/shop/images/pe/Steinberg-Basic4.jpg" width="200" height="152"></td> </tr> </table> <p align="left">Diabetes is one of the key areas where podiatric medicine can make a big difference in the outcomes of patient care. To do this properly we need to practice consistent and evidence based medicine. This lecture will help to prioritize some of the principles that you already employ in your patient care.</p> http://presentdiabetes.com/description.php?id=18Thu, 13 Dec 2007 12:00:00 -05:00no37health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeDiabetic, foot, infections, are, one, of, the, most, common, reasons, for, a, podiatric, surgeon, to, get, called, to, the, ER,, The, very, serious, medical, condition, of, a, diabetic, foot, infection, requires, prompt, and, appropriate, attention, However,, if, a, step-wise, approach, is, followed,, the, treatment, plan, is, generally, simplistic, and, can, make, the, difference, in, saving, a, patient's, life, and, limb, This, lecture, by, John, Steinberg,, DPM, will, review, the, principles, of, care, for, diabetic, foot, infections, and, the, necessary, surgical, approach, which, should, be, followed, for, most, patients, A, brief, review, of, the, plantar, compartment, anatomy, of, the, foot, is, presented, and, several, cases, are, discussed Diabetes, is, one, of, the, key, areas, where, podiatric, medicine, can, make, a, big, difference, in, the, outcomes, of, patient, care, To, do, this, properly, we, need, to, practice, consistent, and, evidence, based, medicine, This, lecture, will, help, to, prioritize, some, of, the, principles, that, you, already, employ, in, your, patient, care, Dr. George S. Eisenbarth provides a thorough discussion on Prediction and different trials of type IA Diabetes. Mainly, he focuses on the mechanism of immune mediated type IA Diabetes. Furthermore, Dr. Eisenbarth elaborates how other autoimmune disorders can influence the development of Type IA Diabetes. http://presentdiabetes.com/description.php?id=44Thu, 13 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeDr, George, S, Eisenbarth, provides, a, thorough, discussion, on, Prediction, and, different, trials, of, type, IA, Diabetes, Mainly,, he, focuses, on, the, mechanism, of, immune, mediated, type, IA, Diabetes, Furthermore,, Dr, Eisenbarth, elaborates, how, other, autoimmune, disorders, can, influence, the, development, of, Type, IA, Diabetes, This lecture focuses on the importance of offloading the pressure sources and etiology of diabetic foot ulceration. Discussion includes debridement, pressure relief devices, accommodation, and surgical techniques for mechanical balancing. Several case presentations help to clarify each of these important aspects of caring for the "at risk" foot in an effort to prevent amputation. http://presentdiabetes.com/description.php?id=27Thu, 13 Dec 2007 12:00:00 -05:00no45health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeThis, lecture, focuses, on, the, importance, of, offloading, the, pressure, sources, and, etiology, of, diabetic, foot, ulceration, Discussion, includes, debridement,, pressure, relief, devices,, accommodation,, and, surgical, techniques, for, mechanical, balancing, Several, case, presentations, help, to, clarify, each, of, these, important, aspects, of, caring, for, the, "at, risk", foot, in, an, effort, to, prevent, amputation, In this lecture Dr Frykberg reviews complications of diabetes including factors that may impede wound healing. The author also reviews the history, indications and contraindications of negative pressure wound therapy. The findings of several studies (regarding negative pressure wound therapy) published in peer reviewed journals were highlighted. Finally, the author presents case studies where he illustrates his experience with negative pressure wound therapy in various wound types. http://presentdiabetes.com/description.php?id=31Thu, 13 Dec 2007 12:00:00 -05:00no28health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeIn, this, lecture, Dr, Frykberg, reviews, complications, of, diabetes, including, factors, that, may, impede, wound, healing, The, author, also, reviews, the, history,, indications, and, contraindications, of, negative, pressure, wound, therapy, The, findings, of, several, studies, (regarding, negative, pressure, wound, therapy), published, in, peer, reviewed, journals, were, highlighted, Finally,, the, author, presents, case, studies, where, he, illustrates, his, experience, with, negative, pressure, wound, therapy, in, various, wound, types, Dr. John Steinberg provides an overview of the associated risk factors and proper evaluation of diabetic foot ulcerations. The lecture begins by discussing the epidemiology and economic impact of diabetes and diabetic foot ulcers. He then addresses the screening questions one should ask when evaluating the diabetic foot. Amputation risk factors such as infection and limb ischemia are also covered. Finally, the importance and application of the University of Texas Foot Risk and Diabetic Wound Classification Systems are explained in detail. http://presentdiabetes.com/description.php?id=33Thu, 13 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeDr, John, Steinberg, provides, an, overview, of, the, associated, risk, factors, and, proper, evaluation, of, diabetic, foot, ulcerations, The, lecture, begins, by, discussing, the, epidemiology, and, economic, impact, of, diabetes, and, diabetic, foot, ulcers, He, then, addresses, the, screening, questions, one, should, ask, when, evaluating, the, diabetic, foot, Amputation, risk, factors, such, as, infection, and, limb, ischemia, are, also, covered, Finally,, the, importance, and, application, of, the, University, of, Texas, Foot, Risk, and, Diabetic, Wound, Classification, Systems, are, explained, in, detail, Lois Jovanovic, an international expert on diabetes in pregnancy, offers a thorough and informative overview of the Diabetic who becomes pregnant. She reviews the reasons for tight glucose control during pregnancy and the factors that contribute to macrosomia. Emphasis is placed on where to focus management in the pregnant patient with diabetes mellitus in terms of glucose monitoring and tight control. The issue of how exercise effects pregnancy and which exercises cause less fetal bradycardia is discussed. http://presentdiabetes.com/description.php?id=254Thu, 13 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeLois, Jovanovic,, an, international, expert, on, diabetes, in, pregnancy,, offers, a, thorough, and, informative, overview, of, the, Diabetic, who, becomes, pregnant, She, reviews, the, reasons, for, tight, glucose, control, during, pregnancy, and, the, factors, that, contribute, to, macrosomia, Emphasis, is, placed, on, where, to, focus, management, in, the, pregnant, patient, with, diabetes, mellitus, in, terms, of, glucose, monitoring, and, tight, control, The, issue, of, how, exercise, effects, pregnancy, and, which, exercises, cause, less, fetal, bradycardia, is, discussed, The controversial topic of patient non-compliance is explored in-depth in this lecture. Many of the diverse etiologies that have been identified are discussed and the more common ones are explored in case-study format, based on actual cases. Methods for overcoming patient non-compliance are discussed as well as the significant impact that this activity has on the medical system. After viewing this lecture, the student will be able to identify non-compliance in his patients and implement methods to successfully overcome that destructive behavior. http://presentdiabetes.com/description.php?id=42Thu, 13 Dec 2007 12:00:00 -05:00no56health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeThe, controversial, topic, of, patient, non-compliance, is, explored, in-depth, in, this, lecture, Many, of, the, diverse, etiologies, that, have, been, identified, are, discussed, and, the, more, common, ones, are, explored, in, case-study, format,, based, on, actual, cases, Methods, for, overcoming, patient, non-compliance, are, discussed, as, well, as, the, significant, impact, that, this, activity, has, on, the, medical, system, After, viewing, this, lecture,, the, student, will, be, able, to, identify, non-compliance, in, his, patients, and, implement, methods, to, successfully, overcome, that, destructive, behavior, Dr. Green\s lecture on diabetic emergencies begins with a discussion of the demographics of diabetic ketoacidosis. She then proceeds to discuss the pathophysiology of this disorder followed by practical details of appropriate treatment. She concludes with a discussion of hyperglycemic hyperosmolar state, with a focus on how it\s treatment and pathophysiology differ from diabetic ketoacidosis. http://presentdiabetes.com/description.php?id=45Thu, 13 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeDr, Green's, lecture, on, diabetic, emergencies, begins, with, a, discussion, of, the, demographics, of, diabetic, ketoacidosis, She, then, proceeds, to, discuss, the, pathophysiology, of, this, disorder, followed, by, practical, details, of, appropriate, treatment, She, concludes, with, a, discussion, of, hyperglycemic, hyperosmolar, state,, with, a, focus, on, how, it's, treatment, and, pathophysiology, differ, from, diabetic, ketoacidosis, In this lecture, Dr. Inzucchi provides an overview of the link between hyperglycemia and morbidity and mortality in hospitalized patients. He then critically reviews the growing evidence that reducing inpatient hyperglycemia leads to better patient outcomes, with an emphasis on the critical care setting. Finally, he provides a framework to improve the glycemic management in the hospital. http://presentdiabetes.com/description.php?id=247Thu, 13 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeIn, this, lecture,, Dr, Inzucchi, provides, an, overview, of, the, link, between, hyperglycemia, and, morbidity, and, mortality, in, hospitalized, patients, He, then, critically, reviews, the, growing, evidence, that, reducing, inpatient, hyperglycemia, leads, to, better, patient, outcomes,, with, an, emphasis, on, the, critical, care, setting, Finally,, he, provides, a, framework, to, improve, the, glycemic, management, in, the, hospital, This lecture by Tracy Breen provides an introduction to the care of patients with Diabetes Mellitus Type 1. Clinical presentation, diagnostic strategies and evidence supporting the goals of glycemic control will be reviewed. The pharmacokinetics of the newer insulin analogs, different insulin delivery systems, and risk reduction strategies will be reviewed. At the end of this lecture, the listener should be able to differentiate Type 1 DM from Type 2 DM and to understand the basic philosophy of insulin therapy in patients with Diabetes Mellitus Type 1. http://presentdiabetes.com/description.php?id=246Thu, 13 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeThis, lecture, by, Tracy, Breen, provides, an, introduction, to, the, care, of, patients, with, Diabetes, Mellitus, Type, 1, Clinical, presentation,, diagnostic, strategies, and, evidence, supporting, the, goals, of, glycemic, control, will, be, reviewed, The, pharmacokinetics, of, the, newer, insulin, analogs,, different, insulin, delivery, systems,, and, risk, reduction, strategies, will, be, reviewed, At, the, end, of, this, lecture,, the, listener, should, be, able, to, differentiate, Type, 1, DM, from, Type, 2, DM, and, to, understand, the, basic, philosophy, of, insulin, therapy, in, patients, with, Diabetes, Mellitus, Type, 1, In this lecture, Dr. Warren Joseph discusses diabetic foot infections and the new Infectious Diseases Society of America classification system. He further discusses antibiotic therapy for diabetic foot infections concentrating specifically on the role that MRSA plays. http://presentdiabetes.com/description.php?id=243Thu, 13 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeIn, this, lecture,, Dr, Warren, Joseph, discusses, diabetic, foot, infections, and, the, new, Infectious, Diseases, Society, of, America, classification, system, He, further, discusses, antibiotic, therapy, for, diabetic, foot, infections, concentrating, specifically, on, the, role, that, MRSA, plays, This lecture by Ginger Kanzer-Lewis fills the knowledge gap by teaching health care providers and diabetes educators how and what to teach patients, how to motivate patients, and how to train other health care professionals to teach patients. It deals with the ethical and legal issues as well as creative teaching techniques designed to add fun to classes. http://presentdiabetes.com/description.php?id=490Thu, 13 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeThis, lecture, by, Ginger, Kanzer-Lewis, fills, the, knowledge, gap, by, teaching, health, care, providers, and, diabetes, educators, how, and, what, to, teach, patients,, how, to, motivate, patients,, and, how, to, train, other, health, care, professionals, to, teach, patients, It, deals, with, the, ethical, and, legal, issues, as, well, as, creative, teaching, techniques, designed, to, add, fun, to, classes, This lecture by Derek LeRoith MD will cover a very common disorder that is becoming more common due to the epidemic of obesity. Dr LeRoith outlines the diagnostic features, the pathogenesis of the disorder and management of the associated conditions. http://presentdiabetes.com/description.php?id=150Thu, 13 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeThis, lecture, by, Derek, LeRoith, MD, will, cover, a, very, common, disorder, that, is, becoming, more, common, due, to, the, epidemic, of, obesity, Dr, LeRoith, outlines, the, diagnostic, features,, the, pathogenesis, of, the, disorder, and, management, of, the, associated, conditions, <b>Ronald Tamler, MD, PhD</b> notes that sexual and urologic complaints are remarkably common in men and women with diabetes. He reviews conditions such as erectile dysfunction, female sexual dysfunction, Lower Urinary Tract Symptoms (LUTS) and urinary tract infections (UTIs). After completing this session, the listener will have a deeper understanding of the pathophysiology, diagnosis and treatment of these problems and will be sensitized to screen for them in diabetic patients. http://presentdiabetes.com/description.php?id=151Thu, 13 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeRonald, Tamler,, MD,, PhD, notes, that, sexual, and, urologic, complaints, are, remarkably, common, in, men, and, women, with, diabetes, He, reviews, conditions, such, as, erectile, dysfunction,, female, sexual, dysfunction,, Lower, Urinary, Tract, Symptoms, (LUTS), and, urinary, tract, infections, (UTIs), After, completing, this, session,, the, listener, will, have, a, deeper, understanding, of, the, pathophysiology,, diagnosis, and, treatment, of, these, problems, and, will, be, sensitized, to, screen, for, them, in, diabetic, patients, Diabetic neuropathy is a common complication of diabetes , in which nerves are damaged as a result of hyperglycemia (high blood sugar levels). Dr Vinik discusses its impact on the quality of life as well as new treatment modalities. http://presentdiabetes.com/description.php?id=152Thu, 13 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeDiabetic, neuropathy, is, a, common, complication, of, diabetes, ,, in, which, nerves, are, damaged, as, a, result, of, hyperglycemia, (high, blood, sugar, levels), Dr, Vinik, discusses, its, impact, on, the, quality, of, life, as, well, as, new, treatment, modalities, Stephen Clement, MD. introduces the listener to the "trade secrets " to successfully adjust insulin therapy for patients with type 1 diabetes. Insulin therapy has changed dramatically over the past ten years with the development of insulin analogs. The lecture discusses how insulin therapy as evolved from the standard insulin regimens of "Clear and Cloudy" insulins of the 80\s to more sophisticated (and safer) regimens using new insulin analogs. Key research studies that mark each advance in therapy are cited. The listener is introduced to the concepts of carbohydrate counting, basal/bolus insulin therapy, insulin pump therapy, and how to adjust insulin for exercise and sickness. The author takes a look into the future of diabetes care with inhaled insulin and continuous insulin sensing.http://presentdiabetes.com/description.php?id=153Thu, 13 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeStephen, Clement,, MD, introduces, the, listener, to, the, "trade, secrets, ", to, successfully, adjust, insulin, therapy, for, patients, with, type, 1, diabetes, Insulin, therapy, has, changed, dramatically, over, the, past, ten, years, with, the, development, of, insulin, analogs, The, lecture, discusses, how, insulin, therapy, as, evolved, from, the, standard, insulin, regimens, of, "Clear, and, Cloudy", insulins, of, the, 80's, to, more, sophisticated, (and, safer), regimens, using, new, insulin, analogs, Key, research, studies, that, mark, each, advance, in, therapy, are, cited, The, listener, is, introduced, to, the, concepts, of, carbohydrate, counting,, basal/bolus, insulin, therapy,, insulin, pump, therapy,, and, how, to, adjust, insulin, for, exercise, and, sickness, The, author, takes, a, look, into, the, future, of, diabetes, care, with, inhaled, insulin, and, continuous, insulin, sensing, Cynthia Fleck discusses how to access a patients nutritional status and how being malnourished can have an effect on the wound healing process. She will also discuss how to improve a patients wound healing with vitamins, minerals and alternate feeding methods http://presentdiabetes.com/description.php?id=259Thu, 13 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeCynthia, Fleck, discusses, how, to, access, a, patients, nutritional, status, and, how, being, malnourished, can, have, an, effect, on, the, wound, healing, process, She, will, also, discuss, how, to, improve, a, patients, wound, healing, with, vitamins,, minerals, and, alternate, feeding, methods, This lecture by <b>Cynthia Fleck</b> reviews the etiology of pressure ulcers and describes the methods of pressure ulcer prevention.http://presentdiabetes.com/description.php?id=657Thu, 13 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeThis, lecture, by, Cynthia, Fleck, reviews, the, etiology, of, pressure, ulcers, and, describes, the, methods, of, pressure, ulcer, prevention, Hope Warshaw currently applies more than twenty-five years of expertise in her work as a diabetes educator, nutrition consultant, and freelance writer.Hope Warshaw Associates Alexandria, Virginia Hope Warshaw currently applies more than twenty-five years of expertise in her work as a diabetes educator, nutrition consultant, and freelance writer. This lecture is intended to give practitioners an in-depth introduction to the increasingly popular diabetes meal planning approach of carbohydrate counting. The lecture begins by establishing the rationale for the use of carbohydrate counting in diabetes management. It continues with a review of current the carbohydrate recommendations for healthy eating and diabetes management. The majority of time in this lecture is spent on defining basic through advanced carbohydrate counting and describing the key knowledge and skills necessary for people with diabetes to implement this approach. The lecture concludes with a discussion of available resources to obtain the carbohydrate counts of foods and describes a method by which practitioners can teach people to build their personal food and carbohydrate database. Lastly, a discussion of the impact of carbohydrate, protein, fat and other intrinsic and extrinsic factors on glycemic rise is provided. http://presentdiabetes.com/description.php?id=261Thu, 13 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeHope, Warshaw, currently, applies, more, than, twenty-five, years, of, expertise, in, her, work, as, a, diabetes, educator,, nutrition, consultant,, and, freelance, writerHope, Warshaw, Associates, Alexandria,, Virginia, Hope, Warshaw, currently, applies, more, than, twenty-five, years, of, expertise, in, her, work, as, a, diabetes, educator,, nutrition, consultant,, and, freelance, writer, This, lecture, is, intended, to, give, practitioners, an, in-depth, introduction, to, the, increasingly, popular, diabetes, meal, planning, approach, of, carbohydrate, counting, The, lecture, begins, by, establishing, the, rationale, for, the, use, of, carbohydrate, counting, in, diabetes, management, It, continues, with, a, review, of, current, the, carbohydrate, recommendations, for, healthy, eating, and, diabetes, management, The, majority, of, time, in, this, lecture, is, spent, on, defining, basic, through, advanced, carbohydrate, counting, and, describing, the, key, knowledge, and, skills, necessary, for, people, with, diabetes, to, implement, this, approach, The, lecture, concludes, with, a, discussion, of, available, resources, to, obtain, the, carbohydrate, counts, of, foods, and, describes, a, method, by, which, practitioners, can, teach, people, to, build, their, personal, food, and, carbohydrate, database, Lastly,, a, discussion, of, the, impact, of, carbohydrate,, protein,, fat, and, other, intrinsic, and, extrinsic, factors, on, glycemic, rise, is, provided, Martha Funnell and Michael Weiss give a very informative lecture on patient empowerment and self management of diabetes. Michael Weiss gives a first hand account of how he has dealt with his own diabetes and how he wishes his physicians had approached his diabetic management. Martha Funnell will describe how to help patients make their own decisions about their diabetic care and how to empower patients to take control of their diabetes. http://presentdiabetes.com/description.php?id=264Thu, 13 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeMartha, Funnell, and, Michael, Weiss, give, a, very, informative, lecture, on, patient, empowerment, and, self, management, of, diabetes, Michael, Weiss, gives, a, first, hand, account, of, how, he, has, dealt, with, his, own, diabetes, and, how, he, wishes, his, physicians, had, approached, his, diabetic, management, Martha, Funnell, will, describe, how, to, help, patients, make, their, own, decisions, about, their, diabetic, care, and, how, to, empower, patients, to, take, control, of, their, diabetes, In this lecture by <b>Mary Austin</b> she describes the methods and benefits of motivational interviewing and explains how it helps to promote a safe and supportive rapport with clients.http://presentdiabetes.com/description.php?id=271Thu, 13 Dec 2007 12:00:00 -05:00no42health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeIn, this, lecture, by, Mary, Austin, she, describes, the, methods, and, benefits, of, motivational, interviewing, and, explains, how, it, helps, to, promote, a, safe, and, supportive, rapport, with, clients, This lecture reviews the research evidence on the effectiveness of using meal replacements to achieve weight loss and weight maintenance in overweight or obese adults. The research evidence on meal replacements in the form of both liquid shakes/bars and frozen prepackaged portion-controlled entrees is reviewed. In addition, research comparing the effectiveness of meal replacements to structured diets is reviewed which helps the listener to understand the key features that explain why meal replacements work. http://presentdiabetes.com/description.php?id=269Thu, 13 Dec 2007 12:00:00 -05:00no21health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeThis, lecture, reviews, the, research, evidence, on, the, effectiveness, of, using, meal, replacements, to, achieve, weight, loss, and, weight, maintenance, in, overweight, or, obese, adults, The, research, evidence, on, meal, replacements, in, the, form, of, both, liquid, shakes/bars, and, frozen, prepackaged, portion-controlled, entrees, is, reviewed, In, addition,, research, comparing, the, effectiveness, of, meal, replacements, to, structured, diets, is, reviewed, which, helps, the, listener, to, understand, the, key, features, that, explain, why, meal, replacements, work, In this lecture <strong>Dr. Kshitij Shankhdhar </strong>introduces the listeners to the epidemic of diabetes predominantly affecting the developing countries and explains in detail the condition of diabetic foot care in developing world countries like India. He begins by enumerating the problems and comes out with 3 solutions, based on his experience of working with diabetic foot patients in different parts of India. In the lecture he introduces the listeners to his discovery - "The Samadhan System of offloading" and the new "One man team approach" both developed keeping in mind the various socio-economic aspects of diabetes patients from the developing world. The lecture ends on an optimistic note where it\s concluded that "Improvisation is the key to success" while managing diabetic foot patients from developing world countries. http://presentdiabetes.com/description.php?id=278Thu, 13 Dec 2007 12:00:00 -05:00no35health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeIn, this, lecture, Dr, Kshitij, Shankhdhar, introduces, the, listeners, to, the, epidemic, of, diabetes, predominantly, affecting, the, developing, countries, and, explains, in, detail, the, condition, of, diabetic, foot, care, in, developing, world, countries, like, India, He, begins, by, enumerating, the, problems, and, comes, out, with, 3, solutions,, based, on, his, experience, of, working, with, diabetic, foot, patients, in, different, parts, of, India, In, the, lecture, he, introduces, the, listeners, to, his, discovery, -, "The, Samadhan, System, of, offloading", and, the, new, "One, man, team, approach", both, developed, keeping, in, mind, the, various, socio-economic, aspects, of, diabetes, patients, from, the, developing, world, The, lecture, ends, on, an, optimistic, note, where, it's, concluded, that, "Improvisation, is, the, key, to, success", while, managing, diabetic, foot, patients, from, developing, world, countries, <b>Ronald Tamler, MD, PhD</b> discusses the hazards of obesity in this lecture. He then outlines various methods for weight loss, including bariatric surgery. Finally, Dr. Tamler describes which patients are candidates for weight loss surgery, and what one must watch out for in postsurgical care.http://presentdiabetes.com/description.php?id=462Thu, 13 Dec 2007 12:00:00 -05:00no33health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeRonald, Tamler,, MD,, PhD, discusses, the, hazards, of, obesity, in, this, lecture, He, then, outlines, various, methods, for, weight, loss,, including, bariatric, surgery, Finally,, Dr, Tamler, describes, which, patients, are, candidates, for, weight, loss, surgery,, and, what, one, must, watch, out, for, in, postsurgical, care, <b>Ronald Tamler, MD, PhD</b> demonstrates how to diagnose prediabetes in this lecture. Based on the current literature, he then presents the most effective ways to prevent development of T2DM.http://presentdiabetes.com/description.php?id=463Thu, 13 Dec 2007 12:00:00 -05:00no31health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeRonald, Tamler,, MD,, PhD, demonstrates, how, to, diagnose, prediabetes, in, this, lecture, Based, on, the, current, literature,, he, then, presents, the, most, effective, ways, to, prevent, development, of, T2DM, This lecture by <b>Thomas Tu, MD</b> reviews the anatomical and technical considerations for optimal percutaneous femoral artery access. It covers hemostasis techniques including a comparison of manual compression and various closure device techniques. Various complications of femoral artery access and closure are reviewed.http://presentdiabetes.com/description.php?id=467Thu, 13 Dec 2007 12:00:00 -05:00no44health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeThis, lecture, by, Thomas, Tu,, MD, reviews, the, anatomical, and, technical, considerations, for, optimal, percutaneous, femoral, artery, access, It, covers, hemostasis, techniques, including, a, comparison, of, manual, compression, and, various, closure, device, techniques, Various, complications, of, femoral, artery, access, and, closure, are, reviewed, This presentation describes in detail the latest Medicare coverage guidelines for DSME, including: pre-DSME documentation requirements (physician referral and diagnostic lab criteria); beneficiary and provider eligibility; quality standards; utilization limits in the first and follow-up years; claim forms and recipients of; code use (CPT, ICD-9 and revenue codes); payment regulations and reimbursement rates; and use of the advance beneficiary notice. Guidelines for individual providers billing Medicare for DSME are also explained.http://presentdiabetes.com/description.php?id=469Thu, 13 Dec 2007 12:00:00 -05:00no31health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeThis, presentation, describes, in, detail, the, latest, Medicare, coverage, guidelines, for, DSME,, including:, pre-DSME, documentation, requirements, (physician, referral, and, diagnostic, lab, criteria);, beneficiary, and, provider, eligibility;, quality, standards;, utilization, limits, in, the, first, and, follow-up, years;, claim, forms, and, recipients, of;, code, use, (CPT,, ICD-9, and, revenue, codes);, payment, regulations, and, reimbursement, rates;, and, use, of, the, advance, beneficiary, notice, Guidelines, for, individual, providers, billing, Medicare, for, DSME, are, also, explained, This presentation by <b>Mary Ann Hodorowicz</b> describes in detail the latest Medicare coverage guidelines for MNT, including: the new National Provider Identification number; pre-MNT documentation requirements (physician referral and diagnostic lab criteria); beneficiary and provider eligibility; quality standards; utilization limits in the first and follow-up years; claim forms and recipients of; MNT telehealth; code use (CPT, ICD-9 and revenue codes); payment regulations and reimbursement rates; and use of the advance beneficiary notice. The four options for RDs to provide MNT are also explained. http://presentdiabetes.com/description.php?id=470Thu, 13 Dec 2007 12:00:00 -05:00no42health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeThis, presentation, by, Mary, Ann, Hodorowicz, describes, in, detail, the, latest, Medicare, coverage, guidelines, for, MNT,, including:, the, new, National, Provider, Identification, number;, pre-MNT, documentation, requirements, (physician, referral, and, diagnostic, lab, criteria);, beneficiary, and, provider, eligibility;, quality, standards;, utilization, limits, in, the, first, and, follow-up, years;, claim, forms, and, recipients, of;, MNT, telehealth;, code, use, (CPT,, ICD-9, and, revenue, codes);, payment, regulations, and, reimbursement, rates;, and, use, of, the, advance, beneficiary, notice, The, four, options, for, RDs, to, provide, MNT, are, also, explained, Nutrition therapy is a primary treatment strategy for diabetes. However, it is one of the most challenging for many people with diabetes to implement. Educators can help promote change in eating behaviors through the use of specific, tailored key nutrition messages. A bit of Dr. Seuss wisdom guides this session for a multidisciplinary audience through a review of the characteristics of tailored nutrition messages, as well as the steps in tailoring a nutrition message to promote desired behavior change.http://presentdiabetes.com/description.php?id=472Thu, 13 Dec 2007 12:00:00 -05:00no38health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeNutrition, therapy, is, a, primary, treatment, strategy, for, diabetes, However,, it, is, one, of, the, most, challenging, for, many, people, with, diabetes, to, implement, Educators, can, help, promote, change, in, eating, behaviors, through, the, use, of, specific,, tailored, key, nutrition, messages, A, bit, of, Dr, Seuss, wisdom, guides, this, session, for, a, multidisciplinary, audience, through, a, review, of, the, characteristics, of, tailored, nutrition, messages,, as, well, as, the, steps, in, tailoring, a, nutrition, message, to, promote, desired, behavior, change, This lecture focuses on the various ways that meal replacements have been incorporated into NIH clinical trials to enhance weight loss results, namely the Diabetes Prevention Program and the Look AHEAD trial. These trials have effectively implemented lifestyle interventions aimed at a 7% weight loss in people who are overweight or obese with either prediabetes or type 2 diabetes. The listener will then hear about 2 specific cases that describe the effective use of meal replacements in clinical practice for patients who have type 1 and type 2 diabetes. http://presentdiabetes.com/description.php?id=473Thu, 13 Dec 2007 12:00:00 -05:00no27health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeThis, lecture, focuses, on, the, various, ways, that, meal, replacements, have, been, incorporated, into, NIH, clinical, trials, to, enhance, weight, loss, results,, namely, the, Diabetes, Prevention, Program, and, the, Look, AHEAD, trial, These, trials, have, effectively, implemented, lifestyle, interventions, aimed, at, a, 7%, weight, loss, in, people, who, are, overweight, or, obese, with, either, prediabetes, or, type, 2, diabetes, The, listener, will, then, hear, about, 2, specific, cases, that, describe, the, effective, use, of, meal, replacements, in, clinical, practice, for, patients, who, have, type, 1, and, type, 2, diabetes, This lecture provides an outline of todays eating habits and how calorie confusion and out of control portion sizes are culprits contributing to obesity epidemic. Since calorie balancing is the bottom line to successful weight management, improved calorie counting skills are needed. The use of food labs are one successful teaching strategy. Increasing clients\ awareness of environmental triggers and their own personal danger zones for eating is essential. Teaching specific strategies to reduce calorie intake at home, in restaurants and away from home, with ethnic foods, holidays and special occasions are helpful to promote successful weight management. http://presentdiabetes.com/description.php?id=474Thu, 13 Dec 2007 12:00:00 -05:00no25health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeThis, lecture, provides, an, outline, of, todays, eating, habits, and, how, calorie, confusion, and, out, of, control, portion, sizes, are, culprits, contributing, to, obesity, epidemic, Since, calorie, balancing, is, the, bottom, line, to, successful, weight, management,, improved, calorie, counting, skills, are, needed, The, use, of, food, labs, are, one, successful, teaching, strategy, Increasing, clients', awareness, of, environmental, triggers, and, their, own, personal, danger, zones, for, eating, is, essential, Teaching, specific, strategies, to, reduce, calorie, intake, at, home,, in, restaurants, and, away, from, home,, with, ethnic, foods,, holidays, and, special, occasions, are, helpful, to, promote, successful, weight, management, In this lecture, Dr. Kim uses evidence-based medicine to address the role of equinus in plantar ulcerations of the forefoot in Diabetic patients. He explains how equinus has been shown to cause increased plantar peak pressures, and how reducing this pressure may help ulcers heal. Dr. Kim then offers evidence challenging the role Tendo-achilles lengthening may play in treating these patients. Finally, he explains his research on shearing forces and its etiological affect in plantar ulcerations. Ultimately, this lecture challenges the listener to evaluate the pros and cons of the triceps surae lengthening procedure in the Diabetic patient. http://presentdiabetes.com/description.php?id=7Thu, 13 Dec 2007 01:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeIn, this, lecture,, Dr, Kim, uses, evidence-based, medicine, to, address, the, role, of, equinus, in, plantar, ulcerations, of, the, forefoot, in, Diabetic, patients, He, explains, how, equinus, has, been, shown, to, cause, increased, plantar, peak, pressures,, and, how, reducing, this, pressure, may, help, ulcers, heal, Dr, Kim, then, offers, evidence, challenging, the, role, Tendo-achilles, lengthening, may, play, in, treating, these, patients, Finally,, he, explains, his, research, on, shearing, forces, and, its, etiological, affect, in, plantar, ulcerations, Ultimately,, this, lecture, challenges, the, listener, to, evaluate, the, pros, and, cons, of, the, triceps, surae, lengthening, procedure, in, the, Diabetic, patient, This lecture by Ronald A. Sage, presents the indications, technique and complications associated with the Syme\s Transmalleolar Amputation. The procedure is compared to other partial foot amputation techniques, and the possible complications of these various techniques are reviewed. Emphasis is placed on pre-surgical criteria for distal wound healing that should be used in making the decision to proceed with a Syme procedure. Possible causes of limb salvage failure besides breeching traditional criteria are reviewed. An effort is made to assist the listener in selecting patients with seriously infected or necrotic diabetic feet who would likely benefit from a distal amputation attempt versus a higher transtibial or transfemoral amputation. Outcome studies citing the speaker\s experience with this procedure are presented. http://presentdiabetes.com/description.php?id=277Thu, 13 Dec 2007 01:00:00 -05:00no31health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeThis, lecture, by, Ronald, A, Sage,, presents, the, indications,, technique, and, complications, associated, with, the, Syme's, Transmalleolar, Amputation, The, procedure, is, compared, to, other, partial, foot, amputation, techniques,, and, the, possible, complications, of, these, various, techniques, are, reviewed, Emphasis, is, placed, on, pre-surgical, criteria, for, distal, wound, healing, that, should, be, used, in, making, the, decision, to, proceed, with, a, Syme, procedure, Possible, causes, of, limb, salvage, failure, besides, breeching, traditional, criteria, are, reviewed, An, effort, is, made, to, assist, the, listener, in, selecting, patients, with, seriously, infected, or, necrotic, diabetic, feet, who, would, likely, benefit, from, a, distal, amputation, attempt, versus, a, higher, transtibial, or, transfemoral, amputation, Outcome, studies, citing, the, speaker's, experience, with, this, procedure, are, presented, Dr Suzuki discusses peripheral arterial disease (PAD) and noninvasive vascular testing. He begins with a brief review of PAD, presents five different noninvasive vascular tests, emphasizing the superior diagnostic effectiveness of combined skin perfusion pressures and pulse volume recording testing. He presents a clinically useful application of the angiosome concept with illustrative case reportshttp://presentdiabetes.com/description.php?id=457Thu, 13 Dec 2007 01:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeDr, Suzuki, discusses, peripheral, arterial, disease, (PAD), and, noninvasive, vascular, testing, He, begins, with, a, brief, review, of, PAD,, presents, five, different, noninvasive, vascular, tests,, emphasizing, the, superior, diagnostic, effectiveness, of, combined, skin, perfusion, pressures, and, pulse, volume, recording, testing, He, presents, a, clinically, useful, application, of, the, angiosome, concept, with, illustrative, case, reports, <p align="left">Sensory neuropathy (loss of protective sensation) is one of the strongest risk factors for both foot ulceration and amputation in a patient with diabetes. Nerve damage associated with diabetes involves axonal degeneration of myelinated and unmyelinated nerves and involves loss of both small and large nerve fibers.</p> <p align="left">The diagnosis of diabetic sensory neuropathy is made based on review of the signs and symptoms, the results of the physical examination and diagnostic studies. Dr. Lavery reminds us that the use of a single instrument (Semmes-Weinstein monofilaments, for example), is not sufficient to make a definitive diagnosis. Patients with nutritional deficiencies, anemia, radiculopathies, alcoholism and other conditions present with symptoms very similar to diabetic sensory neuropathy.</p> <p align="left"> Dr. Lavery reviews the various screening tests that will help the practitioner make a correct diagnosis. Standard vibration perception, deep tendon reflexes, motor strength, sharp/dull discrimination and light touch should all be part of the initial examination. While these tests are valuable, their results are difficult to quantify. </p> <p align="center"> <img width="200" height="121" border="0" src="http://podiatry.com/shop/images/pe/biothesiometerweb.jpg" /> </p> <p align="left">The biothesiometer is a unique device which can provide semi-quantitative information about the level of vibration the patient can feel in their foot. The information gleaned from this device helps us better understand the benefits and effectiveness of our treatment.</p> <p align="center"> <img width="200" height="134" border="0" src="http://podiatry.com/shop/images/pe/annodyneweb.jpg" /></p> <p align="left">Monochromatic Near-Infrared Therapy, commonly known as Anodyne, has shown great promise. 98% of patients who received Anodyne Therapy for thirty minutes, three times weekly, had improvement after six weeks. The percentage of patients who saw improvement increased to one hundred percent, after twelve weeks of treatment. Dr. Lavery also discusses surgical decompression. This technique has shown great promise. However, he feels that more research is needed before it is used on a widespread basis in this high risk population. </p> <p>Be aware - The answer to the question, "Can you do anything for the numbness and burning in my foot?", is rapidly changing. </p> http://presentdiabetes.com/description.php?id=8Fri, 14 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeSensory, neuropathy, (loss, of, protective, sensation), is, one, of, the, strongest, risk, factors, for, both, foot, ulceration, and, amputation, in, a, patient, with, diabetes, Nerve, damage, associated, with, diabetes, involves, axonal, degeneration, of, myelinated, and, unmyelinated, nerves, and, involves, loss, of, both, small, and, large, nerve, fibersThe, diagnosis, of, diabetic, sensory, neuropathy, is, made, based, on, review, of, the, signs, and, symptoms,, the, results, of, the, physical, examination, and, diagnostic, studies, Dr, Lavery, reminds, us, that, the, use, of, a, singleinstrument, (Semmes-Weinstein, monofilaments,, for, example),, is, not, sufficient, to, make, a, definitive, diagnosis, Patients, with, nutritional, deficiencies,, anemia,, radiculopathies,, alcoholism, and, other, conditions, present, with, symptoms, very, similar, to, diabetic, sensory, neuropathy , Dr, Lavery, reviews, the, various, screening, tests, that, will, help, the, practitioner, make, a, correct, diagnosis, Standard, vibration, perception,, deep, tendon, reflexes,, motor, strength,, sharp/dull, discrimination, and, light, touch, should, all, be, part, of, the, initial, examination, While, these, tests, are, valuable,, their, results, are, difficult, to, quantify, The, biothesiometer, is, a, unique, device, which, can, provide, semi-quantitative, information, about, the, level, of, vibration, the, patient, can, feel, in, their, foot, The, information, gleaned, from, this, device, helps, us, better, understand, the, benefits, and, effectiveness, of, our, treatment , Monochromatic, Near-Infrared, Therapy,, commonly, known, as, Anodyne,, has, shown, great, promise, 98%, of, patients, who, received, Anodyne, Therapy, for, thirty, minutes,, three, times, weekly,, had, improvement, after, six, weeks, The, percentage, of, patients, who, saw, improvement, increased, to, one, hundred, percent,, after, twelve, weeks, of, treatment, Dr, Lavery, also, discusses, surgical, decompression, This, technique, has, shown, great, promise, However,, he, feels, that, more, research, is, needed, before, it, is, used, on, a, widespread, basis, in, this, high, risk, population Be, aware, -, The, answer, to, the, question,, "Can, you, do, anything, for, the, numbness, and, burning, in, my, foot",, is, rapidly, changing, This lecture by William V. Tamborlane, MD describes the special challenges in treating youth with type 1 diabetes mellitus (T1DM), especially with respect to achieving target blood glucose and glycosylated hemoglobin levels and minimizing the risk of severe hypoglycemia. The impact of recent advances in therapy, including rapid and long acting insulin analogs, insulin pumps and continuous glucose monitoring, on the management and clinical outcomes of children and adolescents with T1DM are discussed in detail. The potential for combining these advances towards the development of an artificial pancreas will be presented http://presentdiabetes.com/description.php?id=244Fri, 14 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeThis, lecture, by, William, V, Tamborlane,, MD, describes, the, special, challenges, in, treating, youth, with, type, 1, diabetes, mellitus, (T1DM),, especially, with, respect, to, achieving, target, blood, glucose, and, glycosylated, hemoglobin, levels, and, minimizing, the, risk, of, severe, hypoglycemia, The, impact, of, recent, advances, in, therapy,, including, rapid, and, long, acting, insulin, analogs,, insulin, pumps, and, continuous, glucose, monitoring,, on, the, management, and, clinical, outcomes, of, children, and, adolescents, with, T1DM, are, discussed, in, detail, The, potential, for, combining, these, advances, towards, the, development, of, an, artificial, pancreas, will, be, presented, Diane Pearson will discuss patient centered motivational counseling and how to foster change in your patients. She will review the stages of change and how to encourage and motivate your patients through each stage. She will also discuss how to determine what goals are appropriate for each patient. http://presentdiabetes.com/description.php?id=263Fri, 14 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeDiane, Pearson, will, discuss, patient, centered, motivational, counseling, and, how, to, foster, change, in, your, patients, She, will, review, the, stages, of, change, and, how, to, encourage, and, motivate, your, patients, through, each, stage, She, will, also, discuss, how, to, determine, what, goals, are, appropriate, for, each, patient, In this lecture by JaNellyn Hannah, she describes the current state of diabetes and the older adult with pathophysiology and clinical manifestations. It discusses the great results of the Diabetes Prevention Program in regard to the older adult and lifestyle modification. It describes the general complications of diabetes and then those specific to the older adult. The discussion reviews treatment of exercise, meal planning and medications for the older adult with diabetes http://presentdiabetes.com/description.php?id=276Fri, 14 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeIn, this, lecture, by, JaNellyn, Hannah,, she, describes, the, current, state, of, diabetes, and, the, older, adult, with, pathophysiology, and, clinical, manifestations, It, discusses, the, great, results, of, the, Diabetes, Prevention, Program, in, regard, to, the, older, adult, and, lifestyle, modification, It, describes, the, general, complications, of, diabetes, and, then, those, specific, to, the, older, adult, The, discussion, reviews, treatment, of, exercise,, meal, planning, and, medications, for, the, older, adult, with, diabetes, http://presentdiabetes.com/description.php?id=464Fri, 14 Dec 2007 12:00:00 -05:00no35health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmehttp://presentdiabetes.com/description.php?id=468Fri, 14 Dec 2007 12:00:00 -05:00no27health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeThis lecture provides an outline of the role that sedentary lifestyles play in the obesity epidemic. Teaching clients how to calculate their personal energy expenditure is an underutilized and necessary step to help them see what is needed to manage their own personal energy equation. Increased physical activity is widely agreed to be essential to successful long term weight management. Teaching clients how to incorporate short and multiple bouts of physical activity, use pedometers, increase everyday activities, and how to calculate price tags of food in steps result in increased physical activity and more successful weight management. http://presentdiabetes.com/description.php?id=475Fri, 14 Dec 2007 12:00:00 -05:00no22health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeThis, lecture, provides, an, outline, of, the, role, that, sedentary, lifestyles, play, in, the, obesity, epidemic, Teaching, clients, how, to, calculate, their, personal, energy, expenditure, is, an, underutilized, and, necessary, step, to, help, them, see, what, is, needed, to, manage, their, own, personal, energy, equation, Increased, physical, activity, is, widely, agreed, to, be, essential, to, successful, long, term, weight, management, Teaching, clients, how, to, incorporate, short, and, multiple, bouts, of, physical, activity,, use, pedometers,, increase, everyday, activities,, and, how, to, calculate, price, tags, of, food, in, steps, result, in, increased, physical, activity, and, more, successful, weight, management, This lecture by<b> Lois Exelbert</b> provides a complete overview of the pathophysiology of diabetes in pregnancy - both gestational and pre-gestational diabetes. It offers the important teaching points that women with either of these diseases need to know while giving the historical background and implementation steps to offer this type of education program in a high risk pregnancy office.http://presentdiabetes.com/description.php?id=560Fri, 14 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeThis, lecture, by, Lois, Exelbert, provides, a, complete, overview, of, the, pathophysiology, of, diabetes, in, pregnancy, -, both, gestational, and, pre-gestational, diabetes, It, offers, the, important, teaching, points, that, women, with, either, of, these, diseases, need, to, know, while, giving, the, historical, background, and, implementation, steps, to, offer, this, type, of, education, program, in, a, high, risk, pregnancy, office, This lecture by Judy LaJoie discusses a variety of treatments which when used in conjunction with standard wound therapy, significantly increase the rate of wound healing. These adjunctive treatments can shorten the duration of hospital stay and avoid the eventual necessity of amputation of lower extremities. http://presentdiabetes.com/description.php?id=578Fri, 14 Dec 2007 12:00:00 -05:00nohealth, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeThis, lecture, by, Judy, LaJoie, discusses, a, variety, of, treatments, which, when, used, in, conjunction, with, standard, wound, therapy,, significantly, increase, the, rate, of, wound, healing, These, adjunctive, treatments, can, shorten, the, duration, of, hospital, stay, and, avoid, the, eventual, necessity, of, amputation, of, lower, extremities, A generation ago, a physician scientist at the National Institutes of Health working African Clawed Frogs made a startling discovery: that strings of amino acids native to the frogs� skin could potentially ward off bacterial invasion. That discovery has assisted in the birth of peptide-based antibiotics. That young scientist was Dr. Michael Zasloff Professor of Pediatrics and Director, Surgical Immunology at Georgetown University will discuss the potential promise of this area in wound healing and beyond.http://presentdiabetes.com/description.php?id=481Thu, 13 Mar 2008 12:00:00 -04:00no05:00health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeA, generation, ago,, a, physician, scientist, at, the, National, Institutes, of, Health, working, African, Clawed, Frogs, made, a, startling, discovery:, that, strings, of, amino, acids, native, to, the, frogs�, skin, could, potentially, ward, off, bacterial, invasion, That, discovery, has, assisted, in, the, birth, of, peptide-based, antibiotics, That, young, scientist, was, Dr, Michael, Zasloff, Professor, of, Pediatrics, and, Director,, Surgical, Immunology, at, Georgetown, University, will, discuss, the, potential, promise, of, this, area, in, wound, healing, and, beyond, Since its first descriptions nearly 200 years ago, the malady known as Charcot Arthropathy has proven enigmatic, elusive and often profoundly devastating. Clinician researchers worldwide have contributed much in recent years to understanding the pathophysiology of the disease. Now, a new approach seeks to assemble key clinical criteria into a simple classification system to predict outcome and direct therapy. To discuss this bold approach is Lee Rogers, a rising star in the field of amputation prevention. Lee was a former fellow at CLEAR and runs the Amputation Prevention Center at Broadlawns Medical Center in Des Moines, Iowa as well as serving as the active CLEAR faculty at Rosalind Franklin University of Medicine and Science in Chicago.http://presentdiabetes.com/description.php?id=480Thu, 13 Mar 2008 12:00:00 -04:00no00:00health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeSince, its, first, descriptions, nearly, 200, years, ago,, the, malady, known, as, Charcot, Arthropathy, has, proven, enigmatic,, elusive, and, often, profoundly, devastating, Clinician, researchers, worldwide, have, contributed, much, in, recent, years, to, understanding, the, pathophysiology, of, the, disease, Now,, a, new, approach, seeks, to, assemble, key, clinical, criteria, into, a, simple, classification, system, to, predict, outcome, and, direct, therapy, To, discuss, this, bold, approach, is, Lee, Rogers,, a, rising, star, in, the, field, of, amputation, prevention, Lee, was, a, former, fellow, at, CLEAR, and, runs, the, Amputation, Prevention, Center, at, Broadlawns, Medical, Center, in, Des, Moines,, Iowa, as, well, as, serving, as, the, active, CLEAR, faculty, at, Rosalind, Franklin, University, of, Medicine, and, Science, in, Chicago, The future of professional medical and surgical residency education is one that is on the mind of all physicians and surgeons today. The increasing amount of information that requires dissemination and the need for standardization is often at odds with different models and programmatic cultures. How to standardize and how to improve? To that end, we will discuss this with one of the leading thinkers in this area today, John Steinberg. Dr. Steinberg is a Podiatric Surgeon and is Assistant Professor in the Department of Plastic and Reconstructive Surgery at Georgetown University School of Medicine. His career has been a stellar one, from his early work at the University of Texas through to his current work in Georgetown, it has been punctuated by advances in Education. He is presently Editor of PRESENTS, a podiatric foot and ankle education program that has standardized didactics at more than 100 residency training programs, nationwide. http://presentdiabetes.com/description.php?id=479Thu, 13 Mar 2008 12:00:00 -04:00no0:00health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeThe, future, of, professional, medical, and, surgical, residency, education, isone, that, is, on, the, mind, of, all, physicians, and, surgeons, today, Theincreasing, amount, of, information, that, requires, dissemination, and, theneed, for, standardization, is, often, at, odds, with, different, models, andprogrammatic, cultures, How, to, standardize, and, how, to, improve, To, thatend,, we, will, discuss, this, with, one, of, the, leading, thinkers, in, thisarea, today,, John, SteinbergDr, Steinberg, is, a, Podiatric, Surgeon, and, is, Assistant, Professor, inthe, Department, of, Plastic, and, Reconstructive, Surgery, at, GeorgetownUniversity, School, of, Medicine, His, career, has, been, a, stellar, one,, fromhis, early, work, at, the, University, of, Texas, through, to, his, current, workin, Georgetown,, it, has, been, punctuated, by, advances, in, Education, He, ispresently, Editor, of, PRESENTS,, a, podiatric, foot, and, ankle, educationprogram, that, has, standardized, didactics, at, more, than, 100, residencytraining, programs,, nationwide, The white coat ceremony is celebrated at more than 100 medial schools throughout the world and signifies the passing of students from their basic science years to their clinical years of training. At this year\s white coat ceremony at Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science, David G. Armstrong, DPM, PhD, introduced by Terence Albright, DPM, Dean of the Scholl College, describes the transition from "PROTOprofessional to PROfessional" and offers some advice along the way. This lecture mirrors other profound talks given by Drs. Daniel Bareither, Karona Mason and Daniel Evans in offering advice and council to young professionals as they move into the next phase of their medical careers. http://presentdiabetes.com/description.php?id=485Thu, 13 Mar 2008 12:00:00 -04:00no05:00health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeThe, white, coat, ceremony, is, celebrated, at, more, than, 100, medial, schools, throughout, the, world, and, signifies, the, passing, of, students, from, their, basic, science, years, to, their, clinical, years, of, training, At, this, year's, white, coat, ceremony, at, Scholl, College, of, Podiatric, Medicine, at, Rosalind, Franklin, University, of, Medicine, and, Science,, David, G, Armstrong,, DPM,, PhD,, introduced, by, Terence, Albright,, DPM,, Dean, of, the, Scholl, College,, describes, the, transition, from, "PROTOprofessional, to, PROfessional", and, offers, some, advice, along, the, way, This, lecture, mirrors, other, profound, talks, given, by, Drs, Daniel, Bareither,, Karona, Mason, and, Daniel, Evans, in, offering, advice, and, council, to, young, professionals, as, they, move, into, the, next, phase, of, their, medical, careers, Depression and Disease--- This has been such a substantial area of inquiry in recent years the terms have almost been intertwined. Work in diabetes suggests that people who are depressed are less likely to adhere to a treatment regime and more likely to have problems coping. Work in the diabetic foot suggests that a) there are probably more people who are clinically depressed than we previously thought and b) there seems to be an association between depression, foot complications, and mortality. With me is one of the leading lights in the area of diabetes, depression, and behavior. He is Mark Peyrot, Professor of Sociology at Loyola College. He will discuss simple questions we can ask and actions we can take� even in a busy clinic�to make a difference in the lives of our patients. http://presentdiabetes.com/description.php?id=482Thu, 13 Mar 2008 12:00:00 -04:00no05:00health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeDepression, and, Disease---, This, has, been, such, a, substantial, area, ofinquiry, in, recent, years, the, terms, have, almost, been, intertwinedWork, in, diabetes, suggests, that, people, who, are, depressed, are, lesslikely, to, adhere, to, a, treatment, regime, and, more, likely, to, haveproblems, copingWork, in, the, diabetic, foot, suggests, that, a), there, are, probably, morepeople, who, are, clinically, depressed, than, we, previously, thought, and, b)there, seems, to, be, an, association, between, depression,, footcomplications,, and, mortalityWith, me, is, one, of, the, leading, lights, in, the, area, of, diabetes,depression,, and, behavior, He, is, Mark, Peyrot,, Professor, of, Sociology, atLoyola, CollegeHe, will, discuss, simple, questions, we, can, ask, and, actions, we, can, take�even, in, a, busy, clinic�to, make, a, difference, in, the, lives, of, our, patients, The decision to perform an amputation is based on a complex mix of medical and social/functional considerations. In the past, most have measured quality of care based on numbers of amputations performed in a set amount of time. More recently, some have advocated the use of simple potential quality measures that can be rapidly assessed without the necessity of population-based incidence figures. One such measure is the the "high to low amputation". In a recent study, our guest, James Wrobel, Associate Professor and Director of Outcomes Research at Scholl\s Center for Lower Extremity Ambulatory Research at Rosalind Franklin University of Medicine and Science, reported a nationwide ratio of 1.35-- but with large variations between individual centers. Perhaps these variations are an opportunity for intervention and the beginning of a discussion? Also discussed is another proposed measure of quality, William Jeffcoate\s "Ulcer Free Days" concept. http://presentdiabetes.com/description.php?id=484Thu, 13 Mar 2008 12:00:00 -04:00no05:00health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeThe, decision, to, perform, an, amputation, is, based, on, a, complex, mix, ofmedical, and, social/functional, considerations, In, the, past,, most, havemeasured, quality, of, care, based, on, numbers, of, amputations, performed, ina, set, amount, of, time, More, recently,, some, have, advocated, the, use, ofsimple, potential, quality, measures, that, can, be, rapidly, assessed, withoutthe, necessity, of, population-based, incidence, figures, One, such, measureis, the, the, "high, to, low, amputation", In, a, recent, study,, our, guest,James, Wrobel,, Associate, Professor, and, Director, of, Outcomes, Research, atScholl's, Center, for, Lower, Extremity, Ambulatory, Research, at, RosalindFranklin, University, of, Medicine, and, Science,, reported, a, nationwideratio, of, 135--, but, with, large, variations, between, individual, centersPerhaps, these, variations, are, an, opportunity, for, intervention, and, thebeginning, of, a, discussion, Also, discussed, is, another, proposed, measureof, quality,, William, Jeffcoate's, "Ulcer, Free, Days", concept, This edition of CLEARcast, featuring Professor David G. Armstrong of Scholl\s CLEAR at Rosalind Franklin University of Medicine and Science, discusses a question posed to Dr. Armstrong by Dr. John Steinberg of Georgetown University during a recent symposium. The question of surrogate markers for success fostering further innovation in wound healing and compressing the cycle for innovation is discussed in this edition. The drug Lipitor needed a cholesterol test to show its value-- as a trial for its prevention of sudden cardiac death would be too long and costly for initial study and would introduce too many confounding factors. At present, our equivalent of sudden cardiac death is "wound healing". In this profession\s maturation, we must realize that before we have a "blockbuster" wound healing device, we need more narrow accepted definitions of success. http://presentdiabetes.com/description.php?id=483Thu, 13 Mar 2008 12:00:00 -04:00no05:00health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeThis, edition, of, CLEARcast,, featuring, Professor, David, G, Armstrong, ofScholl's, CLEAR, at, Rosalind, Franklin, University, of, Medicine, andScience,, discusses, a, question, posed, to, Dr, Armstrong, by, Dr, JohnSteinberg, of, Georgetown, University, during, a, recent, symposium, Thequestion, of, surrogate, markers, for, success, fostering, further, innovationin, wound, healing, and, compressing, the, cycle, for, innovation, is, discussedin, this, edition, The, drug, Lipitor, needed, a, cholesterol, test, to, showits, value--, as, a, trial, for, its, prevention, of, sudden, cardiac, deathwould, be, too, long, and, costly, for, initial, study, and, would, introduce, toomany, confounding, factors, At, present,, our, equivalent, of, suddencardiac, death, is, "wound, healing", In, this, profession's, maturation,, wemust, realize, that, before, we, have, a, "blockbuster", wound, healing, device,we, need, more, narrow, accepted, definitions, of, success, Would you eat green eggs and ham? Probably not. But what about a savory spinach and ham omelet? Maybe. How a message is presented impacts response. A bit of Dr. Seuss wisdom guides this session for a multidisciplinary audience, which focuses on using specific, tailored nutrition messages in practice to encourage desired behavior change. This presentation shares numerous tried and true nutrition messages which colleagues have found successfully promote behavior change in individuals with diabeteshttp://presentdiabetes.com/description.php?id=492Sun, 16 Nov 2008 12:00:00 -05:00no29health, diabetes, sugar, cardio, vascular, cme, free , online, educator, nurse, nutrition, wound care, foot, diabetic, free cmeWould, you, eat, green, eggs, and, ham, Probably, not, But, what, about, a, savory, spinach, and, ham, omelet, Maybe, How, a, message, is, presented, impacts, response, A, bit, of, Dr, Seuss, wisdom, guides, this, session, for, a, multidisciplinary, audience,, which, focuses, on, using, specific,, tailored, nutrition, messages, in, practice, to, encourage, desired, behavior, change, This, presentation, shares, numerous, tried, and, true, nutrition, messages, which, colleagues, have, found, successfully, promote, behavior, change, in, individuals, with, diabetes,