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Live Webinars
The Essentials of Basal Bolus Insulin
Therapy
Managing Acute Hyperglycemia
Crises
 Leonard
Mastbaum, MD, FACE
Medical Director, Diabetes Treatment Centers,
Lutheran and Parkview Hospitals in Fort
Wayne, Indiana
Unmanaged inpatient hyperglycemia can lead to a variety of
preventable complications, but when hyperglycemia becomes
severe enough, it can be fatal. This webinar addresses the
precipitating factors, symptoms, and treatment of the most
severe forms of hyperglycemia - Diabetic Ketoacidosis (DKA)
and Hyperglycemic Hyperosmolar State (HHS).
While the incidence of DKA continues to rise, mortality has
been decreasing, likely due to proper treatment. HHS on the
other hand, while less frequent, is associated with an
alarmingly high mortality rate. Recognizing the symptoms and
understanding the differences between DKA and HHS are
critical to proper treatment.
Our webinar presenter, Leonard Mastbaum, MD, FACE is the
Medical Director of the Diabetes Treatment Centers at
Lutheran and Parkview Hospitals in Fort Wayne, Indiana. He
is a Clinical Associate Professor at the Indiana University
School of Medicine, and serves on the Medical Advisory
Committee of Healthways, Inc. Dr. Mastbaum is board
certified in Internal Medicine and Diabetes and Metabolic
Diseases, and is Fellow of the American College of
Endocrinology.
Who should attend: ICU nurses, Diabetes Educators,
Endocrinologists, Intensivists, Hospitalists, Pharmacists,
and anyone responsible for inpatient diabetes and
hyperglycemia treatment, care, prevention and management.
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Friday,
October 17 |
12 PM-1 PM |
This session has ended. |
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Friday,
November 14 |
1 PM-2 PM |
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All
times are Eastern Standard Time
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Implementing Carbohydrate Based
Mealtime Insulin Dosing
Gary Stouder, MD
Board certified family physician from
Greenfield, IN with an inpatient and outpatient practice
limited to diabetes
Regulating glucose with insulin is essential to proper
care for patients with diabetes and hyperglycemia. Whether
administered intravenously (IV) or subcutaneously (subQ),
basal or maintenance levels of insulin are required to
sustain a consistent target glucose range. But for those
patients who are eating, bolus dosages are required to avoid
the spikes following carbohydrate consumption, and
correction dosages are necessary to fine tune the most
appropriate glucose levels. Establishing a hospital-wide
dietary process that makes it easier for nurses to provide
the appropriate basal, mealtime bolus, and correction
insulin dosages at the right time for patients who are
eating is the focus of this MDNU webinar.
Your presenter, Dr. Gary Stouder, whose practice is limited
to diabetic patients, led the design and implementation
efforts of mealtime carbohydrate counting at Hancock
Regional Hospital in Greenfield, IN. You will learn how to
start a mealtime carbohydrate counting program, how to
construct and train the team, and you’ll be shown the most
effective ways to implement the plan. Dr. Stouder also
discusses IV and subQ basal, bolus, and correction insulin
dosing based on the dependable carbohydrate data this
procedure provides to the caregivers. He shares the results
his hospital has achieved, the techniques that worked, and
those that did not.
Who should attend?
Nurses, diabetes educators, dietary
staff, endocrinologists, pharmacy staff, hospitalists, and
anyone in your hospital involved in inpatient glucose
management. This will be a very practical, well-illustrated,
and valuable webinar.
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Thursday, September
25 |
11 AM-12 PM |
This session has
ended. |
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Thursday,
October
23 |
12 PM-1 PM |
This session has
ended. |
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Wednesday,
November 12 |
12 PM-1 PM |
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All
times are Eastern Standard Time
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The Essentials of
Basal Bolus Insulin Therapy
Rattan Juneja MBBS, MD, MRCP (UK)
Co-Director,
Clarian,
Diabetes Centers, Indiana University School of
Medicine Chief of Endocrinology, Wishard Memorial
Hospital
Considering the enormous worldwide
effort on the part of clinicians to
control inpatient glucose, this webinar
will provide a rare and valuable
opportunity to raise your insulin IQ. As
the more sophisticated paper and
computerized insulin dosing protocols
rapidly replace sliding scale dosing,
caregivers will need to become
proficient with the appropriate
indications for the various insulin
preparations, AND with the most
effective administration of basal,
bolus, and correction insulin.
Your presenter is Rattan Juneja, MD,
MBBS, MRCP, an Associate Professor of
Clinical Medicine, Division of
Endocrinology, and Medical Director,
Indiana University Diabetes Center. In
his clear and entertaining style, Dr.
Juneja will discuss the differences
between regular, long-acting, and
rapid-acting insulin, and how they
should be used to both achieve and
sustain the hyperglycemic patient’s
optimal glucose range. With glucose
variability’s effect on patient outcomes
the current target of growing attention,
the combination of basal, bolus, and
correction insulin dosing for patients
who are eating is quickly becoming
essential knowledge.
This webinar will cover methods that
mimic nature with insulin therapy, the
basics of insulin algorithms, preventing
glucose spikes by scheduling dosages
around meals, transitioning from IV to
subcutaneous dosing, the “1500 Rule”,
suggested order sets, factors effecting
hypoglycemia risk, and core knowledge
and competencies for doctors and nurses.
This fact-filled hour will have
significant long-lasting and practical
value for Nurses, diabetes educators,
dietary staff, endocrinologists,
pharmacy staff, hospitalists, and anyone
in your hospital involved in inpatient
glucose care and management.
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Friday, October 10 |
11 AM-12 PM |
This session has
ended. |
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Friday, October
31 |
11 AM-12 PM |
This session has
ended. |
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Wednesday,
November 19 |
12 AM-1 PM |
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On-Demand Webinars
The
Path to Advanced Inpatient Diabetes Certificate
of Distinction:
Learn How to Propel Your Diabetes Program
Forward
 Fred Toffel, MD
Medical
Director of the Diabetes Program at Desert
Springs Hospital in Las Vegas.
Clinical Associate Professor of Medicine at the
University of Nevada School of Medicine.
Private Practice in Las Vegas.
 Joyce Malaskovitz, PhD,
RN, CDE
Director of the
Diabetes Treatment Center at Desert Springs
Hospital in Las Vegas, Nevada for the past 16
years.
Every day, inpatient diabetes programs
across the country face extinction from
fiscal pressures, while at the same
time, leaders in this field have
discovered how to make their programs
thrive. These leaders have found that
the clearest path to a sound and
effective inpatient program is through
continuous quality initiatives that
demonstrate improved clinical outcomes.
A new gold standard for inpatient
diabetes programs may be Joint
Commission’s Disease Specific Care
Certification Program for Advanced
Inpatient Diabetes Care. To date, just
four US hospitals have achieved this
Certificate of Distinction. This webinar
is your opportunity to learn how to
propel your diabetes program forward -
perhaps to ultimately join this elite
group. The webinar will be conducted by
two highly qualified presenters who led
their hospital to become the very first
in the country to receive this highly
regarded certificate of distinction.
Drs. Toffel & Malaskovitz share the
highlights of their journey, identify the
elements in place at one of the country’s most
successful programs, answer your questions and
energize your quest for improved outcomes in
this very timely webinar.
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Controlling Hyperglycemia: Overcoming
Inertia
Rattan Juneja MBBS, MD, MRCP (UK)
Co-Director,
Clarian,
Diabetes Centers, Indiana University School of
Medicine Chief of Endocrinology, Wishard Memorial
Hospital
Even after
understanding the benefits of controlling
hyperglycemia in the hospital, many health care
providers and administrators are overwhelmed by
the challenges inherent in change.
Like steering
an oil tanker, changing protocols and practices
in a hospital can be a slow, methodical, and
often daunting process. But to improve the
quality of healthcare, inpatient hyperglycemia
must be controlled.
This webinar addresses
strategies that simplify the shift toward
effective glucose management and overcome the
inertia that impedes positive change.
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Implementing
Successful Glucose
Management in Hospitals
 Joni Carroll,
R.N., C.D.E.
Indiana
University Hospital/Clarian Health.
You know why glucose management is vital to
outcomes…
You’ve
seen the evidence supporting the need for
inpatient glucose management. You’ve heard
experts warn of the dangers of both hyper-
and hypoglycemia to critically ill patients.
You may have volunteered or been chosen for
the glucose management team. You and your
colleagues are confident that your hospital
can improve patient outcomes by reducing
patient blood glucose levels. Taking the
initiative will benefit your patients, your
hospital, and your career. You know it’s the
right thing to do.
What to do next…
Protocols
have to be selected, processes have to be
implemented, and tools have to be purchased.
Staff members have to be trained. Results
have to be measured. You can’t do it alone.
You’ll need to enlist the support of a
variety of cross-functional teams in your
hospital – nurses, physicians, pharmacists,
administrators, dieticians, and
laboratorians. This clear and concise MDNU
webinar will show you how to tailor your
message to their priorities and objectives.
What you say to whom…
Your
speaker, Joni Carroll is an RN, Certified
Diabetes Educator at Indiana University
Clarian Health. A veteran glucose management
champion and trainer, Ms. Carroll has
assembled one of the largest and most
successful glucose management teams in the
country. In this one hour webinar, she
shares her skillful “what you say to whom”
techniques to get the right people on board
and committed to successful glucose control
in your hospital.
Who should view?
Anyone
involved in Glucose Management: Intensivists,
Endocrinologists, Nurse Managers, Diabetes
Educators, Quality Managers, Glucose
management champions and teams.
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Refining TGC: New Themes in the Literature & Challenges for Clinicians
 James Krinsley, M.D. Professor of Clinical Medicine, Columbia
University College of Physicians
and Surgeons/ Director of Critical Care at Stamford Hospital
Evidence emphasizing the importance of
glucose control in critically ill
patients continues to emerge but remains
controversial. Some studies have even
reported no benefit. It is now clear
that glycemic control can introduce the
risk of hypoglycemia, which has been
found to be associated with increased
mortality. So, what is optimal
control?
Thought leaders agree that glucose
control is important and suggest that
the early Tight Glucose Control
protocols may need to be reexamined to
maximize patient outcomes. New findings
also indicate that glycemic variability
may be an even more important predictor
of mortality in the critically ill than
mean glucose level.
This webinar will keep you abreast of
the latest research in glucose
management. Your presenter, the noted
James S. Krinsley, MD, FCCM is widely
published in the medical scientific
literature and is extensively cited in
the field of glycemic control throughout
the world. Dr. Krinsley was instrumental
in developing a ground-breaking
data-driven quality improvement program
for his hospital, which has been
recognized by the Joint Commission’s
distinguished Ernest A. Codman Award.
Dr. Krinsley’s presentation suggests
that a one-size-fits-all tight glucose
control protocol may not be the answer
for every patient in every hospital’s
ICU. Instead, he suggests a new paradigm
– Safe, Effective Glycemic Control, or
SEGC.
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