Helen Visit 3: 71-year-old female with type 2 diabetes on insulin therapy but still not at goal

Curriculum:
N/A
Credits:
0.25 AMA PRA Category 1 Credits
Launch Date:
22-Jul-09
Expiration Date:
The accreditation for this activity has expired.

Primary Audience:

No Primary Audience Was Provided.

Relevant Terms:

No Primary Audience Was Provided.

Kenneth Snow, MD, MBA

Kenneth Snow, MD, MBA
Assistant Professor of Clinical Medicine
Harvard Medical School
Acting Chief, Adult Diabetes
Joslin Diabetes Center
Boston, MA

Kenneth J. Snow, MD, MBA, joined the staff of the Joslin Clinic in Boston in 1994. He is currently the Acting Chief of Adult Diabetes and the Director of the Sexual Function Clinic. In addition, he is on the Endocrinology staff at the Beth Israel Deaconess Medical Center in Boston and is an Assistant Professor of Clinical Medicine at Harvard Medical School.

Dr. Snow received a Bachelors degree from the Massachusetts Institute of Technology in Boston, Massachusetts and earned his medical degree at the Johns Hopkins School of Medicine in Baltimore, Maryland. He performed his residency in Internal Medicine at Northwestern Memorial Hospital in Chicago. He then completed an endocrinology fellowship at the New England Medical Center Hospitals in Boston. This past year he completed an MBA degree at the University of Massachusetts.

Patty Bonsignore, RN, CDE, MS

Patty Bonsignore, RN, CDE, MS
Manager
Clinical Education Programs, Healthcare Services
Joslin Diabetes Center
Boston, MA

Patty Bonsignore, MS, RN, CDE, has been a member of Joslin Diabetes Clinical team in Boston since January 2001.  Prior to coming to Joslin Clinic, she was a case manager in both the inpatient and outpatient settings.  She has worked as a clinical and educational program manager for Joslin's Affiliated Programs.

Ms Bonsignore is a member of the American Association of Diabetes Educators and has worked with Joslin Diabetes Disease Management program to develop self-management curriculum and clinical guidelines for patients with diabetes.  She has lectured for Joslin's Allied Health and other education programs on several occasions.  These programs are designed to provide didactic and hands-on training for nurses, dietitians, pharmacists, call center staff, and other professionals with knowledge of current trends in the diagnosis and treatment of diabetes along with an understanding of the challenges people with this condition confront on a daily basis.  She received her Bachelor of Science in Nursing and a Master's degree in Labor Relations from the University of Massachusetts in Amherst.  Her clinical areas of interest include motivational interviewing, improving case management strategies in the outpatient setting, and curriculum.

Amy Campbell, MS, RD, LDN, CDE

Amy Campbell, MS, RD, LDN, CDE
Manager
Clinical Education Programs, Healthcare Services
Joslin Diabetes Center
Boston, MA

Amy Campbell, MS, RD, LDN, CDE, has been working at Joslin Diabetes Center in Boston since 1995, in the role of Diabetes and Nutrition Educator. She has a Bachelor of Science in Nutrition from Simmons College in Boston, and a Master of Science in Nutrition Education from Boston University.  Ms. Campbell did her Dietetic Internship at Deaconess Hospital in Boston, and has received a Certificate of Training in Adult Weight Management by the American Dietetic Association.  In addition to being a Registered Dietitian, she is a Certified Diabetes Educator. 

Ms. Campbell is a member of many organizations, including the American Heart Association Council on Nutrition, Physical Activity & Metabolism.  She is also actively involved in the education initiatives at Joslin and at the American Association of Diabetes Educators, the American Dietetic Association, and the American Diabetes Association. She has published articles for the layperson and professionals on nutrition topics, diabetes, cardiovascular disease, and obesity management.  She is also coauthor of 16 Myths of a "Diabetic Diet", for which she received the Will Solimene Award of Excellence in Medical Communication and the 2000 National Health Information Award.

William M. Sullivan, MD

William M. Sullivan, MD
Staff Physician
Joslin Diabetes Center
Boston, MA

William M. Sullivan, MD, is staff physician at the Joslin Diabetes Center in Boston. In addition, he is on staff at the Beth Israel Deaconess Hospital in Needham, and is an Instructor in Medicine at Harvard Medical School.

Dr. Sullivan received a Bachelors degree from Holy Cross College in Worcester, Massachusetts, and received his medical degree from Georgetown University School of Medicine in Washington, DC. He completed his internship at Thomas Jefferson University Hospital (in Philadelphia) and then his residency at Wilford Hall USAF Medical Center (at Lackland AFB, Texas). Dr Sullivan completed diabetes/endocrinology fellowships at both Joslin Diabetes Center and Yale-New Haven Hospital (Connecticut).  He is board certified with a subspecialty certification in endocrinology and metabolism.
1. Explain the natural patterns of insulin secretory defects seen in people with type 1 and type 2 diabetes
2. Describe the process of designing individualized insulin treatment regimens in the outpatient setting that balance physiologic needs with patient self-care considerations
3. List common obstacles to insulin initiation and treatment stemming from issues such as culture, self-care ability, and regionalized healthcare delivery issues
4. Provide effective means of overcoming identified obstacles to insulin initiation and treatment
5. Develop and implement office-based systems to facilitate the timely initiation and management of insulin treatment programs
6. Provide people using insulin with appropriate educational support to encourage self-management