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WEEK #4

DIABETES LAB
September 20, 2021
Dr. Molly Corder, PharmD
MY NIECE!
Diabetic foot exam check off

Educating a patient on a new


device
LAB TODAY
Diabetes Calculations worksheet

Standards of Care worksheet


STANDARDS
OF CARE
Blood glucose
Post
Pre prandial
prandial
BLOOD
GLUCOSE

A1C  every 3-6 mos


EYES

DM: Leading cause of blindness in


working American adults
• Diabetic retinopathy
• Cataracts
• Glaucoma
• Detached Retina

Dilated eye exam


• One time per year
TEETH

• Thrush
• Gingivitis
• Infections
• Dental exam 
• every 6 months
HEART

• Cardiovascular disease,
heart attack, stroke
• Blood pressure 
• at every appointment
• Lipids 
• annually
KIDNEYS

- Chronic kidney disease


- End stage renal disease/
dialysis
- Urine albumin creatinine 
- once a year
NERVES / FEET

Diabetic foot infection

Amputation

Monofilament foot exam  once a year

Protective sensation

Amazon - monofilament foot exam 2021


HRSA.gov Diabetic Foot Exam 2021
DIABETIC FOOT EXAM VIDEO

How to Perform A Diabetic Foot Exam - YouTube


IMMUNIZATIONS

PPSV23 at PCV13 
diagnosis and > shared clinical
age 65 decision making

Hepatitis B? Shingles
Depends > 50

Flu & Tdap


COVID19 Q 10 years
EDUCATING THE PATIENT

Show Show videos (Fairview Physicians Associates)

Demonstrate Demonstrate it for the patient

Empower Empower your patient

Let Let the patient try it


• FPA Trulicity Pen de
INJECTION VIDEOS mo – YouTube

• FPA Victoza Pen - Y


ouTube
LAB GROUPS/ STRUCTURE

Table
A B C D E F G H
Groups
1&2 3&4 5&6 7&8 9&10 11&12 13&14 15
Device 1 Device 2
9:45 2:15
Device 2 Device 1
9:55 2:25
TRANSITION BUFFER TIME
10:05 2:35
Foot exam
10:10 2:40 Counsel          

10:20 2:50   Counsel            


Foot exam
10:30 3:00     Counsel      

10:40 3:10       Counsel        


Foot exam
10:50 3:20         Counsel  

11:00 3:30           Counsel    


Foot exam
11:10 3:40         Counsel  

11:20 3:50               Counsel


Debrief
11:30 4:00
QUESTIONS?

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