A Case-Based Inside Workshop”

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Presentation transcript:

A Case-Based Inside Workshop” “Team-Based Approaches to Help Older Adults with Type 2 Diabetes Achieve Individualized Glycemic Goals: A Case-Based Inside Workshop” David Joffe, BSPharm, CDE, FACA

Editor in Chief –Diabetes In Control .com Dave Joffe, BSPharm, CDE, Presented over 400 CE programs to Pharmacists, Nurses, and Physicians and over 1700 patient programs. Clinical Faculty for UF, FAMU, Mercer, UK , WHSU, LECOM, NEOUCOM, and UC Colleges of Pharmacy Past President: National AADE Pump specialty practice group Past President: JDRF Tampa Bay Chapter Diabetes Outcome Manager, diabetes patients in private practice, with primary care physicians and endocrinologists. MTM Pharmacist Winn Dixie Pharmacies Tampa Bay Director of National Pharmacy Accounts Arbor Pharma and Director of the E-ZRX Pharmacy Program Editor in Chief –Diabetes In Control .com

Disclosures I claim no conflict of interest in this presentation I may make off label references to medications or devices in this presentation

Objectives Outline team-based strategies and emerging new models of care to improve outcomes for older adults with type 2 diabetes mellitus (T2DM) Discuss factors that must be considered when setting glycemic goals for older patients with T2DM. Outline strategies to overcome common barriers to suboptimal glycemic control in older adults with T2DM. Recommend treatment adjustments for older adults with T2DM experiencing hypoglycemia. Recommend treatment regimens for older adults with T2DM to maximize benefits for cardiovascular co-morbidities.

Quiz Older patients with diabetes should be treated to 6.5 or less A1c If patients are taking glipizide then it is not necessary to worry about hypoglycemia DKA occurs more often in elderly patients LCSW’s offer important help for elderly patients with diabetes GLP-1 medications are available for administration both orally and by injection

Objective 1 Outline team-based strategies and emerging new models of care to improve outcomes for older adults .

Who Are The Team Members Physician Nurse Practitioner PA Pharmacist Nurse CNA Dietitian Podiatrist Dentist Diabetes Educator LCSW Psychologist Endocrinologist Acupuncturist Exercise Physiologists Nutritionists

The Old Team Members Focused on Medication Therapy One Size Fits All Food Guidelines Ignored Cultural Differences Medication Choices did not incorporate other Comorbidities Alternative Therapies Often Ignored Mental Issues Rarely Considered

The New Team Members Considers the whole patient not just diabetes Adjusts therapies for life stages and expectancy Incorporates Mental Health and Family Discussions Adjusts Therapies for Ethnic and Cultural Differences