University of Southern Indiana

Pediatric Type 1 Diabetes- On Demand

Description of Program:

Type 1 diabetes (T1D) is one of the most common chronic diseases of childhood.

Caring for children with health care needs, such as T1D, is different than the care needs of adults, and these needs require knowledge of the specifics to meet the needs of the patient, family, and support systems.

The incidence of type 1 diabetes in children and adolescents, in the United States, is 1.93 per 1000 (aged <20 years) according to data from SEARCH for Diabetes in Youth study and the incidence is rising.   This study was noted in the National Diabetes Statistics Report, 2017. Non-Hispanic whites had the highest rate compared to other racial and ethnic groups. Additionally, the International Diabetes Federation reported in 2017, that over one million children and adolescents, worldwide, have type 1 diabetes (T1D).  Healthcare cost and lost income account for $14 billion each year.  Thus, making diabetes one of the most common chronic diseases of childhood. 

Regardless if you interact with one child with diabetes or several, the standards of care must to be known to improve quality of life and outcome.  Currently less than one third of the people with T1D meet their glucose targets consistently . The importance of assimilating interprofessional collaborative practice into the plan to manage the varied needs of the T1D patient, family, support system is imperative.

Who Should Enroll in this Program?
This program is designed for English-speaking pharmacists, physicians, nurses, and other healthcare professionals who want to enhance or develop knowledge and skills necessary for quality management.

Program Schedule
This independent study is available on demand. Completion of the program is required within one year of registration.

Program Content
The content is divided into modules. Each module utilizes instructor audio/video recordings, reading assignments, articles, web resources, and guidelines from the ADA and ISPAD.   These methods provide the participant with flexibility in completing assignments.  Each module has an accompanying self- assessment with multiple choice questions for the participant to submit. 

A textbook is not required for this program.  

Learning Outcome
The learning outcome of this activity is to enable the learner to successfully participant in the care of T1D patients with the use of current therapeutic guidelines and best practice through interprofessional collaborative practice.

Program Objectives
At the conclusion of the program the participant will be able to:

  • Identify three major complications of diabetes in children.
  • Discuss the pathophysiology of each of the chronic complications.
  • Describe clinical practice recommendations for macro/microvascular disease
  • Discuss best practices for the hospitalized pediatric patient with diabetes.
  • Describe the pathophysiology of DKA.
  • Identify the clinical practice recommendations for DKA and hypoglycemia.
  • Describe the signs and symptoms of DKA.
  • Identify the signs and symptoms of mild and severe hypoglycemia.
  • Discuss the treatment of hypoglycemia.
  • Verbalize sick day guidelines and where to look for information when needed.
  • Verbalize screening recommendations for chronic complications of diabetes.
  • Identify types of insulin based on their mechanism of action.
  • Discuss the advantages and disadvantages of various insulin regimens.
  • Discuss the concept of basal-bolus therapy.
  • Verbalize insulin dosing and understanding of regimen adjustments based on pattern management.
  • Calculate carbohydrate coverage, high blood sugar correction, and total mealtime insulin
  • Describe technology being utilized in care of T1D.
  • Describe how to count carbohydrates (CHO).
  • Explain food labels Predict the effect of CHO on blood sugars (simple vs complex CHO)
  • Describe the effects of food/fluid intake on blood sugars
  • Explain how exercise influences blood sugars
  • List principals of effective meal planning
  • Verbalize where to find information concerning the American's Disabilities Act .
  • Discuss resources for a 504 -plan development to be utilized within the school setting.
  • Describe best practices for the transition of a patient from pediatric services to an adult model of care.
  • Verbalize the major developmental issues and their effect on children and adolescents with diabetes.
  • Identify psychosocial aspects of care.

Delivery of Content
The learner will log into the program via the internet and work independently through the modules. The independent study provides an opportunity to learn while in the comfort of your own home and office.  Program staff are available during business hours by phone or email to assist participants with technical issues or concerns.  After the learner works through the content, she/he will complete the comprehensive exam.  

Note: Many businesses, especially government agencies or health institutions, utilize security firewalls.  Access to web links within program and communication from the instructor, or other students may be blocked. We recommend not using your work email address for this course.

Contact Hours
10 contact hours including 4 pharmacology hours

 The University of Southern Indiana designates this activity for 10 contact hours with four of those hours related to pharmacotherapeutics for nurses.  Four hours of content meets the pharmacology continuing education requirements for the renewal of the advanced practice registered nurse prescriptive authority license.

 The University of Southern Indiana Center for Health Professions Lifelong Learning designates this knowledge based Accreditation Council for Pharmacy Education (ACPE) activity for 10 contact hours for completion of this program. Pharmacists who request to have their contact hours reported to the Certified Pharmacy Education Monitor (CPE) must indicate this request during registration and include the correct NABP e-PID# and Birthdate (mmdd).

 The University of Southern Indiana Center for Health Professions Lifelong Learning designates this activity for a maximum of 10.0 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

 Successful completion of this program does not guarantee expertise in the content. Clinical experience and judgment coupled with an understanding of the content are necessary to attain competency. Achieving certification via a designated professional organization is an additional step to demonstrate competency.

Criteria for Successful Completion

  1. Submit registration and payment.
  2. A certificate for contact hours will be awarded following successful completion of study guides for each module (5), receive a passing score of 70% or better on comprehensive final, and submission of program evaluation.
  3. The certificate of completion will be sent via email immediately upon the completion of the program evaluation.

Faculty Name and Credentials
We strive to provide interprofessional education by utilizing a variety of content experts, instructors, contributors, and reviewers.   

Janet Meyer, DNP, RN, ACNP-BC, CDE

Kelly Dugger, PharmD

Jessica Martin, RD, CD

Anita Hagan, DNP, MSN, CNS

Conflict of Interest Statement
No individual in a position to control content has any relevant financial relationships.

Expiration date of this content: September 1, 2023. 

Accreditation Statements

In support of improving patient care, University of Southern Indiana Center for Health Professions Lifelong Learning is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), the American Psychological Association (APA), and the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program to provide continuing education for the healthcare team.

State of Indiana
The University of Southern Indiana is an approved provider of continuing education for several professionals licensed in the state of Indiana, including social workers, marriage and family therapists, psychologists, occupational therapists, occupational therapy assistants, and dental professionals.

State of California
The University of Southern Indiana is approved by the California Board of Registered Nursing. Provider #13378.

Contact Mrs. Anita Hagan


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