Diabetes and the Current American Diabetes Association Guidelines (Online CE Course)
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Author: Mary Ellen Koenn, MS, MT(ASCP), CLS(NCA)
Reviewer: Leslie Lovett, MS, MT(ASCP)
Diabetes is a national and international healthcare issue due to its high incidence and healthcare costs. The diabetic patient is at risk for many serious complications and may experience a diminished quality of life. This course will primarily focus on recommendations made by the American Diabetes Association (ADA) that are related to the diagnosis and monitoring of diabetes. Three case studies are followed throughout the course as laboratory tests are chosen that will lead to a probable diagnosis based on the recommendations of the ADA. Recommended tests for monitoring diabetic patients are also discussed.
Continuing Education Credits
- P.A.C.E.® Contact Hours (acceptable for AMT, ASCP, and state recertification): 1.5 hour(s)
- Florida Board of Clinical Laboratory Science CE - General (Clinical Chemistry/UA/Toxicology): 1.5 hour(s)
Objectives
- Explain the recommendations made by the American Diabetes Association in regards to diagnosis and monitoring of diabetes.
- Differentiate between type 1 and type 2 diabetes.
- Discuss gestational diabetes and other causes of diabetes.
- Identify clinical and laboratory criteria that indicates increased risk for diabetes.
- List the current assays used to monitor diabetic patients.
- Explain the role of the clinical laboratory in the diagnosis and monitoring diabetes.
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Course Outline
- Diabetes and the Current ADA Guidelines
- Introduction
- Case Studies
- Organizations and Agencies
- Case A
- Case B
- Case C
- Carbohydrate Metabolism
- Blood Glucose and Hormonal Control
- Which of the following hormones is mainly responsible for the entry of glucose into the cell for energy production?
- Which of the following hormones increase plasma glucose concentration by converting glycogen to glucose?
- Diabetes
- Diabetes - A Metabolic Disorder
- Hemoglobin A1C and Diabetes Diagnosis
- HbA1C versus Blood Glucose Measurement
- Diagnosis of Diabetes
- Case Studies
- Which patients would be diagnosed with diabetes according to the criteria for diagnosis?
- Categories of Increased Risk for Diabetes
- Categories of Increased Risk for Diabetes
- Reference Ranges
- Case A (continued)A 50-year-old male with a family history of diabetes visits his physician for routine physical. He reports that he feels his health ...
- Classification of Diabetes
- Classification of Diabetes
- Type 1 Diabetes
- Type 2 Diabetes
- Type 2 Diabetes Continued
- Type 1 or Type 2
- Gestational Diabetes
- Other Causes of Diabetes
- Case Studies (continued)
- Case B and Case C have been diagnosed with diabetes. Select the correct statements regarding the classification of these diabetic patients.
- Risks and Complications of Diabetes
- Risks and Complications of Diabetes
- Microvascular Damage
- Macrovascular Complications
- Other Complications
- Which of the following patients is most at risk for hyperosmolar nonketotic coma?
- Screening for Diabetes
- Screening for Diabetes
- Benefits of Earlier Screening
- The American Diabetes Association (ADA) guidelines recommend screening all asymptomatic individuals age 45 and older for diabetes. If the screen is ne...
- Laboratory Assays in Evaluating Diabetic Patients
- Clinical Testing
- Blood Glucose
- Whole Blood Glucose Testing
- A clinical laboratory scientist is reviewing the results of comparison studies between laboratory plasma glucose results and patients' self-monitoring...
- Urine Glucose
- Urinary Albumin
- Urinary Albumin Excretion
- Microalbuminuria
- Ketones
- Insulin and C-Peptide
- Insulin Antibodies
- Glycated Proteins
- HbA1C
- Monitoring Diabetic Glycemic Control
- Fructosamine
- Oral Glucose Tolerance Test
- What is the role of microalbuminuria testing?
- HbA1C measurements are NOT ordinarily used to monitor long-term diabetic control in a diabetic with sickle cell anemia.
- Estimated Average Glucose (eAG)
- Estimated Average Glucose
- Relationship Between HbA1C and eAG
- The formula for conversion of HbA1C to glucose in mg/dL is eAG = (28.7 x A1C) – 46.7.The HbA1C measured on a patient is reported as 7.5%. What w...
- Diabetes and the Role of the Laboratory
- The Laboratory's Role in Diagnosis and Monitoring of Diabetes
- References
Additional Information
Level of instruction: Intermediate
Intended Audience: Clinical laboratory technologists and technicians, and other health care personnel who have an interest in this subject matter. This course is also appropriate for clinical laboratory science students and pathology residents. Author information: Mary Ellen Koenn, MS, MT(ASCP), CLS(NCA) is an associate professor at West Virginia University School of Medicine in the Medical Technology Program. During her career as a medical technologist and educator, she has been a laboratory supervisor and manager and has held several teaching positions. She is active in the American Society for Clinical Laboratory Science (ASCLS), resulting in a nomination as ASCLS Member of the Year in 2006. She is also a member of the American Association for Clinical Chemistry. She is the author of numerous articles for laboratory publications and textbook chapters and is a frequent presenter at laboratory seminars and workshops. Ms. Koenn holds a Master of Science degree in Medical Technology. Reviewer information: Leslie Lovett, MS, MT(ASCP) is the Clinical Education Coordinator of the Medical Laboratory Technology Program and a professor at Pierpont Community and Technical College in West Virginia. She holds a MS degree in Medical Technology with classes toward a PhD in Pharmacology and Toxicology.
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