Grampian Diabetes Professional Conference
Wednesday, 25th May 2011
Workshop Information
Number:1
Workshop: Safe insulin practice in General Practice
Presenters: Dr Wendy Watson, Consultant and Linda Caie, Diabetes Nurse Manager
In our delivery of holistic diabetes care patient safety is high on the agenda. There is an abundance of guidelines and literature regarding insulin therapy but still we find incidents where best practice has not been followed and a patient’s care has been compromised; some leading to catastrophic consequences.
In this workshop we will explore some ‘real life’ examples and discuss ‘top tips’ for insulin safety. As we gain more experience in primary care with insulin therapy we will share good ideas and concerns. There will be opportunity for discussion in this interactive session and it will be useful to those who are novices or who have experience in the prescribing, dispensing or administration of insulin.
Number: 2
Workshop:Mild Renal Impairment - What next?
Presenter: Mary Simpson and Helen Rose – Renal Specialist Nurses
When to list on CKD Register; When to refer to nephrology; Blood pressure targets
ACE/ARBS -Proteinuria and blood pressure; HbA1c Target
Don't be blinded by diabetes
?Proteinuria and cardiovascular disease
Number:3
Workshop: SCI-DC – What It Can Do For You
Presenters: Graeme Morris, Operations Manager, SCI-DC
With SCI-DC being used on an ever increasing basis and the LES data being taken from the system what can you do to improve your quality of data and what does the future hold in SCI-DC?
Number:4
Workshop: The updated Grampian Guidelines, after SIGN what’s new
Presenters: Professor Donald Pearson, Consultant, Dr Jim MacKay, GP and Dr Mark Houliston, MCN Clinical Lead
Since the latest version of the Grampian Guidelines for the Management ofDiabetes has been produced SIGN 116 has been published. We have therefore updated our Guidelines. This workshop will be an opportunity to see what changes have been made to the Guidelines and will be interactive using a simulated case.
Number: 5
Workshop:Diabetes, senescence and old age
Presenter: Dr Roy Soiza, Consultant Geriatrician
The workshop will cover some of the implications of the growing ageing population with diabetes. There will be a special focus on prescribing and de-prescribing in the oldest patients.
Number:6
Workshop: Conversation Maps - What they can and cannot do
Presenters: Trish McDonald, DSN, Ailsa Wildgoose and Kathryn Bruce, Dietitians
We often speak about the diabetes journey; here is an opportunity for you to start another journey with the conversation map toolkit. This session looks atconversation maps as an opportunity to generate discussions relating to diabetes. Try out the maps and see where your journey takes you. The session will allow you to get a insight into the "new" way of delivering education in a fun and interactive way.
Number:7
Workshop: Engaging patients and keeping them engaged
Presenters: Dr Andy Keen, Consultant Psychologist and Dr Susan McGeoch, Specialist Registrar
The aim of this workshop is to discuss the many of difficulties that we all face in our efforts to engage our patients with their condition. We will also highlight potential solutions to this problem both from the perspective of clinicians and patients.
Number:8
Workshop: Type 2 diabetes and pregnancy a growing problem the latest guidance
Presenters: Dr Tara Fairly, Consultant Obstetrician and Dr Shirley Copland, Associate Specialist
With the rising prevalence of obesity and later childbearing in our increasingly multi-cultural society many women now face the challenge of Type 2 diabetes affecting their pregnancy. The majority of such patients will be receiving their diabetes care in general practice and for those in the childbearing years pregnancy planning should be viewed as an integral part of this care.
This workshop will explore the key factors of preconception counselling including weight loss prior to pregnancy, glycaemic management with diet, metformin +/- insulin and the additional foetal and obstetric risks associated with Type 2 diabetes.
Number:9
Workshop: Practice Outreach – The experience so far
Presenters: Dr Ken McHardy, Consultant and Dr Gordon Wilson, GP
The majority of patients are now managed partially or totally within Primary Care settings and it is appropriate therefore that specialist services have refocused some of their input into the support of Practice Teams rather than seeing every individual patient. A programme of regular visits by Diabetologists, specialist nurses and sometimes other members of the specialist team has been building up across the Region since its inception in Inverbervie in 2006. This workshop will review the current status of the Outreach Programme, describe some of the various ways it works in practice and consider prospects for its further extension.
Number:10
Workshop: Cardiovascular Risk Reduction in Type 2 Diabetes: Truth and Wisdom
Presenters: Dr Graeme Miller, GP
This workshop will encourage a fresh look at the issue of cardiovascular risk reduction in our diabetes patients. The various risks will be briefly reviewed along with current, locally approved strategies – pharmacological and non-pharmacological – for addressing these. We will then look at some ways of expressing risk, and its modification, that might be understandable to patients (and clinicians!).
Number: 11
Workshop: Dodging the Difficulties in Diabetes – A Medico-legal Workshop.
Presenter: Dr Susan Gibson-Smith of the Medical and Dental Defence Union of Scotland (MDDUS)
An interactive workshop in which we will explore some common medico-legal problems arising from the management of diabetes
Number:12
Workshop: Newer Therapies for Type 2 Diabetes: How much of an advance?
Presenters: Sandra Wilson and Kay Rosie, DSNs with Dr Kenny Muir, Specialist Registrar
This workshop will briefly review the actions, indications, cautions, contra-indications and costs of glitazones, gliptins and GLP-1 analogues as newer additions to the more traditional metformin, sulphonylurea and insulin treatments available for blood glucose management in Type 2 Diabetes. Their use, and potential place in the therapeutic hierarchy in relation to contemporary guidelines, will be discussed in the context of clinical case scenarios. The workshop aims to increase attendees’ knowledge and confidence of where and when to use, or not use, these newer agents.
Number:13
Workshop: Which injectable therapy to give my Type 2 Patients
Presenters: Dr Fiona Strachan, Consultant and Sharon Wright, DSN
This workshop aims to compare the options of GLP-1 agonists vs insulin therapy in Type 2 patients, using a combination of evidence from clinical trials and case studies to help make an informed choice of the strategy most likely to benefit the individual patient.
Number:14
Workshop: The at risk foot how to manage from screening to hospital admission
Presenters: Eileen High – Highly Specialist Diabetes Podiatrist and Christine Collie, Diabetes Podiatrist
The three Components of diabetic foot care are: Stratification, Triage and Multidisciplinary Management.
The aim of diabetic footcare is to keep the patient’s feet at as low a risk of foot ulceration as possible.
The objectives of this workshop are to discuss high risk diabetic footcare under the following headings:
SCI_DC Foot Risk Stratification and Triage, Mechanical Control, Wound Control, Microbiological Control, Vascular Control, Metabolic Control, Educational Control and Communication
Number: 15
Workshop:Travel and Diabetes
Presenter: Dr Joan Burnett, Associate Specialist
An update on the guidance for diabetes and foreign travel. What to tell your patients and what procedures have to be in place.
Number: 16
Workshop:Abnormal liver function tests: what do I do?
Presenter: Dr B Vijoyan, Consultant Gastroenterologist
Practical advice on how to proceed when results show abnormal liver function.
Number: 17
Workshop: Carbohydrate Counting
Presenter: Aileen McKillop-Smith, Leah McCauley, Elsie Carnegie and Jan Masson
This workshop will consider the context of CHO counting in patients with diabetes and the main elements of CHO education. It will give you practical experience in estimating CHO and an insight into the various resources available.
Number:18
Workshop: Life with Type 1 Diabetes
Presenter:Joan Ingram
Perspective from parent of a patient with a pump and the patient’s journey from diagnosis.
Number:19
Workshop: Helping the Community - What can we do for you?
Presenter: Razia Amin and Jill Strathdee, Diabetes Specialist Nurses
As Diabetes Specialist Nurses we provide advice, guidance and support for health care professionals who assist patients towards diabetes self management. Join us for discussion if you would like to know more.
Number:20
Workshop: The Teenage Years
Presenter: Edna Stewart Young Persons' DSN and Alison Wilson, DSN
How can working in partnership help encourage Young People to self manage their Diabetes. Open discussion and question and answer session on the challenges faced by young people and health care professionals.