Talk Diabetes 2018 – Part II

So here’s my attempt to summarize the latest 2018 Clinical Practice Guidelines from Diabetes Canada (as highlighted by Dr. R. Houlden) at Talk Diabetes 2018:

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Talk Diabetes 2018 – Part I

Talk Diabetes 2018 was an education event presented by The Diabetes Education and Management Centre of Kingston Health Sciences Centre – Hotel Dieu Site on May 11, 2018. It was a day packed with many valuable contents to be shared among health care professionals looking for an updates in diabetes, especially with the recent release of the 2018 Diabetes Canada Clinical Practice Guidelines.  Here are some notes I took:

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SUSTAIN-6: Another Medication for Diabetes with Cardiovascular Benefits?

Semaglutide (Ozempic) recently received its Notice of Compliance from Health Canada and is therefore now available for Canadians with Type 2 diabetes. So it only makes sense to take a closer look at its evidence, particularly the evidence for its cardiovascular benefits which was studied in SUSTAIN-6 and published in New England Journal of Medicine in 2016..

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No! Taking two Basal Insulins is not OK.

Insulin is considered a high risk medication for which serious adverse events can occur if an incorrect dose is inadvertently given. That is why we have implemented double check systems at many points of care or processes in hope to minimize and prevent these potentially serious and fatal errors.

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Let’s Focus on Prevention of Type 2 Diabetes

November is Diabetes Awareness Month.  As a pharmacist, I am often asked how to best optimize medications for patient with Type 2 diabetes. There are many medications already available on the market, and there will be many more to be developed. But what I find odd, is that we haven’t spent enough time to focus on prevention, when we know Type 2 diabetes can be preventable.

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Who is at risk of B12 Deficiency?

It isn’t uncommon that I see a patient admitted to nursing home with advanced dementia and a very low level of vitamin B12. I always wonder how much of vitamin B12 deficiency may be contributing to the progression of dementia, even though it isn’t the cause. I am not a big fan of any vitamin supplements but Vitamin B12 is one where I would advocate supplementation where indicated.

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How to become a Certified Diabetes Educator (CDE)?

What a relief to pass my CDE exam again! I am now a certified diabetes educator for another 5 years. When I wrote my last exam five years ago, all costs and expenses were paid for by my previous employer. I had no idea how much everything would add up. This time around, I have to pay everything up front, hoping the amount will be fully or partially reimbursed by the Allied Health Professional Development Fund. Here’s a brief account of my financial investment as well as some thoughts around the journey.

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