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Friday, March 4 and Saturday, March 5
Radisson Paper Valley Hotel 333 W. College Avenue
Appleton, WI 54911
2016 Professional Diabetes Education Conference
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Accreditation Statements
Nurses: The American Diabetes Association is accredited as a
provider of continuing nursing education by the American Nurses
Credentialing Center’s COA. California Board of Registered Nursing:
The American Diabetes Association is also a provider approved by
the California Board of Registered Nursing, Provider No. CEP-12196.
This activity is approved for 9.25 contact hours.
Dietitians: The American Diabetes Association is a Continuing
Professional Education (CPE) Accredited Provider with the
Commission on Dietetic Registration (CDR). Registered dietitians
(RDs) and dietetic technicians, registered (DTRs) will receive 9.25
continuing professional education units (CPEUs) for completion of
this program/material. Pharmacists: The American Diabetes
Association is accredited by the Accreditation Council for Pharmacy
Education as a provider of continuing pharmacy education. The
American Diabetes Association designates these sessions as
knowledge-based per ACPE guidelines. To view the UAN’s and learning
objectives for each session, please visit
http://professional.diabetes.org/wisconsin and
click “Continuing Education for Pharmacists.” This information
will be available after March 1. Certified Diabetes Educators: To
satisfy the requirement for renewal of certification by continuing
education for the National Certification Board for Diabetes
Educators (NCBDE), continuing education activities must be diabetes
related and approved by a provider on the NCBDE List of Approved
Providers (www.ncbde.org). NCBDE does not approve continuing
education. The American Diabetes Association is on the NCBDE List
of Approved Providers. Successful Completion Statement Certificates
of Completion/Attendance are provided to registered attendees base
upon completion of the online evaluation that will be available at
http://professional.diabetes.org/wisconsin on March 4, 2016 through
March 25, 2016. For questions regarding continuing education,
please contact [email protected]. Content
Validation Statements
All recommendations involving clinical medicine are based on
evidence accepted within the profession of medicine as adequate
justification for their indications and contraindications in the
care of patients; AND/OR
All scientific research referred to or reported in support or
justification of a patient care recommendation conforms to
generally accepted standards of experimental design, data
collection, and analysis.
mailto:[email protected]
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Target Audience
This seminar is designed for nurses, dietitians,
pharmacists,
certified diabetes educators, and other healthcare
professionals
with an interest in diabetes and promoting diabetes
education.
The 2016 activity will update participants on current
diabetes
management.
Learning Objectives
Upon completion of this activity, the participants will be able
to: Differentiate between diagnostic criteria of gestational
diabetes and preexisting diabetes
Indicate best medication options based on a patient’s
medical and financial needs
Discuss diabetes prevention and treatment options
specific to Native American populations
Describe the prevalence, possible causes and
characteristics of obesity and type 2 diabetes in children
List ADA Recommendations/Nutrition Guidelines for
Pediatrics, GDM and Adults 18+
Describe Medication Therapy Management (MTM) Session
for patients with diabetes and the ideal MTM candidate
Identify strategies to integrate stress management
strategies
for self, patient and colleagues
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Conference Planning Committee
Rhonda Perdelwitz, RN, BSN, CDE Conference Chairperson Diabetes
Education Coordinator Fort Healthcare, Fort Atkinson, WI Ann
Chrudimsky, RDN, CD, LDN, CDE Clinical Dietitian/Certified Diabetes
Educator Meriter-Unity Point Health, Madison WI Cheryl Franz, BSN,
RN, CDE Diabetes Care Coordinator UW Health, Madison, WI Marilyn
Hodgson, RN, CDE Coordinator of Diabetes & Nutrition Services
Marshfield Clinic, Merrill, WI Diane Kesler, RN, BSN, CDE
Registered Nurse Veterans Affairs, Appleton, WI Shari Liesch, APNP,
CDE Designated Nurse Planner Pediatric Nurse Practitioner
Children’s Hospital of Wisconsin– Fox Valley, Appleton, WI Crissy
McNaughton, RN, BSN, CDE Nurse Case Manager Network Health,
Appleton, WI Timothy S. Reid, MD Medical Director Mercy Diabetes
Center, Janesville, WI Jessica Retzlaff, MA Patient Appleton, WI
Mary Turba, RN, BSN, CDE Registered Nurse/Certified Diabetes
Educator QuadMed, West Bend, WI Denise Walbrandt Pigarelli, PharmD,
BC-ADM Associate Professor (CHS), Clinical Pharmacy Specialist
University of Wisconsin-School of Pharmacy & William S.
Middleton Memorial VA Hospital Diabetes Clinic, Madison, WI
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Presenters
Omar Ali, MD Associate Professor Medical College of Wisconsin,
Milwaukee, WI April Eddy, RN, MS, CDE, BC-ADM, APNP Diabetes
Specialist/CDE at the Center for Perinatal Care Meriter Unity Point
Health, Madison, WI Martin J. Hessner, Ph.D Professor, Director
McGee Diabetes Center The Medical College of Wisconsin, Milwaukee,
WI Angela Mack, RDN, LDN, CDN, CDE Registered Dietician,
Nutritionist/Certified Diabetes Educator Mercy Health System,
Janesville, WI Tim Moureau, NP Advanced DM Management, Geriatric NP
Oneida Health, Green Bay, WI Roxanne Radich, APNP, CDE, BC-ADM
Diabetes Specialist Primary Care Associates, Appleton, WI Sandra M.
Schuyler, RN, BSN Director of Nursing Oneida Community Health
Center, Oneida, WI Debra Rose Wilson, PhD, MSN, RN, IBCLC, AHN-BC,
CHT Professor Tennessee State University, Nashville, TN Hashim
Zaibak, PharmD President, CEO Hayat Pharmacy, Milwaukee, WI
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Friday, March 4, 2016
7:30 am - 8:15 am Registration & Exhibits 8:15 am - 9:00 am
Breakfast (Optional)
Presentation supported by Sanofi No CEUs earned for this
event
9:00 am - 9:15 am Welcome Rhonda Perdelwitz, RN, BSN, CDE
Conference Chairperson 9:15 am - 10:30 am Gestational
Diabetes:
Management During Pregnancy, Birth, and Beyond April Eddy, RN,
MS, CDE, BC-ADM, APNP 10:30 am - 11:00 am Break and Exhibits 11:00
am - 12:15 pm Climbing The Waterfall:
So Many New Medications at What Value? Roxanne Radich, APNP,
CDE, BC-ADM 12:15 pm - 1:15 pm Lunch (Optional)
Presentation supported by Novo Nordisk No CEUs earned for this
event
1:15 pm - 2:30 pm SDPI - Special Diabetes Program for Indians
Tim Moureau, NP 2:30 pm - 3:00 pm Genetic Risk & Environmental
Influence Immune
States in Type 1 Diabetes Families Martin J. Hessner, Ph.D 3:00
pm - 3:45 pm Break and Exhibits 3:45 pm - 5:00 pm Update on Type 2
Diabetes & Obesity in Children Omar Ali, MD 5:15 pm - 6:15 pm
Reception Supported by Wisconsin Coordinating Body
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Saturday, March 5, 2016
7:30 a.m.—8:20 a.m. Breakfast (Optional) Presentation supported
by Lilly
No CEUs earned for this event 8:30 am - 8:45 am Welcome 8:45 am
- 10:00 am Nutrition Tips for Pediatrics, GDM and Adult
Population Angela Mack, RDN, LDN, CDN, CDE 10:00 am - 10:30 am
Break 10:30 am - 11:45 am How Pharmacists Can Play an Effective
Role in
Managing Diabetes Through Medication Therapy Management (MTM)
Sessions
Hashim Zaibak, PharmD 11:45 am - 1:00 pm Surviving Distress
Debra Wilson, PhD, MSN, RN, IBCLC, AHN-BC, CHT 1:00 pm - 1:15 pm
Closing
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Corporate Symposia The following programs are planned and
conducted by the corporate community in
conjunction with the 2016 Diabetes Professional Educators
Conference. They provide attendees with additional
educational/informational opportunities.
Program content, product information, registration and CEU’s are
the sole responsibility of the corporate supporters.
Janssen Pharmaceuticals, Inc.
Date: Friday, March 4, 2016, 6:30 PM Location: Vince Lombardi’s
Steak House Topic: Invokana: An Individualized Approach to the
Treatment of Adults with Type 2 Diabetes Speaker: Stephanie Smith,
RPh, CDE; Medication Therapy Management, Ridgeview Endocrinology
Clinic RSVP: Sherry Hilliard; 920-737-3333 by Friday, February 26,
2016 Or visit http://www.medforcereg.net/SOMP84948
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Exhibitors
CURE:
Janssen Pharmaceuticals
Novo Nordisk
CARE:
Lilly
Sanofi Pharmaceuticals
Tandem Diabetes Care
Commitment:
Ascensia Diabetes Care
Astra Zeneca AbbVie
Animas Corporation
BD Boehringer Ingelheim Dexcom Fort Healthcare - Wound &
Edema Center Insulet Corporation McDonald’s of Northeastern WI
& Upper Peninsula MI Medtronic Diabetes Merck Novo Nordisk -
Diabetes Educators
Roche Diabetes Care, Inc.
Additional Partners:
Wisconsin Council of the Blind & Visually Impaired Wisconsin
Lions Foundation
Wisconsin Talking Book & Braille Library
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2016 Registration Information
Pre-registration is required for the 2016 American Diabetes
Association - Wisconsin Area Conference being held on March 4 &
5. The cost of the conference is $175 for professionals and $100
for full-time students. Fee includes breakfast, luncheon, and
beverages. Online registration is highly recommended at
http://professional.diabetes.org/wisconsin. If you are unable to
register online, please return this form with credit card
information or your check made payable to American Diabetes
Association no later than Monday, February 22, 2016. A late fee of
$25 will apply if postmarked after February 22, 2016. Fee applies
whether attending all or part of the conference. Room Reservations:
When contacting Radisson Paper Valley Hotel, please mention that
you are attending the American Diabetes Association Education
Conference. A conference room rate is $118/night for single or
double and room reservations must be made by Thursday, February 4,
2016. Contact the hotel for more information at 920-733-8000.
Cancellation Policy: If notice of cancellation is received at the
American Diabetes Association office by Monday, February 22, 2016 a
full refund will be made. Cancellations received after February 22,
2016 are non-refundable. Please inquire when making your hotel
reservations about their cancellation policy. Pre- and Post-test
Questions: Pre-and post-test questions will be sent to all
participants. Therefore, an e-mail address will be required when
register-ing. This is used to gauge the impact of our professional
education programs and assess improvement in the learner knowledge
of the conference. For more information: Contact Heidi Dietrich at
the American Diabetes Association - [email protected]; (414)
778-5500 x6532.
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$175 - Regular Fee - Professional $100 - Regular Fee - Student
$25 - Late Fee (after 2/22/16) _______ Total Payment
Name:
For Pharmacists Only: ePID:
Email (required):
Employer:
Mailing Address:
City, State, Zip:
Phone Number:
Will you be attending the Friday breakfast?
Will you be attending the Friday lunch?
Dietary Restrictions?
Will you be attending the Friday Night reception?
Will you be attending the Saturday morning breakfast?
Are you making a hotel reservation? (Reservations must be made
directly through the hotel
Submit check made payable to the American Diabetes Association
or provide credit card information. (Fax to: 262-797-9270 or mail
to American Diabetes Asso-ciation; 375 Bishops Way, Ste. 220;
Brookfield, WI 53005)
Credit Card #: Exp. Date: ___/___/___
Type:
Name on Card:
Billing Address:
Billing City, State, Zip
The Association will respond to all complaints made against it
by an institution, individual, or third party in respect to its
overall professional education program and professional education
activities where the complaining party is directly affected. The
Association will ensure that all participants are offered a means
to voice complaints and seek resolution of problems. Complaints
will be acknowl-edged within 30 days and resolved within 90
days.
Credentials:
Birth Date (MMDD):
Work Home
Yes No
Gluten Free Vegetarian
Other: ________________________________________
Yes No
Yes No
Thursday Friday Both No
MasterCard VISA Discover American Express
Check here if you require special assistance to fully
participate in the conference. Please attach a written description
of requirements.
2016 Diabetes Education Conference Registration Form
Yes No
no later than February 4th)
