Friday, March 4 and Saturday, March 5

Radisson Paper Valley Hotel 333 W. College Avenue

Appleton, WI 54911

2016 Professional Diabetes Education Conference

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 professionaleducation@diabetes.org. 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.

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

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

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 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

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

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

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

Sanofi

Date: Thursday, March 3, 2016, 6:00 PM Location: Rye Restaurant Topic: The Diabetes Treatment Experience: Communicating With and Education Patients Speaker: Dr. Jodi Strong, DNP, CDE, BC-ADM; Diabetologist, Ministry Medical Group RSVP: Reservations Required. Stacie Pleger; 920-737-9075 stacie.pleger@sanofi.com

Sanofi

Date: Friday, March 4, 2016, 6:00 PM Location: Victoria’s Topic: Initiation of Prandial Insulin Therapy in Patients with Diabetes: Clinical Considerations and Recommendations Speaker: Dr. Jodi Strong, DNP, CDE, BC-ADM; Diabetologist, Ministry Medical Group RSVP: Reservations Required. Stacie Pleger; 920-737-9075 stacie.pleger@sanofi.com

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

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 - hdietrich@diabetes.org; (414) 778-5500 x6532.

$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

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Gluten Free Vegetarian

Other: ________________________________________

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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

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no later than February 4th)