Diabetes 101 - Case Manager Education | Recording-Diabetes 101

Video Transcription

Video Summary

The webinar “Diabetes 101, Case Manager Education” featured experts Dr. Mehta Munshi, Dr. Kimberly Sasser-Crowley, and Dr. Lance Sloan discussing comprehensive diabetes care in older adults, focusing on person-centered strategies and the complexities of managing diabetes alongside comorbidities.<br /><br />Dr. Munshi emphasized assessing older adults holistically—considering medical, cognitive, behavioral, social, and financial factors—to tailor diabetes management and reduce risks like hypoglycemia. She highlighted the importance of simplifying routines, addressing cognitive changes, and fostering support networks to improve self-care.<br /><br />Dr. Sasser-Crowley discussed the critical role of case managers in building trust with patients, especially those with limited support systems. She underscored shared decision-making by incorporating patient goals into clinical care and medication management, clarifying the relevance of individualized A1C targets, and coordinating medication therapy management to reduce polypharmacy and adverse effects.<br /><br />Dr. Sloan reviewed the significance of screening for chronic kidney disease (CKD) and diabetic eye disease—both common, silent complications—using tests like estimated glomerular filtration rate (eGFR), urine albumin-to-creatinine ratio (UACR), and regular dilated eye exams. Early detection enables timely treatment to prevent progression and cardiovascular complications. He emphasized managing blood pressure, lipids, lifestyle changes, and coordinating multidisciplinary care to reduce residual cardiovascular risk.<br /><br />Additionally, the American Diabetes Association’s Thrive Guide was introduced as an accessible resource to support diabetes self-management focusing on ABCs—A1C, blood pressure, cholesterol—and addressing mental health and nutrition.<br /><br />The webinar concluded with a Q&A addressing practical challenges such as building patient trust, interpreting A1C, use of CGM technology, managing medication side effects, and navigating patient concerns about alternative therapies.

Keywords

Diabetes care

Older adults

Case manager education

Person-centered strategies

Comorbidities management

Hypoglycemia risk reduction

Shared decision-making

Medication therapy management

Chronic kidney disease screening

Diabetic eye disease

American Diabetes Association Thrive Guide

Continuous glucose monitoring (CGM)