2014 Grampian Diabetes Professional Conference: Workshop Sessions CONFERENCE WORKSHOP SELECTION SHEET There are THREE workshop sessions throughout the day and a total of 19 different workshops offered from which delegates can choose. There will be some necessary restrictions on arrangements for individual workshops dependent on a) room size, b) maximum (and minimum) viable numbers in group, c) timing of workshop sessions and d) options for running workshops more than once. We would encourage delegates to think liberally and take a broad view of all of the options presented when considering workshop choices. We would hope that there is sufficient demand for all of the workshops offered to run at least once. You will understand that it will be impossible for everyone to get all of their choices. We would therefore ask you to indicate in order of preference (1 = top choice), at least 6 choices from the menu; we will do our best to ensure that as many high ranking choices as possible are honoured in resolving allocations and finalising your personal workshop programme. Subjects Lead Presenters Your Order of Preference (1-6) A Accessing Patients’ Views Patients’ Forum A B Booze & Snacks Leanne Gardner B C Choosing Type 2 Treatments Fiona Strachan C D Diagnostic Clarification Jane Dymott D E Driving Regulations Ann Gold E F Engaging Foot Patients Eileen High F G Fitness and activity Mary McCallum G H Foot Screening John Allan H I Insulin in Primary Care Trish McDonald I J IT for Diabetes Sam Philip J K Knowing the Tools of the Trade Sandra Wilson K L Liver Abnormalities Ashis Mukhopadhya L M Measuring Testosterone Prakash Abraham M N Nurse/Podiatrist Ulcer Treatment Christina Gunn N O On Pregnancy in Type 2 DM Shirley Copland O P Pump therapy Sharon Wright P Q Quality of Life Gordon Linklater Q R Rules for ‘Sick Days’ Hilary Yule R S Self help, web-based project Kirsty Maclennan S Workshop Information for Delegates Workshop A : ‘Diabetic Life - Shared Experiences’ Two or three short presentations from people living with diabetes (and perhaps a parent and/or carer), will be followed by an opportunity for delegates to ask questions. The session will be informal and will give health care professionals the chance to engage with patients in a way that wouldn’t normally happen and which will hopefully provide useful insights into what it is really like living with Diabetes. Lead Presenters: Maurice Parkin & Bob Campbell, Grampian Diabetes Patient Forum Workshop B: ‘It's All About Booze and Snacking’ This workshop will look at carbohydrate content of snacks and alcohol via a very practical and interactive session. The session will help increase awareness of these often forgotten carbohydrates and how delegates can educate patients to look out for them. Presenters: Leanne Gardner and Ailsa Wildgoose, Diabetes Dietitians Workshop C: ‘Tailoring Care in Type 2 Diabetes’ As pharmaceutical options for Type 2 diabetes become more diverse, this workshop aims to update on newer agents. Using case-based scenarios, we will explore the management options for your patients based on available clinical evidence and on guidance from the Scottish Medicines Consortium and the Grampian Joint Formulary. Lead Presenter: Dr Fiona Strachan, Consultant Physician Workshop D: ‘What to Consider in a Patient with Newly Identified Hyperglycaemia’ What tests should we be using currently in Grampian to diagnose diabetes? We know that the majority of patients have type 2 diabetes (~88%) but when should we consider other types of diabetes and what should we do about diagnosing them? This workshop will discuss the diagnosis and classification of a patient with newly identified hyperglycaemia. The workshop will be structured around case presentation and there will be plenty of opportunity for discussion and debate. Presenters: Dr Jane Dymott, Consultant Physician & Dr Alex Graveling, Registrar Workshop E: ‘Diabetes and Driving’ or ‘I'm in Love With my Car’ In the last 4 years there have been a number of changes to the regulations for drivers with insulin-treated diabetes. This workshop will review these regulations and discuss the impact on patients and also the processes involved for licensing drivers with diabetes which involves all health professionals looking after insulin-treated patients. Presenter: Dr Ann Gold, Consultant Diabetologist Workshop F: ‘Stuck in the Middle with You’ We know that management of diabetic foot ulceration is often a protracted process which puts great demands on the patient in terms of restricted activities of daily living, employment, many appointments, etc. Why, despite our best efforts at collaborative working with such patients, are issues of compliance often unresolved and thus contributory to the lengthy process of healing? This workshop offers an opportunity to exchange ideas and reflect on how we may engage patients more effectively in working with us to hasten their recovery. Presenters: Eileen High and Emma Hendry, Podiatrists Workshop G: ‘Fit Aboot Grampian’ Workshop: We will discuss the benefits of physical activity and aim to put locally available resources for patients with diabetes at your fingertips. Case-based situations will be used as illustrations of how to talk to patients about increasing their physical activity levels. Presenters: Mary McCallum, Psychologist, Dr Hannah Robertson, Diabetologist and Jenny Oleman (Sport Aberdeen) Workshop H: 'Diabetic Feet: How to Avoid the Screening Ab-Dabs!' We offer an exciting interactive workshop which reviews and discusses why screening of the diabetic foot is seen as the cornerstone of good diabetic foot management. In addition, this workshop will aim to provide excellent hints and tips on undertaking foot screening, as well as giving the delegate the opportunity to discuss any queries or concerns they may face within their daily practice. Presenters: John Allan and Linda Todd, Podiatrists Workshop I: ‘Insulin in Primary Care’ This session provides an opportunity to discuss insulin initiation and also changing of insulin regimens in primary care. It revisits insulin time action profiles and provides a ‘hands on’ approach to using insulin injection devices and considering insulin treatment options. The session also looks at the support networks available for clinicians in primary care. Presenters: Trish McDonald and Christine Cosgrove, DSNs Workshop J: ‘Like IT? Like IT Lots!’ In this workshop you will be given an overview of SCI-Diabetes and we will show how the system can help you look after people with diabetes under your care. The aim of the workshop is to provide some guidance and assistance in helping you to find the information you need when you need it. There will also be an opportunity to discuss other diabetesrelated IT information, such as ‘My Diabetes My Way’. Presenters: Dr Sam Philip, Diabetologist & Robert O’Donnell, MCN Support Manager Workshop K: ‘How Well Do You Know the Tools of our Trade?’ This is an interactive session to give you an opportunity to roll up your sleeves and try out a selection of contemporary meters and pen injection devices used by patients with all types of diabetes in Grampian. Presenters: Sandra Wilson, Sylvia Pratt and Liz Hall, DSNs. Workshop L: ‘Fatty liver and diabetes: when fat and sugars collide and collude!’ It seems paradoxical but diabetes results in excessive fat deposition in the liver. Liver function test abnormalities are the norm rather than the exception in patients with diabetes. Interpretation of these tests is challenging especially in the setting of acronyms like ASH and NASH flying around (alcoholic steatohepatitis and non-alcoholic steatohepatitis). This workshop is aimed at evaluating this complex relationship and simplifying our understanding of how to manage patients with abnormal liver function tests in our day to day practice. Presenter: Dr Ashis Mukhopadhya, Consultant, Gastroenterologist/Hepatologist Workshop M: ‘Testosterone Testing & Treatment in Diabetes: Pitfalls & Controversies’ If you find the issue of testosterone deficiency and replacement in diabetes confusing, this workshop aims to help by answering such questions as: When should testosterone be tested in patients with diabetes? If testosterone is low, what further tests should be ordered and when? What needs to be considered in balancing the risks versus benefits of testosterone therapy? Presenter: Dr Prakash Abraham, Consultant Diabetologist/Endocrinologist Workshop N: ‘It's Good to Share: Nursing & Podiatry Working Together’ This workshop explores the benefits of collaborative working with regards to wound management and pressure relief. Delegates will be offered an in-depth look at how a close working relationship between Podiatry and District Nursing teams can increase our knowledge and skills thus enhancing both patient experience and care. Lead Presenter: Christina Gunn, Podiatrist Workshop O: ‘Type 2 Diabetes Mellitus, Young and Female: Think Pregnancy!’ The number of women developing type 2 diabetes in the child-bearing years is rising. Routine diabetes care in this group should include discussion regarding pregnancy planning and/or effective contraception as appropriate. This workshop will use case-based discussion to raise awareness of this increasingly important issue. Presenters: Dr Shirley Copland and Dr Wendy Watson, Diabetologists Workshop P: ‘Insulin Pump Therapy from the Box to the Body’ We will discuss the advantages and disadvantages of insulin pump therapy and how to consider which patients are most suitable? This workshop will also describe how patients are prepared for starting insulin pump use and follow-up processes that have been developed. Presenters: Sharon Wright and Lynsey Browne, DSNs. Workshop Q: ‘Quality of Life’ What is quality of life? What are the determinants of quality of life for our patients? How can quality of life be maintained or even improved in the context of advancing illness, worsening disability and approaching death? Presenter: Dr Gordon Linklater, Consultant in Palliative Care Workshop R: ‘Sick Day Rules for Primary Care’ How we can advise patients on ways to reduce the risk of their developing Diabetic Keto Acidosis (DKA) in Type 1 diabetes and Hyperosmolar Hyperglycaemic State (HHS) in Type 2 diabetes. Strategies for determining self-adjustment of insulin doses based on blood glucose and ketone testing will be described and discussed. Lead Presenter: Hilary Yule, Sarah Bruce and Fiona Watson DSNs. Workshop S: ‘ACT Now!’ A web-based guided self-help programme for Improving emotional wellbeing and self-management among People with Type 2 Diabetes We will provide provisional details of this programme including how people with Type 2 diabetes can access it. There will be an opportunity for delegates to share their thoughts about the biggest challenges for people with Type 2 diabetes and thereby influence the ongoing programme design. Lead Presenter: Dr Kirsty MacLennan and Dr Andy Keen, Psychologists