Endocrine help

  1. Hello I am an Adult Np practicing for about 2 years but just seeing overflow and routine medical conditions- not too much with chronic disease other than hyperlipidemia and some hypertension etc.. Id like to learn more about treating patients newly diagnosed with NIDDM. I have yet to find a place that guides me as to what meds to try first etc.. I have had some where I started them on Glucophage then added a sulfonyurea like amaryl at small doses and titrated up. But whats the best route to start with newly diagnosed? What about starting with glucotrol or actos? Is there anywhere I can find info? The docs I worked with didnt mentor me much
    Thanks
    Lynn
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  2. 2 Comments

  3. by   sirI
    hello, lynn92259 and welcome to allnurses.com

    great to have you with us.

    you would benefit by joining the american diabetes association (ada) and receive constant updates on diabetes. seek out seminars, ceus, etc., about diabetes to keep abreast of the issues/changes. you need to contact other hcps (apn, physician and/or diabetic educator) who routinely treat the diabetic on a daily basis - acute and chronic.

    here is a link to the ada outlining clinical practice recommendations:

    http://www.diabetes.org/for-health-p...ntists/cpr.jsp


    here is another link from the ada with resources for professionals:

    http://www.diabetes.org/for-health-p.../resources.jsp


    subscribe to clinical diabetes

    constant education and arming yourself with up-to-date information is the key to success as you treat the patient with diabetes.

    hope you enjoy the site here at allnurses.com. come back and post again as you can.
  4. by   core0
    Quote from lynn92259
    Hello I am an Adult Np practicing for about 2 years but just seeing overflow and routine medical conditions- not too much with chronic disease other than hyperlipidemia and some hypertension etc.. Id like to learn more about treating patients newly diagnosed with NIDDM. I have yet to find a place that guides me as to what meds to try first etc.. I have had some where I started them on Glucophage then added a sulfonyurea like amaryl at small doses and titrated up. But whats the best route to start with newly diagnosed? What about starting with glucotrol or actos? Is there anywhere I can find info? The docs I worked with didnt mentor me much
    Thanks
    Lynn
    Try these online offerings"
    All information from the internets should be taken with a grain of salt. Many "CME" companies are front companies for drug manufacturers. Most have some degree of completeness but push an agenda.

    http://www.ndei.org/

    http://www.idf.org/home/index.cfm?node=503

    http://www.parknicollet.com/cme/diabetes/index.cfm

    These are more unbiased and have a combination of distance learning and CME offers.

    http://www.endo-society.org/subject/...edu_events.cfm

    http://diabetes.niddk.nih.gov/

    Finally let me suggest this course if you can swing it:
    http://www.mayo.edu/cme/endocrinology.html

    This is in March. While I have not attended the endocrinology course I have attended their GI courses. They are done with an eye toward clinical medicine taught by some of the top experts in the country. Also Kona coast in March = most beautiful part of Hawaii.

    I think that this a tremendous opportunity for any midlevel provider. Chronic diseases respond best to close personal attention by a provider that has time to spend with the patient. With the steady increase of NIDDM there will be plenty of business if you can develop expertise.

    David Carpenter, PA-C

    http://www.diabetes.org/for-health-p...fessionals.jsp

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