Orientation to the Master Plan

• Understand the traditional modes of delivery of patient health education
• Understand impacts and limitations of traditional odes of provider-centric communications with patients
• Understand the core elements of the OPA MASTER Plan and its ability to actualize patient-centricity in care, drive patient empowerment, and facilitate achievement of positive health outcomes
• Understand the opportunities that patient-centricity can bring to one’s practice
• Understand the professional satisfaction that comes with patient-centric approaches to care and communications

Module 1 – Complications and Screening

• Describe the microvascular complications of diabetes
• Discuss the associated macrovascular complications of
• diabetes
• Describe the appropriate screening times for diabetes
• complications
• Identify the screening tools available for the detection of
• diabetes complications
• Describe how pharmacists can use these screening tools in
• practice
• Identify prevention strategies for diabetes complications

Module 2 – Diabetes Self-Management – Perspectives in Behaviour Change

• Discuss selected theories and philosophies which can be applied to optimize counselling in the change process
• Identify tools that can be used to facilitate the process of behaviour change
• Identify where and how behaviour change theories and philosophies can be applied to practice

Module 3 – Insulin Injection Devices and Injection Techniques

• Identify common gaps in insulin injection
• Examine FIT Canada recommendations on insulin administration
• Explore strategies to adopting best practice

Module 4 – The MASTER Plan for Diabetes Interactive Tool

Module 5 – Lifestyle Changes for Diabetes Management

• Understand the goals of nutrition management for diabetes
• Be familiar with the meal planning tools for educating people with diabetes
• Be able to apply the 2018 Diabetes Canada CPG nutrition principles for the management of diabetes

Module 6 – Managing Special Circumstances

• To explore how to manage the following special circumstances: hypoglycemia, sick days, preparing for a colonoscopy, preparing for surgery or diagnostic test, and guideline on driving private car

Module 7 – Motivational Interviewing to Facilitate Behaviour Change

• Define Motivational Interviewing (MI)
• Explain how MI helps people engage in the change process
• Apply OARS communication skills
• Discuss the pharmacist’s role using MI skills to assist people with diabetes make important changes to optimize management

Module 8 – Overview of Glucose Monitoring in the Community Pharmacy

• Recognize who will benefit from which type of blood glucose monitoring​
  • A1C​
  • Capillary Blood Glucose (CBG) Monitoring​
  • Continuous Glucose Monitoring (CGM)​
• Start a person on individualized needs-based (purposeful) glucose monitoring​
• Apply the data from glucose monitoring to support a person with diabetes to achieve their health-care goals​

Module 9 – Overview of Pathophysiology of Diabetes

• Describe the basic pathophysiology of diabetes
• Identify the characteristic signs and symptoms of diabetes
• Distinguish between the major types of diabetes in terms of etiology, prevention, defining characteristics and incidence
• Identify the diagnostic criteria for the different types of diabetes
• Identify target range for blood glucose values
• Utilize an appropriate screening tool for type 2 diabetes

Module 10 – Pharmaceutical Management of Type 2 Diabetes

• Review treatment algorithm in management of hyperglycemia in type 2 diabetes
• Describe different types of oral antihyperglycemic agents (OAA) in terms of action, indications for use, side effects, safe administration and precautions
• Examine methods of assessing renal function
• Explore how to individualize therapeutic choices

Module 11 – Pharmacological Management of Diabetes: Insulin

• Review action profile of different insulins
• Describe the rationale for common insulin regimens
• Discuss how to choose starting dose of common insulin regimens
• Describe the principles of pattern management
• Explore how to apply pattern management

Module 12 – Physical Activity and Diabetes

• Be familiar with the current guidelines for recommending physical activity and exercise for people with diabetes
• Understand the effect of different forms of physical activity and exercise on the management of diabetes
• Have the knowledge to confidently prescribe individualized practical exercise and physical activity programs to people with diabetes

Module 13 – Psychosocial Aspects of the Adult with Diabetes

• To identify and describe the potential psychosocial impact of diabetes and its treatment
• To identify barriers to self-care and become familiar with strategies to promote self-care
• To become familiar with communication strategies to promote therapeutic interactions

Module 14 – Blood Glucose Monitoring

• Identify benefits of blood glucose monitoring
• Discuss techniques of blood sampling
• Describe purpose and methods of quality control for blood glucose meter
• Examine capillary blood glucose (CBG) (formerly self-monitoring blood glucose, SMBG) recommendation tool for healthcare providers
• Explore how to individualize frequency of CBG

Module 15 – The Use of CII Technology in Diabetes

• Discuss the basic function of an insulin pump
• Discuss the advantages and disadvantages of insulin pump therapy
• Define the following terms in relation to insulin pump use: basal rate, bolus rate, ezCarb, combo wave bolus, dual wave bolus, carbohydrate ratio, insulin sensitivity, insulin on board
• Outline the necessary steps for successful pump initiation
• Identify some potential problems and potential solutions with pump use

Online Assessment: Multiple choice examination