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 & 5 – Introduction to Theories in Education / Apply Educational Theory to Practice

• Compare and contrast major theories of teaching and learning
• Identify appropriate circumstances to apply different learning theories in practice
• Discuss strategies for optimizing patient education in practice

Module 6 – 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 7 – 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 8 – 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 9 – 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 10 – 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 11 – 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 12 – 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 13 – 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 14 – 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 15 – 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 16 – 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

Module 17 – Communication and Counselling Strategies

• Readily assess their patient’s confidence to change
• Apply the key components of the transtheoretical stages of change theory
• Identify the key components of motivational interviewing
• Identify the characteristics of the patient centered approach

Module 18 – Teaching for Effect

• Understand how the principles of adult education are used to guide effective teaching
• Understand the application of four different styles in teaching
• Choose appropriate teaching methods for subject and participants

Module 19 – More Food Facts (Carbohydrate Counting)

• Become familiar with the concept of and rationale for the use of carbohydrate (CHO) counting
• Describe the steps involved in basic and advanced carbohydrate counting
• Calculate insulin dose using CHO ratio and Correction Factor along with CHO counting
• Read a nutrition label and identify the available carbohydrate content and estimate food choice values based on the nutrition information provided.
• Discuss the concept of the Glycemic Index

Module 20 – Program Development

• Identify the components in the development of a diabetes self-management education program
• Identify confounding factors in program planning
• Practice the process of program planning