Download Brochure (Full) - PNAAF

Philippine Nurses Association of America Foundation and
Central Philippine Adventist College School of Nursing
Promoting Health Care Quality through Leadership and Global Linkages
Collaborative International Conference
L Hotel, Bacolod City, Philippines, 6-8 February 2013
ABSTRACT
Presenter(s) Last and First Name (print): Solarte, Remedios Alvarez
Title of the study/presentation: Management of patients with Type 2 Diabetes Mellitus: An
Evidence-based Update
Email and phone of presenter: rasolarte@gmail.com
ABSTRACT:
Objectives:
*Discuss the planning, implementation and outcomes of the PNAM 2010 capacity building project,
and the outcomes learned.
*Discuss the Clinical Practice Guidelines (CPGs) in the diagnosis and management of patients with
Type 2 Diabetes Mellitus
*Develop a capacity-building project for adoption and implementation of evidence-based practices
in the care of patients with Type 2 Diabetes Mellitus
Methods: Questionnaires and Focus Groups
Results: Descriptive analysis was used to determine the differences or significance of the responses.
The data was used to address social determinants of health disparities.
Conclusions and Implications:
This presentation focuses on clinical management of patients with Type 2 Diabetes Mellitus (T2DM)
based on review of literature and the latest evidence-based guidelines. The guidelines suggest using a
team of specialists for patient-centered care.
According to the National Guideline Clearing House website, the clinical practice guidelines (CPGs)
for diagnosis and management of type 2 DM were developed by several international organizations.
In regards to Pharmacotherapy, there was agreement on the key principles for the development of the
CPGs, except for the disclosure of conflicts of interest (COIs). As a result of the controversy over the
COIs, the policy for Guideline Committees was changed in 2010 so that at least 50% of writing
committee members, plus the chair may have no relationship with industry (RWI). The CPGs for
drug therapy are primarily founded on expert consensus rather than on evidence-base grading of the
literature.
Two important lifestyle changes in the clinical management of T2DM are medical nutritional therapy
(MNT) and physical activity. Carbohydrate counting of food has been found effective in the
glycemic control of patients with Type 2 DM on insulin therapy.
About the Presenter: Remedios A. Solarte, MSN, RN, NP, is a Professor Emeritus of Nursing at
Oakland Community College, Waterford, Michigan, where she was on the faculty for 32 years. She
obtained her nursing diploma and BSN from Far Eastern University, Philippines, and MSN from
Wayne State University. In 2010, she was the Project Director of the PNA Michigan Phase I
Capacity Building Project, funded by the Michigan Department of Community Health, Health
Disparities Reduction Minority Health (MDCH-HDRMH). This project addressed social
determinants of health disparities among Filipinos. Her other career highlights include: caring for
patients as a part time clinical nurse specialist for eight years in the Diabetic Clinic, St. Joseph Mercy
Hospital, Michigan; President of the PNAA from 1990-1992; and Member, Michigan Board of
Nursing for 4 years, for which she was awarded a Certificate of Appreciation by Governor James
Blanchard and honored with a Resolution from the Department of Commerce for unselfish service to
the people of Michigan.