Kristen Garland RD CDE

Review referral information; blood glucose levels, medication and doses, meal plan and activity level, analyze the relationship between them and identify need for alterations and recommend appropriate course of action, including initiating or intensifying insulin or GLP-1, in consultation with the referring GP • Review name and action (onset, peak, duration) of prescribed injectable diabetes therapy • Instruct on proper injection technique, and how to adjust dosage according to physician’s directive • Define glucose targets, teach the importance/frequency of self-monitoring of blood glucose • Teach/review meter and/or CGM (sensor) application and operation • Review hypoglycemia treatment and prevention, symptoms • Describe nutritional issues in relation to diabetes management • Describe the clinical recommendations of urine testing to prevent diabetic ketoacidosis

• Provide patient-centred assessments of emotional, physical, cognitive and social needs and capabilities • Provide self-management directed care to patients with diabetes • Provide leadership in developing centre-specific/corporate patient care initiatives related to diabetes • Prepare nutrition care plans that meet patient needs in collaboration with the interprofessional teams • Chart written assessments and progress notes on patient health records • Monitor, reassess and evaluate assessments and progress notes for optimal outcomes • Recommend/interpret therapeutic diet Rx/nutrition support orders using best practice guidelines • Formulate and facilitate the discharge plan with patient, family, and health care team • Utilize appropriate community resources; recognizing needs, strengths, and limitations of resources • Support dietetic interns by directing, supervising and evaluating their performance • Participate in continuing education for self, peers and inter-professional health care team • Advocate for the patient/family and community to ensure the patients’ rights are recognized • Ensure appropriate services are created/provided in collaboration with the inter professional team

Provide education related to diabetes management; pathology, medication, prevention, nutrition, lifestyle behaviours, monitoring and self-management support. Ongoing independent assessment of large caseload, preparing, planning, delivering and documenting sessions. Review blood glucose data for the purposes of evidence-based behaviour and medication adjustment according to the Clinical Practice Guidelines. Participate in the development and implementation of community health programs.

• Provide in-depth insulin pump and ancillaries training to relevant HCPs and patients in support of Territory Manager’s training needs • Educate patients and caregivers on essential topics of diabetes management including basal/bolus therapy, carb counting, ketone testing, sick day management, and troubleshooting hyperglycemia and hypoglycemia in self-management of blood glucose • Collaborate with patients' primary diabetes care providers to supply accessible and digestible education adjusted to patients' health literacy building therapeutic rapport with patients and HCPs to ensure positive patient outcomes on Tandem products • Enhance delivery of patient-centred, holistic diabetes care

• Educate & advise patients on diabetes self management in individual and group settings • Collaborate with multidisciplinary team to develop care plans for patients with diabetes • Teach self-monitoring of blood glucose (SMBG) • Teach administration, titration and management of insulin • Provide consultation as requested to community groups, partners and team members • Effectively communicate to patients, families, caregivers and healthcare professionals • Participate in disseminating the DEP vision – act as a Diabetes Ambassador • Deliver practical diabetes education in partnership with Diabetes Depot • Training of additional staff and any new educators, as required

With the overwhelming amount of information available through the internet, on social media, in the news, from family, friends and foodies, it's really tough to know what the real deal is with foods, diets, and lifestyle approaches. It's not always easy to make healthy choices that will benefit your short and long-term health. Our team promises to: • Manage operational execution of key strategic initiatives • Exceed targets for operating margin and growth • Provide clear clinical expectations and tools to guide practitioners • Develop and implement evidence-based, client-centred and culturally appropriate nutrition care plans • Deliver nutrition recommendations to interdisciplinary healthcare team as required