NUTRITION AND LIFESTYLE MANAGEMENT OF DIABETES

SHE Level 5
SCQF Credit Points 15.00
ECTS Credit Points 7.50
Module Code MMC122348
Module Leader Christine Monaghan
School School of Health and Life Sciences
Subject Biological and Biomedical Sciences
Trimester
  • B (January start)

Pre-Requisite Knowledge

Standard Programme Entry requirements

Summary of Content

This module aims to develop and extend students' knowledge of dietary and lifestyle aspects of management of diabetes. Students will develop skills in dietary assessment and modification of patients' diets and lifestyles including obesity management. Practical application of the nutritional guidelines for people with diabetes will be explored. The aim is to enable students to be able to counsel patients effectively as regards their diet and lifestyle, in order to optimise glycaemic control, minimise complications of diabetes and optimise quality of life. The role of Structured Patient Education will be explored along with appropriate methods of delivery of care in various settings.

Syllabus

Dietary and nutritional assessment. The nature of obesity, genetic and environmental causes, and its management. Diabetes Prevention. Role of lifestyle and activity (energy balance). Promoting lifestyle change (counselling skills/behavioural change). Delivery of patient care in a variety of healthcare settings. Global aspects (ethnic diets). Aspects of diabetes specific to Type 1 diabetes (childhood and adolescence, DAFNE, sport, pregnancy). Nutritional management of diabetes through the lifecycle. Nutritional Guidelines for cardiovascular disease. Diet and Renal disease. Delivery of Care (Structured Patient Education, using IT, Homecare for newly diagnosed type 1, primary v secondary care etc, managed clinical networks, Diabetes Framework, etc).

Learning Outcomes

On successful completion of the module students should be able to: Demonstrate critical understanding of the principles and practice of managing diet and lifestyle choices for people with diabetes with reference to race ethnicity and cultural background. Critically analyse the dietary and nutritional management of Type 1, Type 2 and gestational DM and design appropriate changes to diet and lifestyle to optimise glycaemic control, prevent complications and maintain quality of life. Understand how to tailor dietary advice to medical treatment of diabetes (eg insulin or oral hypoglycaemic drugs). Demonstrate in-depth knowledge of the role of obesity and energy balance in the development of diabetes and apply such understanding to weight management and approaches to weight loss. Identify the role of diet and lifestyle in prevention and treatment of complications of Type 2 diabetes and define appropriate nutritional guidelines. Discuss the management of patients with Type I diabetes in special situations eg pregnancy, childhood and adolescence, sport, illness, coeliac disease, renal disease. Understand the role of counselling skills in the promotion of behavioural change, and consider the importance of Structured Patient Education (eg DESMOND and DAFNE).

Teaching / Learning Strategy

The module will be delivered via lectures, seminars, tutorials and practicals. Lectures will be used to introduce topics and will include contributions from external practitioners who have expertise in specialist areas. Seminars will involve students in active learning and will enable topics to be explored in greater depth. Tutorials will be used to reinforce knowledge and check understanding. Practical and workshop sessions will allow translation of theoretical knowledge to the design of appropriate diet and lifestyle modifications.

Indicative Reading

Required: Gandy, J. (2014) Manual of Dietetic Practice. British Dietetic Association. Wiley/Blackwell. (available as e-book from library). Geissler, C. and Powers, H. (Eds) (2017) Human Nutrition 13e. Oxford. Recommended: DeFronzo et al (eds) (2015) International Textbook of Diabetes Mellitus. Wiley & Sons (available as e-book from library). Evans, J. and Scriven, S. (2016) Diabetes: Public Health Mini-guides. Churchill Livingatone. Most reading will be from scientific journals, for example: Diabetes Care, Public Health Nutrition, etc. Up to date references will be provided with each lecture. e-sources: Diabetes UK <http://www.diabetes.org.uk>

Transferrable Skills

The student's personal transferable skills will be extended in the following areas: - Critical thinking and problem solving - Communication (oral and written) - Information retrieval from library and electronic sources - Review and critical analysis of published data - Independent study skills - Groupwork skills - Counselling skills

Module Structure

Activity Total Hours
Practicals (FT) 12.00
Lectures (FT) 24.00
Tutorials (FT) 6.00
Assessment (FT) 30.00
Seminars (FT) 6.00
Independent Learning (FT) 72.00

Assessment Methods

Component Duration Weighting Threshold Description
Exam (Exams Office) 2.00 70.00 45% Unseen Written Exam
Coursework 1 n/a 30.00 45% Presentations