201 KAR 45:160 Scope of practice.
RELATES TO: KRS 309.331, 309.339
STATUTORY AUTHORITY: KRS 309.331
NECESSITY, FUNCTION AND CONFORMITY: KRS
309.331 requires the board to promulgate administrative regulations for the
administration and enforcement of KRS 309.325 to 309.339. This administrative regulation
establishes the functions that a diabetes educator may perform.
Section 1. A person holding a license or
a permit from the board may perform the following functions:
(1) Provide education and support for
people with diabetes, people at risk for diabetes, and caregivers of those with
diabetes;
(2) Communicate and coordinate with other
health care professionals to provide education and support for people with
diabetes, people at risk for diabetes, and caregivers of those with diabetes;
(3) Provide diabetes self-management
services, including activities that assist a person in implementing and
sustaining the behaviors needed to manage diabetes on an ongoing basis;
(4) Determine the persons to whom diabetes
education and services will be provided, how those education and services may
be best delivered, and what resources will assist those persons;
(5) Develop a program for diabetes
management, which may include:
(a) Describing the diabetes treatment process
and treatment options;
(b) Incorporating nutritional management
into lifestyle;
(c) Incorporating physical activity into
lifestyle;
(d) Using medications safely and effectively;
(e) Monitoring blood glucose and other
parameters and interpreting and using the results for self-management and
decision making;
(f) Preventing, detecting, and treating
acute and chronic complications of diabetes;
(g) Developing personal strategies to
address psychosocial issues and concerns; or
(h) Developing personal strategies to
promote health and behavior change;
(6) Develop an individualized education
and support plan focused on behavior change, which shall be documented in an education
or health record;
(7) Develop a personalized follow-up plan
for ongoing self-management support, and communicate that follow-up plan to
other health care providers as necessary;
(8) Monitor if participants are achieving
their personal diabetes self-management goals and other outcomes using the
following appropriate frameworks and measurement techniques:
(a) Physical activity;
(b) Healthy eating;
(c) Taking medication;
(d) Monitoring blood glucose;
(e) Diabetes self-care related problem
solving;
(f) Reducing risks of acute and chronic
complications of diabetes;
(g) Evaluation of the psychosocial
aspects of living with diabetes; or
(9) Evaluate the effectiveness of the
education and services, and engage in a systematic review of process and
outcome data. (40 Ky.R. 194; 591; 791; eff. 11-1-2013.)