201 KAR 45:160 Scope of practice.


      RELATES TO: KRS 309.331, 309.339


      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.)