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CAVE HILL HOME > Lifelong Learning > Courses > Short Courses > Health, Safety and Biosecurity > Diabetes- Origin, Testing, Treatment and Management (DOTTM)


Diabetes- Origin, Testing, Treatment and Management (DOTTM)


The Health of the Nation 2011 study reported that 20% of the Barbadian population 25 yrs and older has a diagnosis of type-2 diabetes mellitus (T2DM), with this percentage increasing to 50% in persons who are 65 or older. To achieve adequate blood sugar control at home starts with knowing when the blood sugar levels are out of control. Thus, this course uses practical demonstrations to educate delegates on how to test for blood glucose levels and how to interpret the results. The course also addresses the pathophysiology of diabetes, the complications associated with diabetes and the management and treatment of the disease.  On completion, you will be able serve in a community support role for the management of diabetes, alongside medical personnel.  This course (DOTTM) is a natural complement for Hypertension - Origin, Testing, Treatment and Management (HOTTM).

‚ÄčMode of Delivery: Face-to-Face

What will I Learn?

On successful completion of the course, delegates will be able to:

  • List the 3 types of diabetes
  • Explain what is T2DM and how it occurs
  • List the complications of T2DM that may occur from both low and high blood glucose levels
  • Explain the different management modalities for blood glucose control
  • Outline the fundamentals of blood glucose testing: Who, Why, When, How and How often
  • Demonstrate blood glucose testing using a point-of-care machine
  • Differentiate between low, normal and high blood glucose readings
  • Formulate a plan based on the blood glucose reading
  • Explain the principle of the HbA1C test
  • Demonstrate subcutaneous insulin injections

Who Should do this Course

Anyone who is involved in diabetes care; persons who have diabetes; relatives or care-givers of persons with diabetes (no background medical knowledge required); persons who are involved in ‘care of the elderly’ and ‘home-help’ programmes; persons involved in caring for persons in institutions; persons who volunteer for national drives/programmes to combat diabetes and other noncommunicable diseases.

Important Information


At a Glance

  • Admissions Term: 2019/2020 Semester II
  • Date: Postponed until further Notice
  • Time: Wednesdays 5pm-7pm
  • Duration: 4 weeks (8 hours)
  • Certificate Awarded: Certificate of Completion
  • Course Code: PDLL 129
  • Capacity: 12
  • Cost: BDS $1,545 (US $772.50)

The following subject areas will be addressed:
  • The pathophysiology of diabetes
  • The complications associated with diabetes
  • The management of diabetes: testing and treatment

Lectures, demonstrations and practicals

Joanne Paul-Charles, DM Family Medicine
Khatija Mangera, DM Family Medicine
Tamara Clement, DM Family Medicine
Michelle Gibson-Thomas, DM Family Medicine

Dr. Joanne Paul-Charles, DM Family Medicine

Dr. Joanne Paul-Charles is a graduate of the University of the West Indies, medical class of 1999. Post-internship she worked as Senior House Officer in internal Medicine at the Queen Elizabeth Hospital. Then she went on to pursue postgraduate training in Family Medicine and received a Doctor of Medicine degree. Dr. Paul-Charles is a pioneer graduate of the Family Medicine Distance programme, which has since expanded and offers training to doctors across the Caribbean.
She is a lecturer in Family Medicine at the Cave Hill Campus and is actively involved in family medicine teaching and supervision, both at the undergraduate and postgraduate levels.
As a Family Medicine Physician, Dr. Paul-Charles has many years of experience, working in general practice and primary care, both in the public community clinic setting in and in private practice. She currently works as a Consultant Family Physician and does Clinical teaching at the Branford Taitt Polyclinic.  She also works privately at Elcourt Medical Clinic.  She enjoys seeing patients from the entire spectrum within the family, ranging from antenatal period to elderly and end-of-life care.

Dr. Khatija Mangera, DM Family Medicine

Khatija Mangera is a final year resident in the Family Medicine Program at the UWI. She currently works at the General Practice Unit (GPU) of Edgar Cochrane Polyclinic. There, she is involved in supervising and teaching medical students. Many of the patients have chronic diseases; hence she has developed significant expertise in this area, including teaching patients about self-blood glucose monitoring (SBGM) and home blood pressure measurements (HBPM).
Dr. Tamara Clement, DM Family Medicine
Dr. Tamara Clement has been the Clinical Medical Officer of Health at the Branford Taitt Polyclinic for the past six years, having worked for the Ministry of Health for a total of eight years. At the Polyclinic, she manages patients who suffer from non-communicable diseases, such as, Diabetes mellitus and Hypertension, and takes part in outreach programmes in the community provided by the polyclinic. She obtained a Bachelor of Science degree in Biology and Chemistry (First Class Honours) in 2003 from the Cave Hill Campus of the University of the West Indies (UWI), where she also received the Graham Gooding prize and the Dean’s prize. She received a Bachelor of Medical Sciences degree from the Mona Campus, UWI, in 2007 and completed M.B.B.S at the Cave Hill Campus in 2009. She has also completed a Diploma in Family Medicine in 2017 and is currently awaiting her Masters in Family Medicine.

Dr. Michelle Gibson-Thomas, DM Family Medicine

Dr. Michelle Gibson-Thomas obtained her M.B.B.S in 2001, before receiving her Diploma in Family Medicine in 2004. She also holds an MSc. in Family Medicine. She currently works privately as a family physician, based at Omniplus Center as well as a part-time tutor at UWI with the CBL course. She has been in private practice for 9 years, having been previously employed at the Ministry of Health.
Dr. Keisha Carrington

Dr. Carrington obtained a M.B.B.S (in 2004) and a DM in Family Medicine (in 2017) from the UWI. She currently acts as Clinical Medical Officer at Eunice Gibson Polyclinic. Here, she also performs the role of Clinical Supervisor to Family Medicine Clerkship Medical Students. Additionally, she won the poster prize at the November 2017 CME conference for research entitled, “Should my patient drive? Medical standards of fitness to drive in the elderly among Primary Care Physicians”. Dr. Carrington’s interests include dance, horticultural activities and travelling.