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| Title: |
William Visit 1 - New patient with long-standing type 2 diabetes |
| Topic: |
Diabetology |
| Relevant Terms: |
Diabetes, Diabetes Complications, Endocrinology, Macrovascular Disease, Microvascular Disease |
| Primary Audience: |
Primary care providers and other healthcare professionals who treat adults with diabetes |
| Launch Date: |
18-Feb-09 |
| Credits: |
0.5 AMA PRA Category 1 Credit™
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| Expiration Date: |
31-Dec-12 |
Please review this information, and proceed below
Learning Objectives
After completing this series of activities, participants should be able to:
- Explain the natural history of type 2 diabetes including the evolution of insulin resistance and insulin secretory decline as key factors in the clinical progression of the disease
- Recognize the role of the incretin system in normal physiology and in the pathophysiology and treatment of type 2 diabetes
- Describe the process of selecting and advancing treatment regimens for type 2 diabetes in the outpatient setting that balance physiologic needs with individualized self-care considerations
- List common obstacles to treatment advancement, including patient-based issues such as weight management issues, culture and self-care abilities, and clinician-based issues (such as office system inadequacy) that can contribute to therapeutic inertia
- Choose appropriate tests and data collection to assist in the diagnosis of a patient with diabetes who is not at goal
- Interpret test results, including lab values and glucose patterns, and analyze consulting reports from other clinicians, such as dietitians, diabetes educators, cardiologists, and ophthalmologists
- Develop and implement office-based systems to manage treatment and facilitate therapeutic advancement
Faculty
Curriculum Leader:
Kenneth Snow, MD, MBA
Assistant Professor of Clinical Medicine
Harvard Medical School
Acting Chief, Adult Diabetes
Joslin Diabetes Center
Boston, MA
Kenneth J. Snow, MD, MBA
Kenneth J. Snow, MD, MBA, joined the staff of the Joslin Clinic in Boston in 1994. He is currently the Acting Chief of Adult Diabetes and the Director of the Sexual Function Clinic. In addition, he is on the Endocrinology staff at the Beth Israel Deaconess Medical Center in Boston and is an Assistant Professor of Clinical Medicine at Harvard Medical School.
Dr. Snow received a Bachelors degree from the Massachusetts Institute of Technology in Boston, Massachusetts and earned his medical degree at the Johns Hopkins School of Medicine in Baltimore, Maryland. He performed his residency in Internal Medicine at Northwestern Memorial Hospital in Chicago. He then completed an endocrinology fellowship at the New England Medical Center Hospitals in Boston. This past year he completed an MBA degree at the University of Massachusetts.
Jerry P. Palmer, MD
Professor of Medicine
University of Washington
Director, Department of Endocrinology
VA Puget Sound Health Care System
Seattle, WA
Jerry P. Palmer, MD
Dr. Jerry Palmer is Professor of Medicine at the University of Washington, Director of the Division of Endocrinology, Metabolism and Nutrition at the Veterans Affairs Puget Sound Health Care System, and Director of the Diabetes Endocrinology Research Center (DERC) at the University of Washington. His research interests focus on type 1 diabetes and encompass both clinical/translational research and basic laboratory research. He was director of the DCCT clinical center and currently directs the DCCT/EDIC and the TRIGR clinical centers at the University of Washington. He is actively involved in TrialNet and directs the beta-cell function and the cellular immunoblotting core laboratories for this organization. His basic science laboratory, which previously focused on autoantibodies as markers of the type 1 diabetes (T1DM) disease process and was first to identify insulin autoantibodies in the preclinical period of T1DM, currently focuses on T-cell reactivity to islet antigens in T1DM. He is especially interested in type 1.5 diabetes or LADA, the autoimmune diabetes that occurs in patients with many of the characteristics of type 2 diabetes. He is a member of the ASCI and the AAP and currently sits on the NIDDK advisory council. He has been an associate editor of Diabetes, on the editorial boards of Diabetes Care and the Journal of Clinical Endocrinology and Metabolism, and is very frequently asked to review grants and manuscripts nationally and internationally. Because of his long-term interest in the prediction and more recently the prevention of T1DM, he is chairman of the protocol committee for the GAD vaccination prevention study that will be performed by TrialNet and is Principal Investigator of the recently initiated United States registration trial of GAD vaccination in recently diagnosed T1DM patients.
Arturo R. Rolla, MD
Assistant Clinical Professor of Medicine
Harvard Medical School
Assistant Clinical Professor of Medicine
Tufts University School of Medicine
Endocrinologist, Beth Israel Deaconess Medical Center
Boston, MA
Arturo R. Rolla, MD
Dr. Rolla earned his MD at the Facultad de Medicina of the Universidad Catolica de Cordoba, the oldest private university in Argentina. He completed his residency in Internal Medicine at New England Deaconess Hospital and fellowships in Endocrinology, Diabetes & Metabolism at New England Deaconess Hospital and Joslin Diabetes Center. Dr. Rolla is board certified in Internal Medicine and Endocrinology, Diabetes & Metabolism. He speaks four languages and currently serves as Assistant Clinical Professor of Medicine at both Harvard Medical School and Tufts University School of Medicine in addition to seeing patients at Beth Israel Deaconess Medical Center in Boston.
Alissa Segal, PharmD, CDE
Associate Professor of Pharmacy Practice
Massachusetts College of Pharmacy & Health Sciences
Clinical Pharmacist
Joslin Diabetes Center
Boston, MA
Alissa Segal, PharmD, CDE
Ms. Segal earned her Doctor of Pharmacy at Drake University, completed her pharmacy practice residency at the Medical Center at Princeton and her primary care residency at the Medical University of South Carolina. She also completed the General Clinical Research Center Scholars Program at University of New Mexico School of Medicine. In addition to her practice as a Clinical Pharmacist at Joslin Diabetes Center, Ms. Segal is also Associate Professor of Pharmacy Practice at Massachusetts College of Pharmacy & Health Sciences where she teaches Endocrinology, Complementary & Alternative Medicine, and Advanced Clinical Skills.
Medical Director/Senior Editor:
Enrique Caballero, MD
Assistant Professor of Medicine
Harvard Medical School
Director, Medical Affairs, Professional Education
Director, Latino Diabetes Initiative
Joslin Diabetes Center
Boston, MA
Enrique Caballero, MD
Director of Medical Affairs for Professional Education, Enrique Caballero, MD, is a practicing physician in the Joslin Clinic and an Assistant Professor of Medicine at Harvard Medical School. His CME responsibilities include project development, oversight of educational content, core slide development for educational activities, and oversight of activity evaluation and Educational Impact Assessments. He is a nationally and internationally known speaker on clinical diabetes, diabetes complications, and diabetes in minority populations, and has been a speaker at many live Joslin CME activities. Dr. Caballero has participated as a co-investigator for the National Diabetes Prevention Program (DPP) and the Action for Health in Diabetes (Look AHEAD) project, both supported by the National Institutes of Health, and has authored multiple original articles and book chapters. Dr. Caballero is a member of the American Diabetes Association, the Latin American Diabetes Association, and the European Association for the Study of Diabetes. Dr. Caballero also directs the Joslin Latino Diabetes Initiative and serves on the CME Advisory Committee.
Planning Committee:
Julie Brown
Director
Professional Education
Joslin Diabetes Center
Boston, MA
James Neighbours, MEd
Assistant Director, Education Technology Services
Professional Education
Joslin Diabetes Center
Boston, MA
DISCLOSURE POLICY STATEMENT
As part of its accreditation with the Accreditation Council for Continuing Medical Education, Joslin Diabetes Center, Boston, must disclose to the audience of a Joslin continuing medical education activity the existence of any relevant financial relationships between Joslin and/or its planning committee members, speakers, and their spouses/partners and commercial entities. Joslin and its planning committee members and speakers must disclose any relationships they and their spouses/partners have or have had in the prior 12 months with proprietary entities producing healthcare goods or services with the exception of nonprofit or government organizations and non–healthcare-related companies, which are exempt.
Financial relationships are those relationships in which the individual benefits by receiving a salary, royalty, intellectual property rights, consulting fees, honoraria, ownership interests (e.g., stocks, stock options or other ownership interest, excluding diversified mutual funds) or other financial benefit in any amount. Financial benefits are usually associated with roles such as employment, management position, independent contractor (including contracted research), consulting, speaking and teaching, membership on advisory committees or review panels, board membership, and other activities from which remuneration is received, or expected.
If a faculty or planning committee member has no information to disclose, this information will also be provided. If a faculty or planning committee member refuses to disclose, he/she will not be able to participate in the planning, management, presentation, or evaluation of any Joslin Diabetes Center CME activity. In addition, faculty have been asked to disclose when a product or device is not labeled for the use under discussion. The opinions and comments expressed in this program are those of the speakers and should not be considered the opinions or comments of the Joslin Diabetes Center.
Dr. Snow has no relevant financial relationships.
Dr. Palmer receives grant/research support from Amylin Pharmaceuticals, Inc. and GlaxoSmithKline, and is a consultant for Amgen USA Inc., Diamyd Medical AB, Eli Lilly and Company, GlaxoSmithKline, Merck & Co. Inc., and Pfizer Inc.
Dr. Rolla is on the speakers bureau for Eli Lilly and Company, GlaxoSmithKline, Novo Nordisk Inc., and F. Hoffman-La Roche Ltd.
Ms. Segal receives grant/research support from Walgreens Co.
Dr. Caballero is a consultant for Amylin Pharmaceuticals, Inc. Eli Lilly and Company, Pfizer Inc, sanofi-aventis U.S. LLC and Takeda Pharmaceuticals North America, Inc.
Ms. Brown has no relevant financial relationships.
Mr. Neighbours has no relevant financial relationships.
ACCREDITATION STATEMENT
The Joslin Diabetes Center, Boston, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
CREDIT DESIGNATION
Joslin Diabetes Center designates this educational activity for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
To Obtain CME Credits
- Read the learning objectives and faculty disclosures.
- Participate in the activity.
- Complete the posttest and activity evaluation.
- Physicians who successfully complete the posttest and evaluation will receive CME credit. You must score with a 70% or higher on the posttest to receive credit for this activity.
- All other participants who successfully complete the posttest and evaluation will receive a certificate of participation.
COURSE VIEWING REQUIREMENTS
PC Internet Explorer (v6 or greater), or Firefox
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MAC Safari
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Release Date: February 25, 2009
Expiration Date: December 31, 2012
ACKNOWLEDGEMENT
This activity is sponsored by Joslin Diabetes Center.
This activity is supported by an educational grant from Takeda Pharmaceuticals North America, Inc.
If you have any questions regarding this activity, send an email to profedweb@joslin.harvard.edu.
Copyright © 2011 by Joslin Diabetes Center, Inc. All rights reserved. These materials may be used for personal use only. Any rebroadcast, distribution, or reuse of this presentation or any part of it in any form for other than personal use without the express written permission of Joslin Diabetes Center is prohibited.
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