Rapid Pattern Recognition: A 72-year-old man with type 2 diabetes treated with basal insulin

Title:

Rapid Pattern Recognition: A 72-year-old man with type 2 diabetes treated with basal insulin

Topic: Diabetology
Relevant Terms: Insulin Therapy, Carbohydrate Counting, Type 1 Diabetes, Type 2 Diabetes, Basal-bolus Insulin, Sliding-scale Insulin, Self-monitored Blood Glucose
Primary Audience: Primary and specialty care physicians; nurse practitioners; physician assistants; nurses; dieticians; pharmacists
Launch Date: 20-Dec-11
Credits: 0.25 AMA PRA Category 1 Credit
Expiration Date: The accreditation for this activity has expired.
Curriculum Name: Recognizing Blood Glucose Patterns

Learning Objectives

After completing this activity, the participant will demonstrate the ability to:

  1. Demonstrate strategies to overcome common obstacles to insulin initiation and treatment encountered in clinical practice
  2. Demonstrate skill in selecting optimal and individualized treatment design, initiation process, and ongoing managing protocol for insulin regimens to achieve targeted levels of glycemic control for people with type 1 and type 2 diabetes

    Faculty

    Kenneth Snow, MD, MBA
    Assistant Clinical Professor of Medicine
    Harvard Medical School
    Senior Physician Advisor, Strategic Initiatives
    Joslin Diabetes Center
    Boston, MA
    Richard S. Beaser, MD
    Associate Clinical Professor of Medicine
    Harvard Medical School
    Medical Executive Director, Professional Education
    Joslin Diabetes Center
    Boston, MA
    Om P. Ganda, MD
    Associate Clinical Professor of Medicine
    Harvard Medical School
    Director, Lipid Clinic
    Joslin Diabetes Center
    Boston, MA
    Planning Committee

    Richard S. Beaser, MD
    Associate Clinical Professor of Medicine
    Harvard Medical School
    Medical Executive Director
    Professional Education
    Joslin Diabetes Center
    Boston, MA
     
    Julie Brown
    Director
    Professional Education
    Joslin Diabetes Center
    Boston, MA
     
    Karen Kuc
    Assistant Director
    Professional Education
    Joslin Diabetes Center
    Boston, MA

    James E. Neighbours, MEd
    Associate Director
    Education Design
    Professional Education
    Joslin Diabetes Center
    Boston, MA
     
    Eyiuche Okeke, MD
    Instructor in Medicine
    Harvard Medical School
    Outcomes Investigator
    Department of Professional Education
    Staff Endocrinologist
    Joslin Diabetes Center
    Boston, MA


    Jonathan Scoble
    Grants Manager
    Professional Education
    Joslin Diabetes Center
    Boston, MA
     
    Kenneth J. Snow, MD, MBA
    Assistant Professor of Clinical Medicine
    Harvard Medical School
    Senior Physician, Adult Diabetes Section
    Joslin Diabetes Center
    Boston, MA

     

    CME Advisory Committee
     
    Richard S. Beaser, MD
    Associate Clinical Professor of Medicine
    Harvard Medical School
    Medical Executive Director
    Professional Education
    Joslin Diabetes Center
    Boston, MA
     
    Julie A. Brown
    Director
    Professional Education
    Joslin Diabetes Center
    Boston, MA
     
    Enrique Caballero, MD
    Director, Medical Affairs
    Professional Education
    Director, Latino Diabetes Initiative
    Joslin Diabetes Center
    Boston, MA
     
    Jerry Cavallerano, OD, PhD
    Optometrist
    Beetham Eye Institute
    Joslin Diabetes Center
    Boston, MA
     
    A. Patrick Egan, MD
    Family Practice
    Internal Medicine Specialist
    Dorchester House Multi-Service Center
    Boston, MA
     
    Ann E. Goebel-Fabbri, PhD
    Instructor in Psychiatry
    Harvard Medical School
    Psychologist
    Behavioral and Mental Health Unit
    Joslin Diabetes Center
    Boston, MA
     
    Osama Hamdy, MD, PhD, FACE
    Assistant Professor of Medicine
    Harvard Medical School
    Medical Director, Obesity Clinical Program
    Joslin Diabetes Center
    Boston, MA
     
    Karen Kuc
    Assistant Director
    Professional Education
    Joslin Diabetes Center
    Boston, MA

    James Neighbours, MEd
    Associate Director
    Education Design
    Professional Education
    Joslin Diabetes Center
    Boston, MA
     
    Jonathan Scoble
    Grants Manager
    Professional Education
    Joslin Diabetes Center
    Boston, MA
     
    Kenneth J. Snow, MD, MBA
    Assistant Professor of Clinical Medicine
    Harvard Medical School
    Senior Physician, Adult Diabetes Section
    Joslin Diabetes Center
    Boston, MA
     
    Robert C. Stanton, MD
    Associate Professor of Medicine
    Harvard Medical School
    Chief of Nephrology
    Joslin Diabetes Center
    Boston, MA
     
    Howard Wolpert, MD
    Assistant Professor of Medicine
    Harvard Medical School
    Director, Insulin Pump Program
    Senior Physician
    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.
     
     
    Faculty
     
    Dr. Richard Beaser is a consultant for CeQur LTD.*
     
    Dr. Om Ganda is on the speakers bureau for Abbott Laboratories, AstraZeneca Pharmaceuticals LP, Bristol-Myers Squibb Company, Merck & Co., Inc., and Novo Nordisk Inc.; and is a consultant and on the speakers bureau for Daiichi Sankyo, Inc.
     
    Dr. Lyle Mitzner has no relevant financial relationships.
     
    Dr. Kenneth Snow has no relevant financial relationships.*
     
    *Also on the Planning Committee and the CME Advisory Committee
     
     
    Planning Committee

    Julie A. Brown, Director, Professional Education, Joslin Diabetes Center, has no relevant financial relationships.**

    Karen Kuc, Director, Professional Education, Joslin Diabetes Center, has no relevant financial relationships.**

    James Neighbours, Associate Director, Education Design, Professional Education, Joslin Diabetes Center, has no relevant financial relationships.**
     
    Jonathan Scoble, Grants Manager, Professional Education, Joslin Diabetes Center, has no relevant financial relationships.**
     
    Dr. Eyiuche N. Okeke has no relevant financial relationships.
     
    **Also on the CME Advisory Committee
     
     
    CME Advisory Committee
     
    Dr. Enrique Caballero, Director, Medical Affairs, Professional Education, Director, Latino Diabetes Initiative, Joslin Diabetes Center, is a consultant and on the speakers bureau and scientific advisory board for Amylin Pharmaceuticals, Inc., AstraZeneca Pharmaceuticals LP, Bristol-Myers Squibb Company, Daiichi Sankyo, Inc., and Eli Lilly and Company.
     
    Dr. Jerry Cavallerano, Optometrist, Beetham Eye Institute, Joslin Diabetes Center, has no relevant financial relationships.
     
    Dr. A. Patrick Egan, Family Practice, Internal Medicine Specialist, Dorchester House Multi-Service Center, has no relevant financial relationships.
     
    Anne E. Goebel-Fabbri, Psychologist, Behavioral and Mental Health Unit, Joslin Diabetes Center, has no relevant financial relationships.
     
    Dr. Osama Hamdy, Medical Director, Obesity Clinical Program, Joslin Diabetes Center, is on the speakers bureau for Amylin Pharmaceuticals, Inc., Bristol-Myers Squibb Company, Merck & Co., Inc., Novo Nordisk Inc., sanofi-aventis U.S., and Takeda Pharmaceuticals North America, Inc.
     
    Dr. Robert C. Stanton, Chief of Nephrology, Joslin Diabetes Center, has no relevant financial relationships.
     
    Dr. Howard A. Wolpert, Director of the Insulin Pump Program and Senior Physician, Joslin Diabetes Center, is a consultant for Abbott Diabetes Care, Insulet Corporation, Novo Nordisk, Inc., and Becton, Dickinson and Company.
     
     
    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 enduring material for a maximum of 0.25 AMA PRA Category 1 Credits. Physicians should claim only the 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 post-test and activity evaluation.
    • Physicians who successfully complete the post-test and evaluation will receive CME credit.
    • You must score 100% on the post-test to receive credit for this activity.
    • All other participants who successfully complete the post-test and evaluation will receive a certificate of participation.
     
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    Release Date: December 20, 2011
    Expiration Date: December 19, 2012

    ACKNOWLEDGEMENT
    This activity is sponsored by Joslin Diabetes Center.
     
     
    This activity is supported by an educational grant from Lilly USA, LLC, Novo Nordisk Inc., and sanofi-aventis U.S. 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.