Management of Persistent Hyperglycemia in T2DM: Beyond Starting Doses of Basal Insulin

Presented by: The Johns Hopkins University School of Medicine.

Supported by independent educational grants from Janssen Pharmaceuticals, Inc., Lilly and Sanofi US. For further information concerning Lilly grant funding visit www.lillygrantoffice.com.

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Release date: July 14, 2016

Valid through: July 14, 2017

Specialty: Endocrinology

Topic: Diabetes

Media: Internet

Estimated Time to Complete Activity: 60 minutes. There are no prerequisites.

Target Audience

Healthcare professionals, specifically, endocrinologists, internists, family practice physicians, nurse practitioners, physician assistants, hospitalists and other providers of care to patients with roles in the diagnosis and treatment of diabetes mellitus.

Learning Objectives

After participating in this activity, the participant will demonstrate the ability to:

  • Explain how the development of basal insulin analogs and fixed dose combinations with GLP-1 receptor agonists will make improved treatment of T2DM possible.
  • Differentiate basal insulin analogs from existing therapy with regard to potential benefits for patients with T2DM.
  • Use new basal insulin analogs alone or in combination with GLP-1 receptor agonists, DPP-4 inhibitors, or SGLT2-inhibitors based on current treatment guidelines and recommendations to facilitate A1C goal achievement.
  • Identify pros and cons of the different choices for prandial control when intensifying beyond basal insulin analog therapy based on patient specific characteristics.

The Johns Hopkins University School of Medicine takes responsibility for the content, quality, and scientific integrity of this CME activity.

Credit Available

  • Physicians — maximum of 1.0 AMA PRA Category 1 Credit

All other healthcare professionals completing this course will be issued a statement of participation.

Faculty

Aniket R. Sidhaye, MD
Assistant Professor of Medicine and Pediatrics
Division of Endocrinology, Diabetes and Metabolism
Johns Hopkins University School of Medicine
Baltimore, MD

Thomas Donner, MD
Associate Professor of Medicine
Director, Diabetes Center
Johns Hopkins University School of Medicine
Division of Endocrinology, Diabetes and Metabolism
Baltimore, MD

Armand Krikorian, MD, FACE
Program Director, Internal Medicine
University of Illinois at Chicago/Advocate Christ Medical Center
Associate Professor of Clinical Medicine
University of Illinois at Chicago
Chicago, IL

Planners

Aniket R. Sidhaye, MD
Thomas Donner, MD

Physician Continuing Medical Education

Accreditation Statement

The Johns Hopkins University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation

The Johns Hopkins University School of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurse, Nurse Practitioner and Physician Assistant Credit Reciprocity

American Nurses Credentialing Center (ANCC) accepts AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.

American Association of Nurse Practitioners (AANP) National Certification Program accepts AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.

American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by the ACCME. Physician assistants may receive a maximum of 1.0 credit of Category 1 for completing this program.

Disclosures of Conflicts of Interest

As a provider approved by the Accreditation Council for Continuing Medical Education (ACCME), it is the policy of the Johns Hopkins University School of Medicine Office of Continuing Medical Education (OCME) to require signed disclosure of the existence of financial relationships with industry from any individual in a position to control the content of a CME activity sponsored by OCME. Members of the Planning Committee are required to disclose all relationships regardless of their relevance to the content of the activity. Faculty are required to disclose only those relationships that are relevant to their specific presentation. The following relationships have been reported for this activity:

Faculty
No faculty members have indicated that they have any financial interests or relationships with a commercial entity whose products or services are relevant to the content of their presentation(s).

Planners
No planners have indicated that they have any financial interest or relationships with a commercial entity.

Note: Grants to investigators at The Johns Hopkins University are negotiated and administered by the institution which receives the grants, typically through the Office of Research Administration. Individual investigators who participate in the sponsored project(s) are not directly compensated by the sponsor, but may receive salary or other support from the institution to support their effort on the project(s).

Disclosure of Unlabeled Use

The following speaker has disclosed that their presentation will reference unlabeled/unapproved uses of drugs or products:

No speaker has indicated that he will reference unlabeled/unapproved uses of drugs or products.

Instructions for Participation and Credit

There are no fees for participating and receiving credit for this activity. During the period July 14, 2016 through July 14, 2017, participants must 1) read the learning objectives and faculty disclosures; 2) study the educational activity; and 3) complete the post-test and the evaluation form.

To answer the questions, click on your selected choice for each answer then proceed to the next question. We recommend that you print a copy of your answers before you submit them to us. Once completed, click on Submit Post-test at the bottom of the page. Your post-test will automatically be graded.

If you successfully complete the post-test (score of 70% or higher), your certificate will be made available immediately. Click on View Certificate and print the certificate for your records. If you receive a score of 69% or less, you will receive a message notifying you that you did not pass the post-test. You may retake the post-test until successful.

Hardware and Software Requirements

Processor Speed: 1.4 GHz P3
Memory: 256 MB RAM (20MB available)
Operating Systems Supported: Windows 7, 2000/XP, MAC
Browsers Supported: Internet Explorer 5.5 or greater, Mozilla Firefox and Safari 3.525 or greater
Additional Requirements: Flash player 8.0 or greater, 800x600 Resolution or higher with 32-bit color
Connection Speed: 128 Kbps or better
Adobe Acrobat: 6.0 or greater

Disclaimer

The opinions and recommendations expressed by faculty and other experts, whose input is included in this program are their own. This enduring material is produced for educational purposes only. Use of the Johns Hopkins University School of Medicine name implies review of educational format design and approach. Please review the complete prescribing information of specific drugs or combinations of drugs, including indications, contraindications, warnings and adverse effects before administering pharmacologic therapy to patients.

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I understand that while I am attending in this capacity, I may be exposed to "protected health information," as that term is defined and used in Hopkins policies and in the federal HIPAA privacy regulations (the "Privacy Regulations"). Protected health information is information about a person’s health or treatment that identifies the person.

I pledge and agree to use and disclose any of this protected health information only for the training and/or educational purposes of my visit and to keep the information confidential. I agree not to post or discuss this protected health information, including pictures and/or videos, on any social media site (e.g. Facebook, Twitter, etc.), in any electronic messaging program or through any portable electronic device.

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Reviewed & Approved by:
General Counsel, Johns Hopkins Medicine (4/1/03)
(Updated 4/09 and 3/14)

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NOTE: Please complete the Clinical Dialogue and the eCase Challenge before clicking the Post-Test button in order to claim full credit of this activity.
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