CME: Current Trends in Management of Blood Glucose in Type 2 Diabetes Mellitus
ACCREDITATION EXPIRED: August 20, 2013
Activity Description / Statement of Need:
In this online CME self-learning program:
Type 2 diabetes mellitus (T2DM), the sixth leading cause of death in the U.S., is directly responsible for more then 73,000 deaths annually and is a contributing factor in more than 220,000 deaths. More than 20 million Americans have diabetes of which 6 million are undiagnosed. It is the leading cause of kidney failure and blindness in adults. Evidence-based guidelines for the management of Type 2 diabetes focus on three areas: lifestyle changes (that include diet, exercise and weight loss); management of cardiovascular disease risk factors (including hypertension, dyslipidemia and microalbuminuria with the use of aspirin, statins and angiotensin-converting enzyme inhibitors or angiotensin receptor blockers); and management of blood glucose levels with pharmacotherapy.
The Consensus Statement of the American Diabetes Association and the European Association for the Study of Diabetes identified metformin, insulin and sulfonylureas as first-tier agents and GLP-1 agonist (exenatide) and thiazolidinediones (TZDs or glitazones) as second-tier agents for management of blood glucose levels. The amylin agonists, alpha-glucosidase inhibitors, glinides and DPP-4 inhibitors were not included in their two tiers of preferred agents, though they may be appropriate choices in selected patients. Partially in response to this Consensus Statement, the American Association of Clinical Endocrinologists and the American College of Endocrinology convened a consensus panel and issued their statement on glycemic control in Type 2 diabetes. In developing their treatment algorithm, they set as priorities minimizing the risk and severity of hypoglycemia and minimizing the risk and magnitude of weight gain. Consequently, the AACE/ACE Diabetes algorithm for glycemic control features a more prominent role for the DPP-4 inhibitors and amylin agonists due to impact on weight (DPP-4 – weight neutral; amylin agonists – weight loss) and their lack of hypoglycemia.
Target Audience:
This activity has been designed to meet the educational needs of Physicians, Nurses, Physician Assistants, Nurse Practitioners, Pharmacists and other health care professionals who are interested in managing patients with Type 2 Diabetes Mellitus (T2DM).
This program is supported by Educational Grants from Daiichi-Sankyo and Merck.
Release Date: August 20, 2011 -- Expiration Date: August 20, 2013
Faculty: Susan Cornell, BS, PharmD, CDE, FAPhA, FAADE
Agenda
Learning Objectives
By the end of the session the participant will be able to:
- Describe the similarities and differences between the two current treatment algorithms for the management of blood glucose levels in Type 2 diabetes
- Identify the medications that have a positive or negative impact on weight in each of the treatment algorithms
- Identify the medications that may cause hypoglycemia in each of the treatment algorithms
- Recognize the appropriate therapeutic choices in individual patients based on their demographic and clinical characteristics
Accreditation
Faculty Disclosure and Resolution of COI
As an provider of continuing medical education, it is the policy of ScientiaCME to ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. In accordance with this policy, faculty and educational planners must disclose any significant relationships with commercial interests whose products or devices may be mentioned in faculty presentations, and any relationships with the commercial supporter of the activity. The intent of this disclosure is to provide the intended audience with information on which they can make their own judgments. Additionally, in the event a conflict of interest (COI) does exist, it is our policy to ensure that the COI is resolved in order to ensure the integrity of the CME activity. For this CME activity, any COI has been resolved thru content review by ScientiaCME.
Faculty Disclosure: Susan Cornell, PharmD discloses that she is on the Professional Speaker's Bureau for Johnson & Johnson Diabetes Institute, Novo-Nordisk, Merck, Takeda, and Abbott Diabetes Care.
She has has performed consulting and/or honoraria received from: Editorial Advisory Board: The Kestrel Diabetes Product Sourcebook, Kestrel Health Information; Advanced Studies in Medicine: Endocrinology Advisory Board, Johns Hopkins;Speaker's Bureau for Johnson & Johnson Diabetes Institute, Novo-Nordisk, Merck, Takeda, and Abbott Diabetes Care.
Disclosures of Educational Planners: Steven Sachse is an officer and part owner of ScientiaCME, LLC. ScientiaCME has received grants from Bayer, Edwards Lifesciences, Eisai, Daiichi-Sankyo, Lilly, Merck, Pfizer, Sanofi Aventis, Wolf-Torey Medical.
Charles Turck, PharmD is an officer and part owner of ScientiaCME, LLC. ScientiaCME has received grants from Bayer, Edwards Lifesciences, Eisai, Daiichi-Sankyo, Lilly, Merck, Pfizer, Sanofi Aventis, Wolf-Torey Medical.
Commercial Support Disclosure: This program is supported by educational grants from Daiichi-Sankyo and Merck.
Instructions
- Read the learning objectives above
- Take the Pre-Test (optional). Completion of the pre-test will help us evaluate the knowledge gained by participating in this CME activity.
- View the online activity. You may view this is in more than one session, and may pause or repeat any portion of the presentation if you need to.
- Minimum participation threshold: Take the post-test. A score of 0% or higher is required to pass and proceed to the activity evaluation.
- Complete the activity evaluation and CME registration. A CE certificate will be emailed to you immediately.
System Requirements
Windows 7 or above
Internet Explorer 8
*Adobe Acrobat Reader
Mac OS 10.2.8
Safari or Chrome or Firefox
*Adobe Acrobat Reader
Internet Explorer is not supported on the Macintosh
*Required to view Printable PDF Version
Please take a few minutes to participate in the optional pre-test. It will help us measure the knowledge gained by participating in this activity.