Case 1: A 19-Year-Old Latina College Student With T2DM and Obesity

Program Description:

Maintaining glycemic control is difficult enough, but even more challenging with obesity—and a diet of mostly college cafeteria fare.

INTENDED AUDIENCE:

Primary care physicians (PCPs), nurse practitioners (NPs), and physician assistants (PAs)

Activity Objectives:

After participating in this activity, participants should be better able to:

• Initiate insulin therapy early and educate patients about the importance of regular A1C monitoring and medication adherence.


• Explain the potential micro‐ and macrovascular damage, cardiovascular risk, and diminution of beta‐cell function associated with elevated glucose levels.


• Identify barriers that exist in practice—including cultural, ethnic, and racial differences—that discourage clinicians and patients from initiating insulin therapy, and devise solutions for overcoming these obstacles.



Credits	Type	Accreditation Statement	Designation Statement
0.50	AMA PRA Category 1 Credit(s)TM	Albert Einstein College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.	Albert Einstein designates this enduring activity for a maximum of 0.50 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Faculty:

Case 1 Faculty
Jaime A. Davidson, MD, FACP, MACE
Clinical Professor of Medicine
Division of Endocrinology
University of Texas, Southwestern Medical Center
Dallas, TX

Program Chair
John E. Gerich, MD
Professor Emeritus
Department of Medicine, Endocrine/Metabolism
University of Rochester Medical Center
Rochester, NY

CME Course Advisor
Daniel Thomas Stein, MD
Associate Professor, Department of Medicine (Endocrinology)
Albert Einstein College of Medicine
Bronx, NY

Disclosures:

Faculty Disclosures
John E. Gerich, MD, is a consultant and member of the speakers’ bureau for Boehringer Ingelheim, Bristol-Myers Squibb/AstraZeneca, Eli Lilly, and Merck. He is also a consultant for Johnson & Johnson.

Jaime A. Davidson, MD, FACP, MACE, is a member of the advisory boards of AstraZeneca, Bristol-Myers Squibb, Eli Lilly, Johnson and Johnson, Merck Sharp & Dohme, Novo Nordisk, and Roche; and member of the speakers' bureau for Eli Lilly and Novo Nordisk. He is a consultant for Animas and a speaker for Merck-Serono and Novartis.

Accreditor Disclosures
Daniel Thomas Stein, MD, has nothing to disclose.

The staff of the Center for Continuing Medical Education of Albert Einstein College of Medicine has nothing to disclose relative to this CME activity.

Publishing Staff Disclosures
Melissa Johnson, Marjorie Hale, and Suzanne Bujara, Haymarket Medical Education (HME), have nothing to disclose with regard to commercial support.

Disclosure of Unlabeled Use
This educational activity may contain discussion of approved and/or investigational uses of agents that are not indicated by the FDA. Albert Einstein College of Medicine of Yeshiva University, Lilly USA, LLC, and HME, do not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of Albert Einstein College of Medicine of Yeshiva University, Lilly USA, LLC, and HME. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Disclaimer
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

This program is sponsored by Albert Einstein College of Medicine of Yeshiva University.



If you have any questions relating to the accreditation of this activity, please contact Mildred Adighiuzor at Albert Einstein College of Medicine of Yeshiva University at 718-920-6674.

Supported by an educational grant from Lilly USA, LLC.



Produced by Haymarket Medical Education.



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Instructions:

To obtain credit, a score of 70% or better is required. This CE is offered at no cost to participants. Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the posttest survey, and have received your digital copy of your credit certificate. Your online certificate will be saved on myCME.com within your Profile/Exam History, which you can then access at any time.

SYSTEM REQUIREMENTS:

WINDOWS PC SYSTEM REQUIREMENTS:
266-MHz Pentium II; Windows 98 or higher; 64 MB RAM; 800 x 600 screen resolution set for “High Color (16-Bit)”; Macromedia Flash Player 6 or higher.

MACINTOSH^® SYSTEM REQUIREMENTS:
Power Mac g3 at 300 MHz; System 8.5 or higher (excluding Mac OSX); 96 MB RAM; 20 MB minimum hard disk space available; 800 x 600 screen resolution set to “Thousands of Colors”; Macromedia Flash Player 6 or higher.