• Overview
  • Activity
    • Intro
    • Laffel
    • Anderson
    • McLaughlin
    • Resources
  • Post-Test
  • Evaluation
  • Claim Credit
This CME Activity has expired and is no longer available for credit.
Handling the Hand-Off: Transitioning from Pediatric to Adult Diabetes Care

Handling the Hand-Off: Transitioning from Pediatric to Adult Diabetes Care

Format

Monograph

Time to Complete

1 hour

Released

September 28, 2012

Expires

January 31, 2013

Program Description

Recent studies predict that the number of individuals being diagnosed with type 1 diabetes annually will increase to 160,000 in 2020. Of greatest concern is the increasing incidence in younger children, concurrent with an epidemic of childhood obesity and growing numbers of children and adolescents being diagnosed with type 2 diabetes. This increase in the prevalence of diabetes during the childhood years means increasing numbers of young adults having to make the transition from pediatric to adult diabetes specialty care. If not handled systematically, this difficult transition can promote the development of poor self-care habits, including risky behaviors such as insulin restriction for weight control. The high rate of medical dropout seen during this transition corresponds with increased rates of acute and chronic complications seen in emerging adults. Therefore, the successful transition from pediatric to adult diabetes care settings is key to maintaining optimal health in young adults (ages 18–22).

Educational Objectives

After taking part in this educational activity, participants should be better able to:

  • Describe a systematic process to help prepare young adults (ages 18–30) to successfully transition to adult diabetes specialty practice

  • Identify the challenges to optimal diabetes management and glycemic control during the process of transition, overlapping the period of adolescence and emerging adulthood

  • Discuss emotional issues and high-risk behaviors to be addressed during the transition process

  • Identify the roles of primary care providers, healthcare teams, and families of young adults throughout the transition process

  • Apply a stepwise process in individual practice settings to facilitate responsible diabetes management and self-care

MEDIUM:


Web

Disclosure

Faculty
Barbara J. Anderson
, is on the DAWN Youth Advisory Board for Novo Nordisk Inc.

Kathleen A. Bratt, has no relevant financial relationships.

Dr. Lori M. Laffel, is on the speakers bureau for Johnson & Johnson, Novo Nordisk Inc., and sanofi-aventis U.S. LLC; is a consultant for Bayer and Bristol-Myers Squibb Company; is a consultant and on the speakers bureau for Abbott Diabetes Care, Inc., Eli Lilly and Company, The Menarini Group, and Roche Diagnostics; and is a consultant for and receives research/grant support from Medtronic MiniMed, Inc.

Sue McLaughlin, is on the advisory board for Intuity Medical, Inc.

Planning Committee
Dr. Richard S. Beaser
, is a consultant for CeQur Ltd.

Julie Brown, has no relevant financial relationships.

Carolé Mensing, is a consultant for Healthy Interactions, Inc., and Novo Nordisk Inc.

Cindy Pasquarello, has no relevant financial relationships.

Alissa R. Segal, was on the advisory board for Eli Lilly and Company in 2009.

CME Advisory Committee
Dr. Enrique Caballero
, 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, has no relevant financial relationships.

Dr. A. Patrick Egan, has no relevant financial relationships.

Anne E. Goebel-Fabbri, has no relevant financial relationships.

Dr. Osama Hamdy, is on the speakers bureau for Amylin Pharmaceuticals, Inc., Bristol-Myers Squibb Company, Merck & Co., Inc., Novo Nordisk Inc., and Takeda Pharmaceuticals North America, Inc.

Karen J. Kuc, has no relevant financial relationships.

James E. Neighbours, has no relevant financial relationships.

Dr. Euyiche Okeke, has no relevant financial relationships.

Dr. Kenneth J. Snow, has no relevant financial relationships.

Jonathan Scoble, has no relevant financial relationships.

Dr. Robert C. Stanton, has no relevant financial relationships.

Dr. Howard A. Wolpert, is a consultant for Abbott Diabetes Care, Insulet Corporation, Novo Nordisk, Inc. and Becton, Dickinson and Company.

Unapproved Product Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. Joslin Diabetes Center 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 Joslin Diabetes Center. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Disclaimer
The information presented in this activity is not intended to replace sound medical judgment or clinical decision-making, and the recommendations provided should be adapted to particular patient care situations, where more or less stringent interventions are necessary.

Privacy Policy
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To view the myCME privacy policy, please click here.

Faculty

Barbara J. Anderson, PhD
Professor of Pediatrics
Baylor College of Medicine
Associate Head of the Psychology Section
Texas Children's Hospital
Houston, TX

Kathleen A. Bratt, PNP, CDE
Program Moderator
Pediatric Nurse Practitioner
Joslin Diabetes Center Affiliate at Upstate Medical University
Syracuse, NY

Lori Laffel, MD, MPH
Associate Professor of Pediatrics
Harvard Medical School
Chief, Pediatric, Adolescent and Young Adult Section
Investigator, Genetics and Epidemiology Section
Joslin Diabetes Center
Boston, MA

Sue McLaughlin, RD, CDE, CPT
Adjunct Instructor and RD, CDE Staff Member
School of Allied Health Professionals
The Nebraska Medical Center
Omaha, NE

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

Carolé Mensing, RN, MA, CDE, FAADE
Manager for Clinical and Education Programs
Joslin Diabetes Center
Boston, MA
Past President, Health Care and Education, American Diabetes Association

Cindy Pasquarello, BSN, RN, CDE
Nurse Manager
Pediatric, Adolescent, and Young Adult Unit
Joslin Clinic
Boston, MA

Alissa R. Segal, PharmD, PhC, RPh, CDE
Associate Professor of Pharmacy Practice
Massachusetts College of Pharmacy & Health Sciences
Clinical Pharmacist
Joslin Diabetes Center
Boston, MA

*Also on the CME Advisory Committee

CME Advisory Committee:
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 J. Kuc
Assistant Director, Grants and Projects
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

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

Accredited Provider

This program is sponsored by the Joslin Diabetes Center.

Commercial Supporter

This activity is supported by an educational grant from Eli Lilly and Company.

Intended Audience

Target audience include primary care physicians, physician assistants, nurses, nurse practitioners, diabetes nurse educators, dieticians, pharmacists, and other allied healthcare professionals treating young patients with type 1 diabetes.

Credit

1.00

Type

AMA PRA Category 1 Credit(s)TM

Accreditation Statement

The Joslin Diabetes Center, Boston, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation Statement

Joslin Diabetes Center designates this educational activity for a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Instructions

1. Read the learning objectives, accreditation information, and faculty disclosures at the beginning of the activity.
2. Read the text and view the slides.
3. Complete the posttest and evaluation.
4. Physicians who receive a grade of 70% or better on the posttest and who complete the evaluation will receive immediate CME credit.
5. All other participants who receive a grade of 70% or better on the posttest and who complete the evaluation will receive a certificate of participation.

If you have any questions relating to the accreditation for this activity, please contact cme@joslin.harvard.edu.

If you have any questions relating to your certificate or other issues with this activity, please contact myCME.Support@haymarketmedical.com.

SYSTEM REQUIREMENTS

Hardware and Software Requirements
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  • Additional Software: Adobe Flash Player and/or an HTML 5 capable browser maybe required for video or audio playback. PowerPoint or Adobe Acrobat Reader may occasionally be required
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