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Overweight 35-Year-Old African American Woman with Type 2 Diabetes Mellitus—Clinical Case 2

Overweight 35-Year-Old African American Woman with Type 2 Diabetes Mellitus—Clinical Case 2


Patient Case Study

Time to Complete

1.25 hours


March 24, 2017


June 1, 2020
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Maximum Credits

1.25 / AMA PRA Category 1 CreditTM
1.25 / CPEU for Registered Dietitians/Registered Dietetic Technicians

Accredited Provider

Provided by Haymarket Medical Education

Commercial Supporter

Supported by an educational grant from Atkins

Program Description

Type 2 diabetes mellitus (T2DM) is associated with myriad complications and comorbidites leading to multiple health, social, and economic burdens. Microvascular (diabetic nephropathy, neuropathy, and retinopathy) and macrovascular (coronary artery disease, peripheral arterial disease, and stroke) complications contribute to a decrease in life expectancy of up to 10 years compared with nondiabetic individuals. Aside from its direct medical costs, T2DM is associated with substantial indirect costs due to loss of productivity, absenteeism, and the need for early retirement. This interactive Case Clinic illustrates how a low-carbohydrate ketogenic diet that improves glycemic control can improve clinical outcomes, including a reduction in the need for medication to control diabetes and other cardiometabolic risk factors.

low carb, low carbohydrate, weight loss, obesity

Intended Audience

Primary care providers including family physicians, internists, OB/GYNs, endocrinologists, cardiologists, nurse practitioners (NPs), physician assistants (PAs), nurses, and dieticians

Educational Objectives

At the conclusion of this activity, participants should be better able to:

  • Apply individualized criteria to determine the optimal approach to weight loss with glycemic control in overweight or obese patients with type 2 diabetes mellitus (T2DM)
  • Explain the evidence base for use of a low-carbohydrate, ketogenic diet for weight loss and cardiometabolic risk factor reduction in T2DM
  • Utilize shared decision-making to help patients with T2DM successfully undertake sustainable lifestyle change
  • Implement a ketogenic diet and manage patients according established primary care metrics, including monitoring and adjustment of concomitant medications

Conflict Of Interest Disclosure Policy

In accordance with the ACCME Standards for Commercial Support, HME requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. HME resolves all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational activities.


Eric C. Westman, MD, MHS
Associate Professor of Medicine
Duke University School of Medicine
Director, Lifestyle Medicine Clinic
Duke University Health System
Durham, NC

Dr. Westman receives consulting fees from Invoy, Inc., and has ownership interest with HEAL Diabetes & Medical Weight Loss Clinics, and Adapt Your Life, Inc.

Accredited Provider Disclosure

Haymarket Medical Education staff involved in the planning and content review of this activity have no relevant financial relationships to disclose.




AMA PRA Category 1 Credit(s)TM

Accreditation Statement

Haymarket Medical Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

Haymarket Medical Education designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.




CPEU Credit

Accreditation Statement

The following activity has been approved by the ACCME, whose approval is recognized by the Commission on Dietetic Registration and, as such, RDs/DTRs will be able to receive 1.25 CPEU.

Disclosure of Unlabeled Use

This CME activity may or may not discuss investigational, unapproved, or off-label use of drugs. Participants are advised to consult prescribing information for any products discussed. The information provided in this CME activity is for continuing medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options for a specific patient's medical condition.


The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of Atkins and Haymarket Medical Education. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

If you have any questions relating to the accreditation of this activity, please contact


To obtain credit, a score of 70% or better on the post-test is required. This activity 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 post-test and evaluation, and have received a digital copy of your credit certificate. Your online certificate will be saved on myCME within your Profile/CME History, which you can access at any time.

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Hardware and Software Requirements
  • A computer with an internet connection
  • Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
  • 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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