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Diabetes CME

Internal Medicine 2014 offered a rich program of courses in the area of Diabetes.

Diabetes for the Internist
Director: Diana B. McNeill, MD, FACP; Panelists: Manal F. Abdelmalek, MD, MPH; Matthew J. Crowley, MD; Lillian F. Lien, MD, Member; Melanie E. Mabrey, DNP, RN, ACNP-BC, BC-ADM; Heather E. Whitson, MD, MHS


Patients with Type 2 Diabetes: What Hemoglobin A1c Goal Am I Aiming For?

This course answers the following questions:

  • In which of my patients is a hemoglobin A1c goal of less than 7% attainable and desirable?
  • In which patients is a hemoglobin A1c not useful?
  • Is there a perioperative hemoglobin A1c goal?
  • What are the hemoglobin A1c goals for the elderly and chronic kidney disease and cardiovascular disease patients?

Professor: Guillermo E. Umpierrez, MD, FACP


How Sweet Is This?: Inpatient Management of Diabetes

This course answers the following questions:

  • What is the best evidence for inpatient glucose targets? Should targets be adjusted for age or specific disease processes?
  • Is there ever a role for oral treatment of diabetes in the hospital? What are the best insulin regimens for hospitalized diabetics? Is there a role for sliding scales?
  • How should we approach management of new diagnosis of type 2 diabetes in the hospital? What is the best inpatient and outpatient treatment choice? How do age and comorbid conditions affect the choice of initial treatment of type 2 diabetes?
  • How can we maximize safe transition to outpatient treatment for patients hospitalized for ketoacidosis, hyperglycemia, or treatment-related hypoglycemia?

Professor: Guillermo E. Umpierrez, MD, FACP


New Guidelines for Management of the Diabetic Foot

This course answers the following questions:

  • How should diabetic foot infections be evaluated?
  • Which patients require hospitalization and/or surgical consultation?
  • How should antibiotics be selected, and how should length of treatment be determined?

Professor: H. Gunner Deery II, MD, FACP, FIDSA, FSHEA


Osteoporosis: Controversies around Starting and Stopping Bisphosphonate Therapy

This course answers the following questions:

  • What are the indications for initiating bisphosphonate therapy, and what are the alternatives?
  • How can glucocorticoid-induced bone loss be minimized?
  • After how many years should a bisphosphonate be stopped? And in whom?
  • How should bone health be monitored when patients are off bisphosphonate treatment?
  • Under what conditions should restarting a bisphosphonate be considered?

Professor: Elizabeth A. Streeten, MD


Clinical Triad: Endocrinology for the Hospitalist

This course answers the following questions:

Segment A: Adrenal Insufficiency in the Ill and Preoperative Patient Learning Objectives:

1. Which patients should be considered at risk for adrenal insufficiency?

2. Which patients should receive empiric treatment for adrenal insufficiency? What is the preferred regimen?

3. Which patients should receive ACTH stimulation testing in the inpatient setting?

Segment B: Disorders of Calcium Learning Objectives:

1. What physical and ECG findings are attributable to hypercalcemia?

2. What is the best approach to inpatient treatment of hypercalcemia? What is the role of hydration, steroids, and calcitonin? How should bisphosphonates be used?

3. What evaluation is appropriate for inpatients diagnosed with hypocalcemia? When should IV calcium be given? When is it appropriate to use or transition to oral therapy, and which treatment is best?

Segment C: Acute Hyperthyroidism Learning Objectives:

1. What is the differential diagnosis for acute hyperthyroidism, and what is the appropriate approach to the diagnostic work-up of the hyperthyroid patient?

2. What is the best pharmacologic approach to signs and symptoms of hyperthyroidism?

3. When definitive therapy is indicated, what factors play a role in deciding between long-term pharmacotherapy and radioactive iodine treatment? When should surgery be considered?

Moderator: Andrea M. Porrovecchio, MD, FACP; Panelists: Hossein Gharib, MD, MACP; Colette M. Knight, MD; Lynnette K. Nieman, MD, FACP


Clinical Pearls: Infectious Diseases and Endocrinology CME
Moderator: Scott C. Litin, MD, MACP; Panelists: Diana S. Dean, MD; Pritish K. Tosh, MD

Visit www.playbackacp.com to purchase Webcasts and recordings of select sessions from Internal Medicine 2014.