Overview

The percentage of individuals with T2D achieving A1C <7% worsened from 2015-2018. Therapeutic inertia—failure to initiate or intensify treatment in a timely manner—is largely responsible for this problem. This program will support PCPs in overcoming therapeutic inertia through timely initiation and advancement of treatment with GLP-1 RAs. 

Learning Objectives

  • Implement T2D guidelines in the selection of individualized treatment approaches
  • Discuss the pathophysiology of T2D and the role of different classes of glucose-lowering agents in addressing the various aspects of T2D pathophysiology
  • Describe similarities and differences between GLP-1 RAs in terms of glycemic control, weight effects, side effects, and CV/renal benefits
  • Apply current evidence in the individualized selection of GLP-1 RAs in those with T2D to achieve glycemic goals safely

Faculty

Javier Morales, MD, FACP, FACE

Associate Clinical Professor of Medicine
Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
Hempstead, NY

Deborah Hinnen, APN, BC-ADM, CDCES, FAAN

Advanced Practice Nurse, Diabetes Clinic
University of Colorado Health
University of Colorado College of Nursing
Wichita State University Graduate Nursing Department
Colorado Springs, CO

Disclosures

The following relevant financial relationships have been disclosed by faculty, and all have been mitigated by Pri-Med Institute.

Javier Morales, MD, FACP, FACE: Speakers Bureau for Bayer, Boehringer Ingelheim, Eli Lilly and Company, Novo Nordisk, Inc., Advisory Board for Bayer, Boehringer Ingelheim, Eli Lilly and Company, Novo Nordisk, Inc., Consulting Fee for Bayer, Boehringer Ingelheim, Eli Lilly and Company, Novo Nordisk, Inc., Research for Novo Nordisk, Inc.

Debbie Hinnen, APN, BC-ADM, CDCES, FAAN:
Speakers Bureau for Eli Lilly and Company, Novo Nordisk, Inc., Sanofi, Consultant for Eli Lilly and Company, Novo Nordisk, Inc., Sanofi

Pamela Kushner, MD, FAAFP (moderator):
Speaker’s Bureau for Novo Nordisk Inc, Lilly, Boehringer, AstraZeneca, Advisory Board for Novo Nordisk Inc, AstraZeneca, Consulting Fee for Novo Nordisk Inc, AstraZeneca, Boehringer Ingelheim, Services Provided for Promotional Purposes for Novo Nordisk Inc, AstraZeneca, Boehringer Ingelheim

Non-faculty contributors and others involved in the planning, development, and editing/review of the content have no relevant financial relationships to disclose.

CME/CE Information

AMA PRA Category 1 Credits

Accreditation Statement

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


Designation Statement

Pri-Med Institute designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AANP

Accreditation Statement

This activity has been planned and implemented in accordance with the accreditation Standards of the American Association of Nurse Practitioners (AANP) through the joint providership of Pri-Med Institute and the Institute for Medical and Nursing Educations. Pri-Med Institute is accredited by the American Association of Nurse Practitioners as an approved provider of nurse practitioner continuing education. Provider Number 040308.


Designation Statement

This activity is approved for 1.00 contact hour of continuing education, which includes .75 hour of pharmacology.

Instructions for Obtaining Credit

Once you have completed the activity, please click the "next" button to advance to the post-activity assessment. To complete this activity and claim credit, you must answer 4 out of the 5 questions correctly. If you are not successful after your first attempt, you will be given an opportunity to reflect upon the answer rationales and have the opportunity to review the educational content before proceeding. Once you have selected your answers, click the "submit" button to complete the evaluation questions and proceed to the claim credit screen. For PAs, the NCCPA accepts for Category 1 CME credit activities designated for AMA PRA Category 1 Credit.

MOC Credit Information

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.00 Medical Knowledge MOC point in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. 


Commercial Supporter

Novo Nordisk, Inc.

Education Partner

Institute for Medical and Nursing Education


Fine Print

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The opinions, ideas, and recommendations expressed in this educational activity are those of the faculty only and are not necessarily endorsed by, nor do they necessarily reflect, those of their affiliated institutions, Pri-Med Institute, Pri-Med Institute Advisory Boards and Consultants, DBC Pri-Med, LLC.

Clinical judgment must guide each clinician in weighing the possible risks, benefits, or contraindications of any diagnostics, interventions or treatments discussed. Clinicians should review manufacturers’ product information and consider these with the recommendations of other authorities when applying the assessment and/or clinical management strategies discussed in this activity to the care of their patients. Data, indications, and guidelines presented in this activity are current as of the activity release date and they are subject to change as new information is published.

Pri-Med Institute educational activities are developed and conducted in accordance with the ACCME's Essential Areas and Policies. It is the mission of Pri-Med Institute to develop and present educational activities that are timely, fair-balanced, scientifically rigorous, and that serve to improve patient outcomes. To that end, we welcome your comments about how to better serve your needs.

Pri-Med Institute Accredited Provider
Pri-Med programs are owned and operated by DBC Pri-Med, LLC, a division of Diversified Communications, Inc. Pri-Med Institute, the accredited division of Pri-Med, is accredited with commendation by the ACCME and approved as a provider of continuing education by the AANP. Pri-Med Institute is the accredited provider for this activity.

Disclosures and Conflict of Interest
Pri-Med Institute requires all individuals in a position to influence educational content for Pri-Med Institute-certified CME/CE activities to disclose relevant personal financial relationships with commercial interests prior to contributing to its educational activities. Pri-Med Institute assesses disclosed relationships and follows a defined process to resolve real or implied conflicts to ensure, to the best of its ability, that all educational content is free of commercial bias. Financial disclosures are listed in the activity syllabus and will also be printed on the slides and announced at the start of each presentation.

Discussion of Off-Label Uses and Investigational Products
During the course of their presentations, the faculty may mention uses of products that have not been approved in the United States for the indication(s) being discussed. All presenters are instructed to notify participants when they are discussing unapproved uses or investigational agents. In addition, specific slides will include notation of the off-label use or investigational agent being discussed. Views presented related to unapproved uses of products are solely those of the presenter(s) and are not endorsed by Pri-Med Institute or DBC Pri-Med, LLC.

Questions? If you have questions about this activity, please email support@pri-med.com or call (877) 477-4633.