Current and Future State of Cardiovascular Disease and Type 2 Diabetes

This three-part series focuses on the optimal management of type 2 diabetes in the context of cardiovascular disease. The educational programs focus on current evidence-based practice for primary care clinicians treating patients as they progress from early-stage to advancing to late-stage disease.

Learning Objectives

Case 1
  • Discuss the epidemiology of prediabetes and diabetes
  • Review risk factors, screening tools and diagnostic criteria for prediabetes and diabetes
  • Describe the pathophysiology and complications of prediabetes
  • Analyze the relationship between prediabetes and cardiovascular disease
  • Develop and implement screening strategies for a patient presenting with prediabetes
  • Formulate an evidence-based treatment plan for patients with prediabetes including lifestyle and pharmacologic interventions 
Case 2
  • Discuss prevalence and associations of diabetes, cardiovascular disorders (CVD), and diabetic kidney disease (DKD)
  • Recognize diabetes as a CVD equivalent and accelerator
  • Review behavioral interventions for mitigating CVD and DKD risk in type 2 diabetes mellitus (T2DM)
  • Distinguish major drug classes and outcomes from cardiovascular outcome trials (CVOTs) related to impacts on glycemic control, CVD and DKD risk reduction in T2DM
  • Develop clinical strategies using CVOT drug classes to optimize glycemic goals and reduce CVD and DKD risk for patients with T2DM
  • Implement a team approach to diabetes care encouraging patient-centered diabetes self-management skills, education and support (DSMES)
Case 3
  • Review major risk factors for coronary artery disease, diabetic kidney disease and heart failure in patients with type 2 diabetes
  • Summarize the associations of type 2 diabetes, CVD and DKD and implications to the progression of cardiorenal syndrome (CRS) and CV mortality
  • Apply CVOT results to provide guidance on appropriate pharmacologic interventions for patients with advanced diabetes related complications
  • Analyze the impact of hypoglycemia in patients with advanced coronary artery disease and discuss techniques for mitigating risk of hypoglycemia
  • Employ tools and techniques to improve adherence and long-term chronic disease outcomes
     

Additional Information

Target Audience: 
Physician-in-practice
Nurse/Nurse practitioner
Physician assistant
Competency Area: 
Medical Knowledge
Topic Area: 
Diabetes and Glucose Metabolism
Level of Outcomes: 
Level 4 (Learning: Competence (Shows How))
Activity summary
Course opens: 
11/12/2020
Course expires: 
12/31/2021
Rating: 
0
DISCLOSURE POLICY

The faculty, committee members, and staff who are in position to control the content of this activity are required to disclose to the Endocrine Society and to learners any relevant financial relationship(s) of the individual or spouse/partner that have occurred within the last 12 months with any commercial interest(s) whose products or services are related to the CME content. Financial relationships are defined by remuneration in any amount from the commercial interest(s) in the form of grants; research support; consulting fees; salary; ownership interest (e.g., stocks, stock options, or ownership interest excluding diversified mutual funds); honoraria or other payments for participation in speakers' bureaus, advisory boards, or boards of directors; or other financial benefits. The intent of this disclosure is not to prevent CME planners with relevant financial relationships from planning or delivery of content, but rather to provide learners with information that allows them to make their own judgments of whether these financial relationships may have influenced the educational activity with regard to exposition or conclusion.

The Endocrine Society has reviewed all disclosures and resolved or managed all identified conflicts of interest, as applicable.

The following faculty reported no relevant financial relationships: Jonathan Weber, MA, PA-C

The following faculty reported  relevant financial relationships during the content development process for this activity: 

  • Jonathan Purnell, MD Consultant, Advisory Board Member, Novo Nordisk
  • Angela Thompson, DNP Consultant, Focus Group, Novo Nordisk
  • Jeff Unger, MD, FAAFP,  FACE Consultant, Speaker, Advisory Board Member, Primary Investigator, Novo Nordisk; Consultant, Advisory Board Member, Speaker, Abbott Diabetes; Speaker, Allergan

The following SPC Committee members reported financial relationships:

  • Andjela T. Drincic, MD: Advisory Board Member, Corcept
  • Sergio Fazio, MD, PhD: Consultant, Amarin, Amgen, Akcea, Aegerion, Esperion, Novartis
  • Angela M. Leung, MD: Speaker, Medical Education Resources, MCE Conferences, ATA Board Member
  • Amy Rothberg, MD: Spouse, consultant of Merck
  • Katherine Araque, MD: Speaker, Novo Nordisk; Advisory Board, Corcept

The Endocrine Society has reviewed these relationships to determine which are relevant to the content of this activity and resolved any identified conflicts of interest for these individuals.

The following SPC members reported no relevant financial relationships:

Beret Ann Casey, MD; Lorena Alarcon-Casas Wright, MD, Neena Natt, MD; Kelly Lauter Roszko, MD, PhD; Deborah Sellmeyer, MD; Savitha Subramanian, MD; Soleymani Taraneh, MD; Steven Weitzman, MD

The Endocrine Society staff associated with the development of content for this activity reported no relevant financial relationships.

DISCLAIMERS USE OF PROFESSIONAL JUDGMENT: The educational content in this activity relates to basic principles of diagnosis and therapy and does not substitute for individual patient assessment based on the health care provider’s examination of the patient and consideration of laboratory data and other factors unique to the patient. Standards in medicine change as new data become available.

DRUGS AND DOSAGES: When prescribing medications, the physician is advised to check the product information sheet accompanying each drug to verify conditions of use and to identify any changes in drug dosage schedule or contraindications.

POLICY ON UNLABELED/OFF-LABEL USE The Endocrine Society has determined that disclosure of unlabeled/off-label or investigational use of commercial product(s) is informative for audiences and therefore requires this information to be disclosed to the learners at the beginning of the presentation. Uses of specific therapeutic agents, devices, and other products discussed in this educational activity may not be the same as those indicated in product labeling approved by the Food and Drug Administration (FDA). The Endocrine Society requires that any discussions of such “off-label” use be based on scientific research that conforms to generally accepted standards of experimental design, data collection, and data analysis. Before recommending or prescribing any therapeutic agent or device, learners should review the complete prescribing information, including indications, contraindications, warnings, precautions, and adverse events.

PRIVACY AND CONFIDENTIALITY STATEMENT The Endocrine Society will record learner’s personal information as provided on CME evaluations to allow for issuance and tracking of CME certificates. The Endocrine Society may also track aggregate responses to questions in activities and evaluations and use these data to inform the ongoing evaluation and improvement of its CME program. No individual performance data or any other personal information collected from evaluations will be shared with third parties.

ACKNOWLEDGMENT OF COMMERCIAL SUPPORT This educational activity is supported by independent medical educational grants from Boehringer Ingelheim Pharmaceuticals, Inc., Lilly USA, LLC, and Novo Nordisk.

The Endocrine Society is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

AMA PRA Category 1 CreditTM

The Endocrine Society designates this Enduring activity for a maximum of 3 AMA PRA Category 1 Credits™, 1 Credit for the completion of each of the three case activities. Physicians should claim only the credit commensurate with the extent of their participation in the activity. While offering CME credits noted above, this program is not intended to provide extensive training or certification in the field.

Please note that while other accrediting bodies accept AMA PRA Category 1 credit, we can only award and report this credit for MDs/DOs. For those outside of this accreditation, please complete the participation evaluation and use that certificate as proof of attendance to submit to your accrediting body.

Maintenance of Certification (MOC)

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 3 points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program,1 Point for the completion of each of the three case activities. 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.