The progressive nature of type 2 diabetes mellitus (T2DM) requires that clinicians recognize when oral glucose-lowering agents (GLAs) can no longer provide optimal blood glucose (BG) management and other treatment options should be introduced. Basal insulin suppresses hepatic glucose production to maintain BG levels overnight and between meals. It can easily be added to metformin and other GLAs, and it may be the best option for many individuals with T2DM. This case-based activity explores identification of patients with T2DM who are good candidates for basal insulin; characteristics of available basal insulins; selection and titration of basal insulin to meet individual needs, goals, and preferences; and adjustment of basal insulin therapy to address BG control challenges.
Interactive case studies
After completing this activity, participants should be better able to:
- Recognize when basal insulin is the preferred option for improving glycemic control in patients with T2DM
- Consider basal insulin characteristics in the context of patient needs and preferences when identifying treatment options for patients with T2DM
- Initiate and titrate basal insulin therapy to achieve individualized BG targets in patients with T2DM
- Use BG data to identify glucose control challenges, and adjust therapy for the safe and effective use of basal insulin therapy in patients with T2DM
NPs and PAs
CNE Credit Designation Statement
Continuing Nursing Education Provider Unit, Boston University School of Medicine is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.
This educational activity has been provided by Continuing Nursing Education Provider Unit, Boston University School of Medicine and jointly provided by Practicing Clinicians Exchange.
Contact hours: 1.00, which are eligible for 1.00 pharmacology credit
Course director: Jason Worcester, MD, Boston University School of Medicine
CNE course advisor: Claire Murphy, MSN, NP-C, Boston University School of Medicine
AAPA Credit Designation Statement
In support of improving patient care, this activity has been planned and implemented by Continuing Education Alliance and Boston University. Continuing Education Alliance is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Continuing Education Alliance has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.00 AAPA Category 1 CME credits. Approval is valid until November 12, 2020. PAs should only claim credit commensurate with the extent of their participation.
This activity was developed from a series of programs cosupported by educational grants from Astellas Pharma, Inc.; Biogen; Genentech; Gilead Sciences, Inc.; Novartis Pharmaceuticals Corporation; and Novo Nordisk, Inc.
This activity is supported by an educational grant from Novo Nordisk, Inc.
Practicing Clinicians Exchange gratefully acknowledges the Institute for Medical and Nursing Education for their contributions as an educational partner for this program.
The opinions or views expressed in this continuing education activity are those of the faculty and do not necessarily reflect the opinions or recommendations of the American Academy of Physician Assistants, Boston University School of Medicine, Continuing Education Alliance, Practicing Clinicians Exchange, or any educational supporter.
THIS CONTINUING MEDICAL EDUCATION PROGRAM IS INTENDED SOLELY FOR EDUCATIONAL PURPOSES FOR QUALIFIED HEALTH CARE PROFESSIONALS. IN NO EVENT SHALL BOSTON UNIVERSITY BE LIABLE FOR ANY DECISION MADE OR ACTION TAKEN IN RELIANCE ON THE INFORMATION CONTAINED IN THE PROGRAM. IN NO EVENT SHOULD THE INFORMATION CONTAINED IN THE PROGRAM BE USED AS A SUBSTITUTE FOR PROFESSIONAL CARE. NO PHYSICIAN-PATIENT RELATIONSHIP IS BEING ESTABLISHED.
Boston University School of Medicine asks all individuals involved in the development and presentation of Continuing Medical Education (CME) activities to disclose all relevant relationships with commercial interests. This information is disclosed to CME activity participants. Boston University School of Medicine has procedures to resolve any apparent conflicts of interest. In addition, faculty members are asked to disclose when any discussion of unapproved use of pharmaceuticals and devices is being discussed.
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the US Food and Drug Administration.
Ms Kruger: advisory board: Abbott, Dexcom, Intarcia, Janssen, Lilly, Merck, Novo Nordisk, Sanofi Aventis; grants/research support: Abbott, Dexcom, Helmsley Foundation, Lexicon, Novo Nordisk; speakers bureau: Abbott, AstraZeneca, Boehringer Ingelheim/Lilly, Dexcom, Insulet, Janssen, Lilly, Novo Nordisk, Valeritas; stock: Dexcom.
The Planning Committee for this activity included Claire Murphy, MSN, NP-C, Carmela A. Townsend, DNP, MS/MBA, RN, Jason Worcester, MD, Jody Walker, MS, and Julie L. White, MS, of Boston University School of Medicine; Lawrence Herman, MPA, PA-C, of the University of South Carolina School of Medicine; Kimberly McFarland, PhD, Sanam Mirza, MD, Katie Fidanza, and Amy Groves of the Institute for Medical and Nursing Education; and Ruth Cohen and Craig Borders of Practicing Clinicians Exchange. None of the aforementioned members of the Planning Committee have any relevant relationships to disclose, except Mr. Herman as noted above.
Participants wishing to earn CE/CME credit must:
- Read the content
- Relate the content material to the learning objectives
- Complete the post-test and evaluation form online
Successful completion of the post-test is required to earn CE/CME credit. Successful completion is defined as a cumulative score of at least 70%.
The estimated time to complete this activity is 1.00 hour.
Release date: November 12, 2019
Expiration date: November 11, 2020
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