Diabetes and Obesity: Caring for the Whole Patient

Overview

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CME Guidance for Diabetes and Obesity Management

This innovative online video CME course tackles the rising challenge of obesity and diabetes — two closely connected conditions that need to be treated together. Through comprehensive and practical lectures, you can explore holistic approaches to patient care, combining evidence-based assessments with strategies for behavioral change in diverse clinical settings.

Diabetes and Obesity: Caring for the Whole Patient includes expert-led discussions on current and emerging medications and procedures that will help you tailor therapeutic plans for patients struggling with metabolic disease. It’s continuing medical education designed to foster an interdisciplinary approach to inclusive, equitable care that improves the health of your patients and their communities.

Topics / Speakers

Understanding the Link and Therapeutic Approach

Keynote – The Nature of Body Weight – What the Clinician Must Know - Lee Kaplan, MD, PhD

Cardiovascular Disease in Obesity and T2D - Jorge Plutzky, MD

The Spectrum of Kidney Disorders in Obesity and Diabetes - Sylvia Rosas, MD, MSCE

Cancer and Metabolic Syndrome - Jeffrey A. Meyerhardt, MD

Expert Panel – Diabetes, the Obesity and Major Comorbidities – How to Bring Knowledge to the Bedside - Marie McDonnell, MD; Caroline Apovian, MD; Vanita Aroda, MD; Sylvia Rosas, MD, MSCE; Jeffrey A. Meyerhardt, MD; Lee Kaplan, MD, PhD

The Fundamentals: Nutrition

Ultra-Processed Foods – What Are They and Can They Be Included as Part of a Healthy Diet? - Nancy Oliveira, MS, RD, LDN, CDCES

The Nutrition Prescription for People Living with Diabetes and Obesity - Janice MacLeod, MA, RD, CDCES, FADCES

Update on Vitamin D and Disease Prevention in Obesity - Anastasios Pittas, MD, MS

When Should We Eat? The Importance of Meal Timing for Metabolic Control - Frank A. J. L. Scheer, MD, PhD

Case Presentation & Expert Panel

Expert Panel and Question and Answers - Nancy Oliveira, MS, RD, LDN, CDCES; Janice Macleod, MA, RD, CDCES, FADCES; Meghan Ariagno, MBA, RD, LDN

Prescribing for Success: Medical Therapeutics for Metabolic Health

Why, When and How Should Obesity Medications be Prescribed? - Dong Wook Kim, MD

Exploration of Gut Hormone Drugs – Current Status and Pipeline - Vanita Aroda, MD

GLP-1 RA and GIP/GLP-1RAs for Metabolic Control & Risk Reduction - Lee-Shing Chang, MD

SGLT2 Inhibitors – Metabolic Effects and Risk Reduction - Silvio Inzucchi, MD

Expert Panel – Your Cases Discussed and Questions Answered - Dong Wook Kim, MD; Vanita Aroda, MD; Lee-Shing Chang, MD; Silvio Inzucchi, MD

Side Effects: The Real Deal

A Practical Approach to Counseling on GLP-1 Side Effects - Armen I. Yerevanian, MD

Incretin Therapies and the Pancreas – Evidence Review and Practical Points - Julia McNabb-Baltar, MD, PhD

GLP-1 Agonist Therapy and Thyroid Cancer - Erik Alexander, MD

Urination, Dehydration and Infection, Oh No! Practical Approach to Counseling on SGLT2i Side Effect Profile - Kristen Fowler, MSN, FNP-BC, CDE

Expert Panel – Your Cases Discussed and Questions Answered - Armen I. Yerevanian, MD; Julia Mc Nabb-Baltar, MD, PhD; Erik Alexander, MD; Kristen Fowler, MSN, FNP-BC, CDE

Patient Assessment: What Not to Miss in Comorbidities and Phenotypes

Keynote – Exploring the Link and Defining the Challenge – Diabetes and Obesity - Caroline Apovian, MD

Cardiac CT for Personalized Management of Patients with Type 2 Diabetes Mellitus - Rhanderson Cardoso, MD

Evaluating Sleep in Obesity and Diabetes - Lawrence Epstein, MD

MASH – Update on Screening and Treatment - Kathleen Viveiros, MD

Polycystic Ovary Syndrome in Obesity – Pearls and Pitfalls of Diagnosis and Management - Andrea Dunaif, MD

Expert Panel – Your Cases Discussed & Questions Answered: Comprehensive Multi-Morbidity Evaluation - Caroline Apovian, MD; Rhanderson Cardoso, MD; Lawrence Epstein. MD; Kathleen Viveiros, MD; Andrea Dunaif, MD

Addressing Barriers

Disparities in Diabetes Care and Outcomes - Nuha ElSayed, MD, MMSc

The Role of Racial Disparities in Outcomes – How to Address in the Clinic - Joshua Joseph, MD, MPH, FAHA

Depression in Obesity and Diabetes - Ashwini Nadkarni, MD

Management of Medication-Induced Weight Gain - Louis Aronne, MD, FACP, DABOM

Expert Panel – Your Cases Discussed and Questions Answered – Caring for the Whole Patient – Expanded Perspectives - Nuha ElSayed, MD, MMSc; Joshua Joseph, MD, MPH, FAHA; Ashwini Nadkarni, MD; Louis Aronne, MD, FACP, DABOM

Unique Diagnostic and Management Challenges

Recognizing Atypical Diabetes - Miriam Udler, MD, PhD

Lipodystrophy – How to Recognize in Your Practice - Lindsay Fourman, MD

“Double Diabetes” – Type 1 Diabetes with Overlap Features of Type 2 - Zeb Saeed, MD

Hypoglycemia - Devin Steenkamp, MD, MBChB

Expert Panel – Your Cases Discussed and Questions Answered - Recognizing and Assessing Unique Presentations - Miriam Udler, MD, PhD; Lindsay Fourman, MD; Devin Steenkamp, MD, MBChB

Technology and Your Patient

Wearable Devices to Achieve Clinical Targets – What Works? - John Jakicic, PhD

The Big Reveal – Use of Professional CGM in the Office to Identify Important Glycemic Patterns - Anna Goldman, MD

Self-Management with CGM – Selecting the Right Patient for Optimal Benefit - Grazia Aleppo, MD

The Ultimate Wearable – Exploring the Landscape of Automated Insulin Delivery - Melissa S. Putman, MD

Expert Panel – Your Cases Discussed and Questions Answered – Technology-Enhanced Person-Centered Care - Anna Goldman, MD; Grazia Aleppo, MD; Melissa S. Putman, MD

Treatment Strategies: Strategies and Expectations

Keynote – The Continuum of Obesity and Type 2 Diabetes – Revisiting Treatment Goals - Vanita Aroda, MD

Selecting Therapy for People with Diabetes - Marie McDonnell, MD

Medication Adherence in Chronic Disease - Niteesh Choudhry, MD, PhD

Self-management Technologies and mHealth for Adherence – Where Are We and Where Do We Need to Go? - Julie Lauffenburger, MD, PhD, PharmD

Engagement of Patients and Providers in Online Weight Management Programs - Heather Baer, ScD

Expert Panel – Your Cases Discussed & Questions Answered –Prescribing for Success - Vanita Aroda, MD; Marie McDonnell, MD; Niteesh Coudhry, MD, PhD: Julie Lauffenburger, MD, PhD, PharmD; Heather Baer, ScD

Activating Behavior Change in Your Patient – Motivational Interviewing Workshop - Joji Suzuki, MD

Procedural Therapies for Metabolic Diseases

Effects of Metabolic Surgeries on Obesity and Diabetes - Ali Tavakkoli, MD

The Current State of Non-Surgical Metabolic Procedures – The Future is Now – Christopher Thompson, MD, MSc, FAGA, GACG, GASGE, FJGS

Patient Selection and the Peri-op Process for Metabolic Surgery - Scott Shikora, MD, FACS, FASMBS

Expert Panel: Your Cases Discussed & Questions Answered: Procedural Approaches to Metabolic Conditions - Joji Suzuki, MD; Ali Tavakkoli, MD; Scott Shikora, MD, FACS, FASMBS; Christopher Thompson, MD, MSc, FAGA, GACG, GASGE, FJGS

Common Complications of Metabolic Surgery

Management Challenges after Bariatric Surgery – Postoperative Nutritional Management - Malcolm Robinson, MD

Glycemic Challenges After Metabolic Surgery - Mary Elizabeth Patti, MD

Weight Regain Following Bariatric Surgery - Nawfal Istfan, MD, PhD

Expert Panel – Your Cases Discussed & Questions Answered - Long Term Management Challenges Following Bariatric Surgery - Malcolm Robinson, MD; Mary Elizabeth Patti, MD; Nawfal Istfan, MD, PhD

Faculty

Accreditation

In support of improving patient care, Harvard Medical School 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.

AMA Credit Designation Statement

The Harvard Medical School designates this enduring material for AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABIM MOC Medical Knowledge MOC Points

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn Medical Knowledge MOC points 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 points.

Risk Management Credit

This activity meets the criteria of the Massachusetts Board of Registration in Medicine for .75 credits of Risk Management Study.

Please check your individual state licensing board requirements before claiming these credits.

Date of Original Release: TBD

Termination Date: TBD (Please note that AMA PRA Category 1 Credits™ will no longer be issued for the activity after this date)
Estimated Time to Complete the Activity: TBD

CME credit is awarded upon successful completion of a course evaluation and post-test.

ACGME Competencies

This course is designed to meet one or more of the following Accreditation Council for Graduate Medical Education Competencies:

• Patient Care and Procedural Skills
• Medical Knowledge
• Practice-Based Learning and Improvement

Disclosure Policy

Harvard Medical School (HMS) adheres to all ACCME Accreditation Criteria and Policies. It is HMS's policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that HMS may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.

Disclosure information for all individuals in control of the content of the activity is located on the disclosure statement in the PDF and printed syllabus.

Learning Objectives

Upon completion of this activity, participants will be able to:

• Review and interpret up-to-date literature relevant to clinical practice
• Apply current/recommended guidelines in clinical practice
• Perform up-to-date techniques to diagnose complex clinical problems
• Identify/integrate current therapeutic options for obesity and diabetes
• Deliver equitable care with respect to race, ethnicity, gender, disability status, sexual preference and gender orientation

Target Audience

This educational activity was designed for primary care physicians, nurses, nurse practitioners, specialty physicians, physician assistants, diabetologists, nephrologists, endocrinologists, cardiologists, bariatric surgeons, pediatricians, internists, dieticians, nutritionists, and social workers.