Harvard Diabetes and Obesity: Patient-Centered Management

Overview

Diabetes and Obesity Management Online CME

This unique online video CME course — a response to the burden of diseases driven by obesity and diabetes — is designed to help you manage these two conditions holistically, with an eye toward the health of both your patients and their communities.

Expert faculty from Harvard Medical School and other leading institutions guide you through evidence-based patient assessment, methods to support behavioral modification in different care settings, and tailoring of both medical and procedural therapeutics for those struggling with metabolic disease.

Diabetes and Obesity: Patient-Centered Management is available online so you can earn continuing medical education credits whenever, wherever. It will help you to better:

• Identify and integrate current therapeutic options for obesity and diabetes
• Apply current and recommended guidelines
• Deliver equitable care with respect to race, ethnicity, gender, disability status, sexual preference, and gender orientation

Topics / Speakers

Laying the Groundwork: Facilitating Behavioral Change and Wellness

Keynote Lecture – Exploring the Link and Defining the Challenge – Diabetes and Obesity - Caroline M. Apovian, MD, FACN, FACP, FTOS, DABOM

Science of Behavior Change - Michael Vallis, BSc (Hns), MA, PhD R Psych

Fundamentals of Nutrition Therapy - Nancy L. Oliveira, MS, RD, LDN, CDCES

Expert Panel – Your Cases Discussed and Questions Answered – Behavioral Change and Wellness - Caroline M. Apovian, MD, FACN, FACP, FTOS, DABOM - Moderator

Talking to Your Patient About Eating

Maladaptive Patterns of Eating in Individuals with Obesity and Diabetes - Marc C. O’Meara, RD, LD, CDE

Just Tell Me What to Eat and I Will Do it This Time – Moving From Diet to Durable Lifestyle Change - Megan A. McCrory, PhD

When Should I Eat – Exploring Whether the Timing of Meals is Important for Weight Control - Courtney M. Peterson, PhD, MASt, MSc, MS

But I Have Diabetes – Will This Diet Work for Me? – Tailoring Healthy Eating to the Person with Diabetes - Melinda D. Maryniuk, RDN, MEd, CDCES, FADA

Expert Panel – Your Cases Discussed and Questions Answered – All About Eating - Nancy L. Oliveira, MS, RD, LDN, CDCES - Moderator

Targeted Behavior Change: Prevention

Let's Talk Prevention – Childhood Obesity - Amy D. Fleischman, MD, MMSc

Cardiovascular Disease in Obesity and T2D – Evidence and Strategies for Prevention - Jorge Plutzky, MD

Impacting the Life Course – Prevention of Type 2 Diabetes in Women with Prior GDM - Ellen Seely, MD

Expert Panel – Your Cases Discussed and Questions Answered – Let's Talk Prevention - Caroline M. Apovian, MD, FACN, FACP, FTOS, DABOM - Moderator

Motivational Interviewing - Joji Suzuki, MD

What Not to Miss: Comorbidities and Unique Patient Characteristics

Keynote – Beyond the Gut – The Impact of Dysmetabolism Across the Lifespan - Lee Kaplan, MD, PhD

Comprehensive Assessment of People with Diabetes and Obesity - Marie E. McDonnell, MD

Effective Use of Cardiovascular Imaging to Evaluate CV Risk - Ron Blankenstein, MD

The Spectrum of Kidney Disorders in Obesity and Diabetes - David B. Mount, MD, FRCPC

Evaluating Sleep in Obesity and Diabetes - Lawrence J. Epstein, MD

Expert Panel – Your Cases Discussed and Questions Answered – Comprehensive Multi-Morbidity Management - Vanita Aroda, MD - Moderator

Nonalcoholic Steatohepatitis (NASH) – An Update on Screening and Treatment - Kenneth Cusi, MD, FACP, FACE

Psychiatric Complications in Diabetes - Ashwini Nadkarni, MD

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

Expert Panel – Your Cases Discussed and Questions Answered – Caring for the Whole Patient – Expanded Perspectives - Vanita Aroda, MD - Moderator

Recognizing Atypical Diabetes - Miriam Udler, MD, PhD

Lipodystrophy – How to Recognize in your Practice and How to Assess and Treat - Elif Oral, MD

Managing the Patient with Type 1 Diabetes and Obesity - Adriana Gonzalez, MD

Expert Panel – Your Cases Discussed and Questions Answered – Recognizing and Assessing Unique Presentations - Vanita Aroda, MD - Moderator

Key Technologies in the Toolbox

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

Self-management with CGM – Selecting the Right Patient for Optimal Benefit - Charles McKitrick, MSN, RN, CDCES

Would My Patient Do Better On An Insulin Pump – Insulin Pump Therapy in the Patient with Obesity - Devin W. Steenkamp, MD

Expert Panel – Your Cases Discussed and Questions Answered – Technology – Enhanced Person – Centered Care - Vanita Aroda, MD - Moderator

Patient-Tailored Therapeutics for Managing the Patient with Diabetes and Obesity

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

Prescribing for Success: Medical Therapy for Weight and Metabolic Control

Weight Impact of Medications Commonly Prescribed in the Care of the Patient with Metabolic Disease - Louis J. Aronne, MD, FACP, FTOS, DABOM

A Closer Look at GLP-1 Ras for Metabolic Control in Patients with Diabetes - Carol H. Wysham, MD

A Closer Look at SGLT2 Inhibitors for Metabolic Control - Lee-Shing Chang, MD

Why, When, and How Should Obesity Medications Be Prescribed - Caroline M. Apovian, MD, FACN, FACP, FTOS, DABOM

Expert Panel – Your Cases Discussed and Questions Answered - Procedural Approaches to Metabolic Conditions - Marie E. McDonnell, MD - Moderator

Procedural Therapies for Metabolic Disease

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

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

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

Expert Panel – Your Cases Discussed and Questions Answered – Prescribing for Success - Marie E. McDonnell, MD - Moderator

Management Challenges After Bariatric Surgery

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

Glycemic Challenges After Metabolic Surgery - Mary Elizabeth Patti, MD

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

Expert Panel – Your Cases Discussed and Questions Answered – Long-term Management Challenges Following Bariatric Surgery - Marie E. McDonnell, MD - Moderator

Achieving Long-term Success: Barriers and Tools

Adherence to Therapy in Chronic Disease - Niteesh Choudhry, MD, PhD

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

Connected Health and the Future of Chronic Disease Management - Naomi Fisher, MD

Expert Panel – Your Cases Discussed and Questions Answered – Achieving Long-term Success - Marie E. McDonnell, MD - Moderator

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 a maximum of 22.25 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 up to 22.25 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: April 1, 2023

Termination Date: March 31, 2026 (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: 22.25 hours

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

Primary care physicians, physician assistants, nurses, nurse practitioners, specialty physicians, diabetologists, nephrologists, endocrinologists, cardiologists, bariatric surgeons, pediatricians, internists, dieticians, nutritionists, social workers.