Managing Diabetes and Hyperglycemia in the Hospital: Critically Ill and Surgical Patients

Diana Childers, MD, and Patricia Juang, MD

Based in part on the module, Managing Diabetes and Hyperglycemia in the Hospital by David Wesorick, MD and the module, Managing Diabetes and Hyperglycemia in the Hospital: Critically Ill and Surgical Patients by Diana Childers MD and Pedro Ramos MD

SUMMARY

Hospitalized patients with diabetes require specific medical management in order to minimize the risk of hyperglycemia. This requires hospitalists to have an understanding of methods for glycemic control in both the critically ill and noncritically ill patient. This module, which focuses on the critically ill hospitalized patient, is part of a 2-part series that will evaluate the current scientific evidence regarding glycemic control and discuss how to formulate preoperative and postoperative intensive care unit plans. In addition, a thorough review of the evidence for intraoperative glycemic control and a discussion of how to transition patients off of an insulin drip are provided.

GOAL

To provide hospitalists with up-to-date information about managing diabetes and hyperglycemia in the critically ill patient.

TARGET AUDIENCE

This activity is designed for hospitalists who manage the treatment of patients with diabetes and hyperglycemia. No prerequisites required.

LEARNING OBJECTIVES

After completing the module, the participant should be able to:

  1. Evaluate the current scientific evidence regarding glycemic control in the critically ill hospitalized patient, especially in the postoperative patient.
  2. Formulate a preoperative plan for patients with diabetes.
  3. Appraise the evidence for intraoperative glycemic control and make recommendations for intraoperative care.
  4. Formulate a postoperative intensive care unit treatment plan, including insulin drips and glucagon-like peptide-1 infusion.
  5. Summarize the indications and process to transition off an insulin drip, including computation of a subcutaneous insulin regimen.
Accreditation Statement

The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CME Statement Designation

The Society of Hospital Medicine designates this activity for a maximum of 2 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2.00 MOC points [and patient safety MOC credit] 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.

Conflict Of Interest Disclosure Policy

In accordance with the ACCME Standards for Commercial Support, SHM requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. SHM resolves all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs. All relevant financial relationships shall be disclosed to participants prior to the start of the activity.

Furthermore, SHM seeks to verify that all scientific research referred to, reported, or used in a continuing medical education (CME) activity conforms to the generally accepted standards of experimental design, data collection, and analysis. SHM is committed to providing its learners with high-quality CME activities that promote improvements in healthcare and not those of a commercial interest

INSTRUCTIONS

The following is an interactive educational module designed to help you gauge your basic knowledge of the topic and then direct you to areas you may need to focus on. It consists of several sections: an unaccredited pre-test, a study program, a post-test, & CME evaluation. All sections must be completed to receive CME credit.

Release date: June 18, 2018

Expiration date: June 18, 2021 

Estimated time to complete activity: 2 hours

Course summary
Available credit: 
  • 2.00 AMA PRA Category 1 Credit™
  • 2.00 ABIM MOC Self Evaluation Points
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2.00 MOC points [and patient safety MOC credit] 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
  • 2.00 Non-physician
Course opens: 
06/18/2018
Course expires: 
06/18/2021
Your cost:
$0.00
Parent activity set: 
Rating: 
0

The following relationships have been reported for this activity:

Leonard Feldman, MD, FACP, SFHM
Associate Professor of Medicine 
Johns Hopkins University School of Medicine 
Urban Health Residency and Track Director
Associate Program Director, Osler Medical Residency
Director, Comprehensive General Medicine Consult Service
Founding Editor-in-Chief, Consultative & Perioperative Medicine Essentials for Hospitalists
Baltimore, Maryland

Dr Feldman reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

Kurt Pfeifer, MD, FACP, SFHM
Professor of Medicine
General Internal Medicine
Medical Director, Froedtert and Medical College of Wisconsin Eye Institute Perioperative Services
Medical College of Wisconsin
Associate Editor-in-Chief, Consultative & Perioperative Medicine Essentials for Hospitalists
Milwaukee, Wisconsin

Dr Pfeifer reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

Diana Childers, MD, FHM
Associate Clinical Professor
Hospital Medicine
Methodist Le Bonheur Healthcare,
North Memphis, Tennessee

Dr Childers reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

Patricia Juang, MD
Assistant Clinical Professor
Department of Endocrinology and Metabolism
University of California, San Diego Medical Center
San Diego, California

Dr Juang reports having no relevant financial or advisory relationships with corporate organizations related to this activity.

Accreditation Statement

The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CME Statement Designation

The Society of Hospital Medicine designates this activity for a maximum of 2 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Available Credit

  • 2.00 AMA PRA Category 1 Credit™
  • 2.00 ABIM MOC Self Evaluation Points
    Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2.00 MOC points [and patient safety MOC credit] 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
  • 2.00 Non-physician

Accreditation Period

Course opens: 
06/18/2018
Course expires: 
06/18/2021

Price

Your cost:
$0.00
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