Performance in Exercise and Knowledge (PEAK): Optimizing Physical Activity in Your Patients with Type 1 Diabetes
Med-IQ Select Med-IQ Select

Performance in Exercise and Knowledge (PEAK): Optimizing Physical Activity in Your Patients with Type 1 Diabetes


Med-IQ JDRF

Please choose a module from the options below. To receive credit and a certificate, you must complete all of the modules in this activity.

Welcome to this Med-IQ Select on optimising physical activity in people with type 1 diabetes. Med-IQ Select is a unique online educational offering that allows you to pick and choose the content you would like to view—in any order and at your convenience.

By clicking to continue below, you confirm that you have reviewed the CME information.


Fundamentals of Exercise Physiology and T1D

Time to complete: 40 minutes 






Complete all of the above modules to earn credit;
0 out of 5 modules complete


Maximum Credits:
3.0

Released: August 5, 2020

Expires: June 22, 2022


Overview: The JDRF Performance in Exercise and Knowledge (PEAK) programme is a unique outreach initiative that is making a life-changing difference for thousands of people with type 1 diabetes (T1D) who, prior to PEAK, had not received clear guidance on how they could safely pursue exercise. PEAK provides education on the environmental, dietary, and physiological elements that affect physical activity in those with T1D.

CME Information:

Faculty 
Ian Gallen, MD
Consultant Physician
Royal Berkshire FT and Community Diabetes Specialist
Berkshire West CCGs
United Kingdom

Joseph Henske, MD, FACE
Department Chair - Endocrinology, Diabetes, and Metabolism
DuPage Medical Group
Glen Ellyn, IL

Aaron J. Kowalski, PhD
President and CEO
JDRF
New York, NY

Lori Laffel, MD, MPH
Professor, Pediatrics
Harvard Medical School
Chief, Pediatric, Adolescent and Young Adult Section
Head, Section on Clinical, Behavioral and Outcomes Research
Joslin Diabetes Center
Boston, MA

Michael Riddell, PhD
Professor
School of Kinesiology and Health Science
Muscle Health Research Centre
York University
Toronto, Canada

Activity Planners
Sara C. Miller, MS, CPHQ
Director, QI Institute, CE Strategy and Content
Med-IQ
Baltimore, MD

Jaime Symowicz, PhD
Manager, Educational Strategy and Content
Med-IQ
Baltimore, MD

Learning Objectives
Upon completion, participants should be able to:

  • Describe the hormonal and metabolic responses to various types of exercise
  • Illustrate the mechanisms for the maintenance of euglycaemia as well as causes for hypoglycaemia and hyperglycaemia during and after exercise
  • Discuss management of insulin and nutrition required for different forms of exercise
  • Outline strategies for managing insulin and carbohydrate intake in order to minimize the risk of hypoglycaemia
  • Describe strategies for managing hyperglycaemia with aerobic activity in patients with T1D
  • Outline critical considerations when caring for patients with T1D who experience hyperglycaemia following aerobic exercise
  • Outline nutritional strategies for managing hypoglycaemia with aerobic activity in patients with T1D
  • Describe the potential impact of resistance exercise prior to aerobic exercise for patients with T1D who experience hypoglycaemia during/after aerobic exercise
  • Describe a common outcome associated with fear of hypoglycaemia among physically active patients with T1D
  • Describe modifications to insulin pump settings to avoid hypoglycaemia in patients with T1D beginning exercise programs

Target Audience
This activity is intended for the healthcare team caring for those living with type 1 diabetes, including diabetologists, adult and pediatric endocrinologists, primary care physicians, endocrinology advanced practice providers, pharmacists, nurses, dietitians, CDEs, and other healthcare professionals.

Statement of Need
Type 1 diabetes (T1D) is a challenging condition to manage for a number of physiological and behavioral reasons. Regular exercise is important to help people with T1D improve health and well-being, achieve target lipid profiles, improve body composition, and reach personal goals related to fitness and glycemic control. Integrating physical activity into daily life is challenging for anyone, but those with T1D face additional barriers related to the management of blood glucose levels before, during, and after exercise, including a fear of hypoglycaemia, which prevents many from starting exercise programs. People with T1D tend to be at least as inactive as the general population, with a large percentage of individuals not maintaining a healthy body mass and not achieving the minimum recommended weekly amount of moderate to vigorous aerobic activity. The PEAK program addresses the need for education on safely and successfully planning for and managing different types of activity with T1D.

Collaboration statement
This activity was developed by Med-IQ in collaboration with JDRF and Siyemi Learning.

Accreditation Statement
The Performance in Exercise and Knowledge (PEAK): Optimizing Physical Activity in Your Patients with Type 1 Diabetes, made available on www.PEAKT1D.org and organized by Siyemi Learning, is accredited by the European Accreditation Council for Continuing Medical Education (EACCME) to provide the following CME activity for medical specialists. Each medical specialist should claim only those credits that he/she actually spent in the educational activity. The EACCME is an institution of the European Union of Medical Specialists (UEMS). Only those e-learning materials that are displayed on the UEMS-EACCME website have formally been accredited.

Through an agreement between the European Union of Medical Specialists (UEMS) and the American Medical Association (AMA), physicians may convert EACCME credits to an equivalent number of AMA PRA Category 1 Credits™. Information on the process to convert EACCME credit to AMA credit can be found at www.ama-assn.org/education/earn-credit-participation-international-activities.

How to Earn CME Credit
To earn CME credit, read the introductory CME material, watch the videos, complete the evaluation, attestation, and post-test, answering at least 70% of the post-test questions correctly.

Initial Release Date: August 5, 2020
Expiration Date: June 22, 2022
Estimated Time to Complete This Activity: 3 hours

Financial Disclosures
Ian Gallen, MD, has no financial relationships to disclose.

Michael Riddell, PhD, has no financial relationships to disclose.

Aaron J. Kowalski, PhD, has no financial relationships to disclose.

Joseph Henske, MD, FACE
Fees received for promotional/non-CME activities: Dexcom, Inc., Novo Nordisk 

Lori Laffel, MD, MPH
Consulting fees/advisory boards: AstraZeneca, Boehringer Ingelheim Pharmaceuticals, Inc., ConvaTec, Dexcom, Inc., Insulet Corporation, Insulogic, Laxmi, Lifescan, Medtronic, Janssen Pharmaceuticals, Novo Nordisk, Roche Diagnostics, Sanofi-aventis U.S. Inc.

The Siyemi Learning staff, peer reviewers, and activity planners have no financial relationships to disclose.

Statement of Evidence-Based Content
As CME providers, Siyemi Learning and Med-IQ have a policy to review and ensure that all the content and any recommendations, treatments, and manners of practicing medicine in CME activities are scientifically based, valid, and relevant to the practice of medicine. Siyemi Learning is responsible for validating the content of the CME activities it provides. Specifically, (1) all recommendations addressing the medical care of patients must be based on evidence that is scientifically sound and recognized as such within the profession; (2) all scientific research referred to, reported, or used in CME in support or justification of a patient care recommendation must conform to generally accepted standards of experimental design, data collection, and analysis.

Neither Siyemi Learning nor Med-IQ is liable for any decision made or action taken in reliance upon the information provided through this activity.

Contact Information
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Disclaimer
The information provided through this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient’s medical condition.

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V1.0 This version is dated 6 July 2020

Acknowledgement of Commercial Support
This activity was supported by an educational grant from Novo Nordisk, Inc.

Copyright
© 2020 JDRF

 

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