Adjusting Insulin in Patients With Dosing Concerns: Using Evolving Basal Insulins to Enhance Adherence
Vivian Fonseca, MD
Professor of Medicine and Pharmacology
Assistant Dean for Clinical Research
Tullis Tulane Alumni Chair in Diabetes
Chief, Section of Endocrinology
Tulane University Health Sciences Center
New Orleans, LA
Timothy S. Reid, MD
Mercy Diabetes Center
Jaime Symowicz, PhD
Manager, Educational Strategy and Content
Kathryn Schaefer, MSN, RN, CPHRM
Senior Manager, Accreditation and Compliance
East Lansing, MI
Upon completion, participants should be able to:
- Evaluate the potential benefits and limitations of long-acting basal insulin for patients with adherence-related challenges
This activity is intended for family practice physicians, general practice physicians, internal medicine physicians, primary care physicians, nurse practitioners, physician assistants, and nurses.
Statement of Need
Data reported in the 2017 National Committee for Quality Assurance State of Health Care Quality Report show that between 23.3% (Medicare) and 43.3% (Medicaid) of patients with diabetes have HbA1C levels above 9%. Although insulin therapy has been demonstrated to improve glycemic control in individuals with type 2 diabetes, its initiation and intensification are frequently delayed as a result of both clinician- and patient-related barriers. To overcome these challenges, clinicians need to first identify their patient’s concerns about starting or advancing insulin. This information can help them select appropriate regimens to encourage treatment adherence and realize glycemic goals. A basal insulin analog is often the first insulin formulation recommended because of its convenient initial dosing schedule and low risk of hypoglycemia, but clinicians should also be aware of new formulations of long-acting basal insulins when individualizing their patient’s insulin regimens.
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Instructions to Receive Credit
To receive credit, read the introductory CME/CE material, watch the webcast, and complete the evaluation, attestation, and post-test, answering at least 70% of the post-test questions correctly.
Initial Release Date: December 6, 2018
Expiration Date: December 5, 2019
Estimated Time to Complete This Activity: 15 minutes
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Vivian Fonseca, MD
Consulting fees/advisory boards: Bayer HealthCare Pharmaceuticals, Boehringer-Ingelheim Pharmaceuticals, Inc.
Contracted research: Asahi Kasei Pharma Corporation, AstraZeneca, Eli Lilly and Company, Intarcia Therapeutics, Inc., Novo Nordisk, Sanofi Genzyme, Takeda Pharmaceuticals North America, Inc.
Timothy S. Reid, MD
Consulting fees/advisory boards: AstraZeneca, Intarcia Therapeutics, Inc., Janssen Pharmaceuticals, Inc., Novo Nordisk, Sanofi Genzyme
Fees received for promotional/non-CME activities: Janssen Pharmaceuticals, Inc., Novo Nordisk, Sanofi Genzyme
The peer reviewers and activity planners have no financial relationships to disclose.
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This activity is supported by an educational grant from Sanofi US.
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