OBJECTIVES: Upon completion of this activity, the participant should be able to: 

1. Explain normal insulin physiology
2. Recognize how different insulin formulations can be used to correct abnormal glucose levels
3. Discuss how to use patient history, HgbA1c, weight, and initial glucose levels to estimate initial inpatient insulin treatment
4. Formulate initial inpatient insulin treatment with physiological balance of basal, nutritional, and correction scale insulin
5. Determine correction insulin scale based on total daily insulin dose (TDD)
6. Apply percentage changes in insulin doses to refine management
7. Discuss how to adjust insulin treatment for steroid therapy and chronic kidney disease
8. Determine discharge regime for glucose management based on historic outpatient control, inpatient insulin response, and patient socioeconomic considerations

SPEAKER DISCLOSURE: Dr. Anthony Keith Cryar has no relevant financial relationship(s) with companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

PLANNER DISCLOSURE: Douglas Bretzing, DO and Lydia Sutherlun, MD have no relevant financial relationship(s) to disclose with companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

ACCREDITATION: The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

DESIGNATION:  The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABIM MOC:  Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program.  It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

For information, please contact [email protected]