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On Demand

2024 Upper Midwest Osteopathic Health Conference: Diabetes Spotlight


Total Credits: 4.5 including 4.5 AOA Category 1-A Credit(s)

Average Rating:
Not yet rated
State Associations:
IOMA - Iowa
Faculty:
Jennifer Thompson, D.O. |  Sarah FitzPatrick |  Tim Holcomb, DPM |  Amy Martin |  Gregory Kosters |  Teck Khoo, MD, FACE
Duration:
5
Expiration:
Never Expires.


Description

Breakthroughs in Treatment of Diabetic Kidney Disease
Jennifer Thompson, DO

This session will cover recent innovations in insulin therapies including the advent of ultra-rapid acting insulins such as Fiasp and Lyumjev, and discuss outcomes of the ONWARDS trial series evaluating once weekly insulin icodec which is under review for approval with the Food & Drug Administration.

Objectives:

  • Describe the differences in formulation between ultra-rapid acting insulin analogues and their rapid-acting comparator products.
  • Discuss the findings of the ONWARDS trial series evaluating once weekly insulin icodec.
  • Reconstruct a patient’s insulin regimen appropriately when insurance coverage necessitates a change in insulin products.

Disclosure: Dr. Thompson does not have any financial disclosures.

 

Innovations in Insulin Therapy: From Ultra-Rapid to Ultra-Long Acting
Sarah FitzPatrick, PharmD, BCACP

We will discuss the use of SGLT2 inhibitors for prevention and treatment of diabetic and non-diabetic kidney disease.  I will review the recommendations provided in the consensus report written by the ADA and KDIGO. 

Objectives:

  • Review of indications for SGLT2i
  • Review contraindication and GFR limits for SGLT2i use
  • Review new recommendations for treatment of diabetic kidney disease

Disclosure: Dr. Fitzpatrick does not have any financial disclosures

 

The Diabetic Foot: Comprehensive Review
Tim Holcomb, DPM

The Diabetic foot is reviewed, including the risks associated with, various complications, prevention, and treatment.

Objectives:

  • Recognize complications of Diabetes in regards to the human foot and ankle.
  • Understand Diabetic foot infections and the associated risks.
  • Describe Charcot Foot Deformities and classifications.
  • Differentiate between the Diabetic vascular foot, neuropathic foot, low risk foot.

Disclosure: Dr. Holcomb does not have any financial disclosures

 

Leveraging Continuous Glucose Monitoring and Individualized Approaches for Improved Patient Outcomes
Amy Martin, RN, BSN, CDCES

Continuous Glucose Monitoring has improved knowledge, data availability, and glucose control for many patients with diabetes, but continues to be an underutilized resource. We will discuss coverage, ordering, and interpretation of data to improve patient care. 

Objectives:

  • Identify blood glucose goals outlined by ADA and AACE
  • Recognize accuracy concerns with BG testing
  • Understand method of CGM testing
  • Recognize how to identify trends on glucose reports
  • Identify patients who qualify for CGM use
  • Understand ordering process for CGM

Disclosure: Amy Martin does not have any financial disclosures

 

Diabetes Performance Measures
Gregory Kosters, DO

A significant portion of our population lives with chronic conditions. Diabetes is one of the major chronic conditions we a osteopathic physicians manage. Performance measures for chronic conditions such as diabetes have been in development for over a decade and are now being used to guide not only how we manage diabetes, but how we are evaluated in our efforts as clinicians in improving the health of patients with diabetes.

This presentation will discuss the development of quality measures, how they are being used, and what osteopathic physicians should know about how we are being measured in our management of this chronic disease. At the same time, some diabetes clinical "toolkits" will be presented to help physicians achieve quality measurement goals

Objectives: Attendees will be able to understand:

  • The concept of population health and how it relates to improving the health of patients
  • The rationale of use of clinical measures of quality to assess provider performance
  • How the use of quality measures affects our work flow as clinicians
  • How to integrate the use of quality measures into the holistic view of patient care
  • How proper documentation of clinical quality measures affect reimbursement

Disclosure: Dr. Kosters does not have any financial disclosures

 

Incretin-Based Therapy for Type 2 Diabetes
Teck Khoo, MD, FACE

This session aims to provide some updates and clarity on the usage of incretin-based therapy in type 2 diabetes.

Objectives:

  • Brief review of pathophysiology behind type 2 DM
  • Understand the role and limitations of incretin in the treatment of DM
  • Be familiar with some of the newer concerns regarding this class of medications

Disclosure: Dr. Khoo does not have any financial disclosures

 

 

The Iowa Osteopathic Medical Association is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians and designates this program for a maximum of 5 AOA Category 1-A credits and will report CME and specialty credits commensurate with the extent of the physician's participation in this activity.

Grievance Policy:  IOMA strives to provide continuing medical education programs to fulfill the needs of the attendees and to meet the AOA Uniform Guidelines and AOA Accreditation Requirements. Comments, questions, or complaints should be put in writing and forwarded to IOMA Executive Director at ioma@ioma.org or IOMA, 6919 Vista Drive, West Des Moines, IA 50266.

Handouts

Faculty

Jennifer Thompson, D.O.'s Profile

Jennifer Thompson, D.O. Related Seminars and Products


Jennifer Thompson, D.O. is a graduate of the University of North Texas Health Science Center, College of Osteopathic Medicine in Ft. Worth, Texas.  She completed her internal medicine residency at Texas Health Resource: Presbyterian Dallas Hospital and her nephrology and transplant nephrology fellowship at Medical University of South Carolina in Charleston, South Carolina.  She is board certified by the American Board of Internal Medicine in internal medicine and nephrology.

Dr. Thompson practices at Iowa Kidney Physicians in Des Moines, Iowa.  She is an Adjunct Clinical Assistant Professor at the University of Iowa, Carver College of Medicine in Iowa City, Iowa.


Sarah FitzPatrick's Profile

Sarah FitzPatrick Related Seminars and Products

Washington County Hospital & Clinics


Sarah FitzPatrick is an Ambulatory Care Clinical Pharmacy Specialist at Washington County Hospital & Clinics. Dr. FitzPatrick completed her pharmacy schooling at the University of Iowa followed by two years of post-graduate residency training at the University of Iowa Hospitals & Clinics specializing in ambulatory care practice with a strong emphasis on diabetes management. After finishing residency in the summer of 2023, she returned to her hometown in rural Washington, Iowa and established an ambulatory care pharmacy practice where she works in collaboration with patients and providers to manage chronic disease states.


Tim Holcomb, DPM's Profile

Tim Holcomb, DPM Related Seminars and Products


Timothy Holcomb, DPM is an Iowa native, born and raised in Altoona, IA and graduate of Southeast Polk High School. From there, he graduated Cum Laude from Luther College followed by his medical education at Des Moines University graduating 2nd in his class.  He completed his three-year residency in Foot and Ankle Surgery in the Des Moines area.  From that point he began practicing in the Des Moines Area for his first two years of practice, transitioning to a rural practice at Greene County Hospital and serving the surrounding community for the past 6 years.  He is excited to have returned home to care for the community that helped raise him with his current location at Foot and Ankle of Greater Des Moines P.C. in Altoona. 

He is a past Co-Director of the Central Iowa Podiatry residency program and currently serves on the Iowa Podiatric Medical Society Board.  He is Board Certified with the American Board of Foot and Ankle Surgery and is a Fellow in the American College of Foot and Ankle Surgeons.  Outside of his medical practice he enjoys spending time with his wife and 3 daughters, triathlon training, playing guitar, and woodworking.


Amy Martin's Profile

Amy Martin Related Seminars and Products


Amy is a bachelor prepared Registered Nurse and Certified Diabetes Care and Education Specialist with over 16 years of diabetes education experience. She worked in various aspects of healthcare early in her career, but found her passion in diabetes education, where she could blend her love of education with patient care. In her career, she has worked for three different diabetes education programs. Two of these she established, and successfully obtained and managed certification through the American Diabetes Association. Her responsibilities have included providing education to patients, families, and hospital staff, serving as an advocate for patients, providing guidance to providers and staff on medication management, insurance coverage, ordering of medical equipment, interpreting CGM data, and managing insulin pumps. She prides herself in providing patient centered care and education to promote a higher quality of life with diabetes.


Gregory Kosters's Profile

Gregory Kosters Related Seminars and Products


Dr. Kosters is a Board Certified Osteopathic Family Physician who graduated from Des Moines University College of Osteopathic Medicine and Surgery. He completed his postgraduate training at Des Moines General Osteopathic Hospital. He is currently practicing at Avera Medical Group in Sibley, Iowa, where he is a staff physician, as well as vice-president of the medical staff and Director of Emergency Services at The Osceola Community Hospital in Sibley, Iowa.

In addition to providing family medicine and emergency services, Dr. Kosters serves as Osceola County Medical Examiner, Chair of the Osceola County Board of Health, Medical director of a local long term care facility, as well as Adjunct Faculty for the physician assistant program at Northwestern College in Orange City, IA. Dr. Kosters also serves as Regional Director for Medical Quality for Avera Medical Group clinics in Northwest Iowa and Southwest Minnesota.

Dr. Kosters has no actual or potential conflict of interest in relation to this program or presentation.


Teck Khoo, MD, FACE Related Seminars and Products


Teck K. Khoo, M.D., FACE, CCD, is a graduate of the University of Calgary, Canada.  He completed his internal medicine residency and his Endocrinology Fellowship at Mayo Graduate School of Medicine.  Dr. Khoo is board certified in internal medicine, endocrinology and metabolism.  He also has a certification in Clinical Densitometry from the International Society of Clinical Densitometry and in Thyroid Ultrasonography and Biopsy from American Association of Clinical Endocrinologists (AACE). Dr. Khoo is practices at the Iowa Diabetes and Endocrinology Center in Des Moines, Iowa.  He is an Adjunct Clinical Assistant Professor at Carver College of Medicine, University of Iowa and an Adjunct Assistant Professor of Endocrinology at Des Moines University.  Also a member of the Mercy Medical Center Internal Medicine Residency Committee.


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