Using Continuous Glucose Monitoring and the Ambulatory Glucose Profile in Clinical Decision-Making for Primary Care
Released On
April 1, 2023
Expires On
March 31, 2024
Media Type
Internet
Completion Time
60 minutes
Specialty
Primary Care
Topic(s)
Diabetes
This activity is jointly provided by Primary Care Education Consortium (PCEC) and the Primary Care Metabolic Group (PCMG).
This activity is supported by an independent education grant from Abbott Diabetes Care.
Credit Available
- Physicians — maximum of 1.25 AMA PRA Category 1 Credit(s)™
All other healthcare professionals completing this course will be issued a statement of participation.
Target Audience
This activity is designed to meet the educational needs of primary care practitioners treating patients with diabetes.
Program Overview
This activity will cover the importance of continuous glucose monitoring in the treatment of diabetes, the available personal and professional FDA-approved CGM devices, how to access and interpret the ambulatory glucose profile (including case studies) and information about incorporating CGM into the practice workflow and billing for CGM.
Learning Objectives
Upon completion of this activity, participants should be better able to:
- Prepare the clinical practice site for increased CGM use
- Understand options available to the practice for professional and personal CGM
- Locate and interpret CGM data, using the AGP to assess if the patient is achieving targets established by the International Consensus on Time in Range
- Modify the treatment plan based on CGM data to improve patient outcomes
Faculty
Stephen Brunton, MD, FAAFP, CDCES
Editor-in-Chief, Clinical Diabetes, Executive Director, Primary Care Metabolic Group, Winnsboro, SC.
Bio: Stephen Brunton, MD, FAAFP, CDCES is the Executive Director of the Primary Care Metabolic Group and Executive Vice President for Education for the Primary Care Education Consortium. He works in a group practice in rural South Carolina. He holds the faculty rank of Adjunct Associate Clinical Professor at Touro University in Vallejo, California. He currently also serves as the Editor-in-Chief for Clinical Diabetes.
Dr. Brunton earned his medical degree at Monash University Medical School in Melbourne, Australia and completed his residency in family practice at Long Beach Memorial Medical Center in California. He is a board-certified family physician, with a certificate of added qualifications in geriatrics. As former president of the California Academy of Family Physicians and the Association of Family Medicine Residency Directors, Dr. Brunton has held many positions within the American Academy of Family Physicians. He served as director of the Division of Education in the early 1980s and was a family practice residency director in California for 13 years.
A frequent lecturer, Dr Brunton also has published numerous articles, chapters, and monographs on family medicine and related clinical topics. He has served as a reviewer for American Family Physician, CMRO, Southern Medical Journal, Expert Review of Endocrinology
Davida F. Kruger, MSN, APNBC, BCADM
Henry Ford Health System, Division of Endocrinology, Diabetes, Bone and Mineral Disease, Detroit, MI.
Bio: Davida F. Kruger, MSN, APN-BC, BC-ADM has been a certified nurse practitioner in diabetes at Henry Ford Health System in Detroit, MI, for more than 35 years. She earned her Master of Science in Nursing degree from Wayne State University in Detroit and her Bachelor of Science in Nursing degree from Boston College, in Boston, MA. Her role includes both clinical practice and research, and she is board-certified in both primary care and advanced diabetes management. Ms. Kruger has been a co-investigator on numerous studies of diabetes interventions and care, including the National Institutes of Health-funded multicenter EDIC and ACCORD trials. She lectures extensively throughout the United States on maximizing outcomes in diabetes and diabetes management. She is a past Chair of the American Diabetes Association (ADA) Research Foundation and has served on the ADA Research Policy Committee. She is also an ADA Past President, Health Care and Education. She has published more than 50 abstracts, articles, and chapters on diabetes management and authored the 2006 second edition of The Diabetes Travel Guide. She has also served as editor-in-chief of two American Diabetes Association (ADA) journals, Diabetes Spectrum and Clinical Diabetes. Her awards include the Florence Nightingale Award for Excellence in Research; ADA’s Rachmeil Levine Award for Distinguished Service, Award for Outstanding Service in Diabetes Research Funding, Wendell Mays Award, and 2017 Outstanding Educator in Diabetes Award; the 2014 Clara Ford Award for Nursing Excellence in Research and Education, the 2014 Wayne State University School of Nursing Alumna of the Year Award, and the 2017 International Diabetes Center Donnell Etzwiler Memorial Award.
Eden Miller, DO
Diabetes Nation, Diabetes and Obesity Care, Bend, OR.
Bio: Eden Miller, DO, a board-certified family physician, received her medical degree from Kirksville College of Osteopathic Medicine in 1997. Returning to the Northwest, she completed her residency in family practice at East Moreland Hospital in Portland, Oregon. Recently completing her certification in obesity management, she is the founder of Diabetes Nation, a nonprofit organization, and is CEO and a practicing physician at Diabetes and Obesity Care in Bend, Oregon.
Dr. Miller has cultivated a special interest in diabetes, after contracting type-1 diabetes while in medical school. Out of that personal experience, her practice has extended into a subspecialty in diabetes care. An impassioned speaker, Dr. Miller has given over 1000 lectures in the field of Diabetes to health care professionals and patients alike, on subjects such as diabetes management, CGM technology, insulin pump therapy, obesity, metabolism intervention, clinical research, and healthcare policy. Her adage for care is that she “only succeeds as a clinician if she turns patients into experts on their own disease.” Dr. Miller believes that a “physiologic patient individualized approach to diabetes intervention is crucial to success.”
Eugene Wright, MD
Consulting Associate in the Department of Medicine, Duke University School of Medicine, Durham, NC; Medical Director, Performance Improvement, Charlotte AHEC.
Bio: Eugene Wright, MD, holds appointments as Consulting Associate in the Department of Medicine of Duke University Medical Center. He has over 40 years of clinical experience as a private practitioner, academic clinician and educator, medical administrator, a rural physician in southeastern NC and a volunteer physician. He currently works with the Charlotte AHEC in Performance Improvement since 2018. Dr. Wright serves as an Associate Editor of Clinical Diabetes and has served on several advisory and editorial boards to include Diabetes Technology and Therapeutics and as a content reviewer for UpToDate. Dr. Wright has served on the Planning Committee of the Clinical Conference of the ADA since 2009. He served as the inaugural chair of the ADA Primary Care Interest Group and as a member of the ADA/AHA Know Diabetes by Heart Science Advisory Group. Dr. Wright has published several articles on diabetes diagnosis, treatment and management and has given presentations at national and international meetings on new treatments and technology for diabetes. Dr. Wright has an undergraduate BSE in Electrical Engineering from Princeton University and a medical degree from Duke University School of Medicine. He completed his internship and residency in Internal Medicine at Duke University Hospital in 1981.
Physician Accreditation Statement
Primary Care Education Consortium is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Physician Credit Designation
Primary Care Education Consortium designates this enduring activity for a maximum of 1.25 AMA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the enduring activity.
Disclosures of Conflicts of Interest
- Stephen Brunton, MD, FAAFP, CDCES
- Advisory Board and/or Speakers Bureau: Abbott Diabetes Care, AstraZeneca, Bayer, Boehringer Ingelheim, Lilly, Sanofi, Xeris
- Stock Options: Paracrine
- Davida Kruger, MSN, APN-BC, BC-ADM
- Advisory Board and/or Speakers Bureau: Abbott Diabetes, CeQur, Dexcom, Eli Lilly, Embecta, Mannkind, Medtronic, Novo Nordisk, Sanofi, Xeris, Medical Modular
- Stock Options : Pendulum
- Research: Beta Bionics, Abbott, Insulet, Novo Nordisk, Tandem
- Eden Miller DO
- Advisory Board, Consultant and/or Speakers Bureau: Abbott Diabetes Care, Bayer, Boehringer-Ingelheim, Eli Lilly, Novo Nordisk, Semler Scientific
- Research: Abbott Labs
- Eugene Wright, MD
- Advisory Board, Consultant and/or Speaker: Abbott Diabetes Care, Bayer, Boehringer Ingelheim, Lilly, Sanofi, GlaxoSmithKline, Medtronic
Instructions for Participation and Credit
There are no fees for participating and receiving CME credit for this enduring activity. To receive CME credit participants must:
- Read the CME/CE information and faculty disclosures.
- Participate in the online activity.
- Submit the evaluation form.
Certificates will be emailed to the participant.
Course Viewing Requirements
Supported Browsers:
Internet Explorer 8.0+ for Windows 2003, Vista, XP, Windows 7, Windows 8.1 and above
Google Chrome 28.0+ for Windows, Mac OS, or Linux
Mozilla Firefox 23.0+ for Windows, Mac OS, or Linux
Safari 6.0+ for Mac OSX 10.7 and above
Supported Phones & Tablets:
Android 4.0.3 and above
iPhone/iPad with iOS 6.1 or above
Disclosure of Unlabeled Use
Primary Care Education Consortium requires that faculty participating in any CME activity disclose to the audience when discussing any unlabeled or investigational use of any commercial product or device not yet approved for use in the United States.
Disclaimer
This activity is designed for educational purposes. Participants have a responsibility to utilize this information to enhance their professional development to improve patient outcomes. Conclusions drawn by the participants should be derived from careful consideration of all available scientific information. The participant should use his/her clinical judgment, knowledge, experience, and diagnostic decision-making before applying any information, whether provided here or by others, for any professional use.
Contact Information
For CME questions please contact: nwilliams@pceconsortium.org.