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New Options and Combinations in Diabetes Management: Optimizing Control and Individualizing Treatment

New Options and Combinations in Diabetes Management: Optimizing Control and Individualizing Treatment



Time to Complete

2 hours


December 6, 2016


December 6, 2017
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Maximum Credits

2.00 / AMA PRA Category 1 Credit(s)TM

Accredited Provider

Provided by the Endocrine Society

Commercial Supporter

This activity is supported by an educational grant from Novo Nordisk Inc.

Program Description

This educational activity was presented at the Clinical Endocrinology Update 2016, held in Seattle, Washington, in September 2016. The program reviews new options and combinations in diabetes management.

Intended Audience

This continuing medical education activity should be of substantial interest to endocrinologists, endocrine fellows, and healthcare professionals who treat patients with diabetes.

Educational Objectives

Upon completion of this educational activity, learners will be better able to:

  • Select and start GLP-1 receptor agonist therapy taking patient considerations and differential glycemic effects into account
  • Integrate basal insulins into the early management of appropriate patients with type 2 diabetes taking into consideration the efficacy and safety profiles of new formulations
  • Use updated clinical information on emerging insulin/GLP-1 receptor agonist combinations to individualize treatment plans for patients with type 2 diabetes

Conflict Of Interest Disclosure Policy

As a provider of continuing medical education (CME) accredited by the Accreditation Council for Continuing Medical Education, the Endocrine Society has a policy of ensuring that the content and quality of this educational activity are balanced, independent, objective, and scientifically rigorous. The scientific content of this activity was developed under the supervision of the Endocrine Society's Special Programs Committee (SPC). The commercial supporter(s) of this activity have no influence over the planning of this CME activity.

The faculty, committee members, and staff who are in position to control the content of this activity are required to disclose to the Endocrine Society and to learners any relevant financial relationship(s) of the individual or spouse/partner that have occurred within the last 12 months with any commercial interest(s) whose products or services are related to the CME content. Financial relationships are defined by remuneration in any amount from the commercial interest(s) in the form of grants; research support; consulting fees; salary; ownership interest (e.g., stocks, stock options, or ownership interest excluding diversified mutual funds); honoraria or other payments for participation in speakers' bureaus, advisory boards, or boards of directors; or other financial benefits. The intent of this disclosure is not to prevent CME planners with relevant financial relationships from planning or delivery of content, but rather to provide learners with information that allows them to make their own judgments of whether these financial relationships may have influenced the educational activity with regard to exposition or conclusion.

The Endocrine Society has reviewed all disclosures and resolved or managed all identified conflicts of interest, as applicable.


Anne Peters, MD – Program Director
Professor of Medicine
Director, USC Westside Center for Diabetes
University of Southern California
Los Angeles, CA

Dr. Peters discloses the following:
Advisory Board Member/Consultant: Abbott Diabetes Care, Becton Dickinson, Bigfoot Biomedical, Biodel, Boehringer Ingelheim Pharmaceuticals, Inc. & Lilly USA, LLC, CVS/Caremark, Astra-Zeneca, Intarcia, Janssen Pharmaceuticals, Lexicon, Medtronic-Minimed, Merck & Co. Inc., Novo Nordisk Inc., Omada Health, OptumRx, Thermalin
Research Funding: Janssen Pharmaceuticals, Medtronic Foundation; Editorial Fees, Medscape

David Kayne, MD
Medical Group of Encino
Encino, CA

Dr. Kayne discloses the following:
Research Support: AstraZeneca/BMS, Boehringer Ingelheim, Eli Lilly, Novo Nordisk, Sanofi
Speaker: AstraZeneca/BMS, Boehringer Ingelheim, Eli Lilly, Insulet, Janssen, Mannkind, Novo Nordisk, Sanofi

Janet McGill, MD
Professor of Medicine
Washington University School of Medicine
St. Louis, MO

Dr. McGill discloses the following:
Consultant: Boehringer Ingelheim Pharmaceuticals, Inc. & Lilly USA, LLC, Calibra Medical, Merck & Co. Inc.
Consultant and Speaker: Janssen Pharmaceuticals
Consultant and Research Funding: Novo Nordisk Inc.
Research Funding: Dexcom Inc., Lexicon Pharmaceuticals, Inc., Novartis Pharmaceuticals

Carol Wysham, MD
Rockwood Clinic
Spokane, WA

Dr. Wysham has disclosed the following:
Advisor: AstraZeneca, Boehringer Ingelheim, Eli Lilly, Janssen, Novo Nordisk, Sanofi
Consultant: AstraZeneca, Boehringer Ingelheim, Eli Lilly, Janssen, Novo Nordisk, Sanofi
Speaker: AstraZeneca, Boehringer Ingelheim, Eli Lilly, Insulet, Janssen, Novo Nordisk, Sanofi

Accredited Provider Disclosure

Endocrine Society staff associated with the development of content for this activity reported no relevant financial relationships.




AMA PRA Category 1 Credit(s)TM

Accreditation Statement

The Endocrine Society is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The Endocrine Society has achieved Accreditation with Commendation.

Designation Statement

The Endocrine Society designates this enduring material for a maximum of 2.00 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure of Unlabeled Use

The Endocrine Society has determined that disclosure of unlabeled/off-label or investigational use of commercial product(s) is informative for audiences and therefore requires this information to be disclosed to the learners at the beginning of the presentation. Uses of specific therapeutic agents, devices, and other products discussed in this educational activity may not be the same as those indicated in product labeling approved by the Food and Drug Administration (FDA). The Endocrine Society requires that any discussions of such “off-label” use be based on scientific research that conforms to generally accepted standards of experimental design, data collection, and data analysis. Before recommending or prescribing any therapeutic agent or device, learners should review the complete prescribing information, including indications, contraindications, warnings, precautions, and adverse events.


The information presented in this activity represents the opinion of the faculty and is not necessarily the official position of the Endocrine Society.

Use of professional judgment
The educational content in this activity relates to basic principles of diagnosis and therapy and does not substitute for individual patient assessment based on the health care provider’s examination of the patient and consideration of laboratory data and other factors unique to the patient. Standards in medicine change as new data become available.

Drugs and dosages
When prescribing medications, the physician is advised to check the product information sheet accompanying each drug to verify conditions of use and to identify any changes in drug dosage schedule or contraindications.


To obtain credit, a score of 70% or better on the post-test is required. This activity is offered at no cost to participants. Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the post-test and evaluation, and have received a digital copy of your credit certificate. Your online certificate will be saved on myCME within your Profile/CME History, which you can access at any time.

Privacy Policy

The Endocrine Society will record learner's personal information as provided on CME evaluations to allow for issuance and tracking of CME certificates. The Endocrine Society may also track aggregate responses to questions in activities and evaluations and use these data to inform the ongoing evaluation and improvement of its CME program. No individual performance data or any other personal information collected from evaluations will be shared with third parties.

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Hardware and Software Requirements
  • A computer with an internet connection
  • Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
  • Additional Software: Adobe Flash Player and/or an HTML 5 capable browser maybe required for video or audio playback. PowerPoint or Adobe Acrobat Reader may occasionally be required
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