Grand Rounds – Double the Trouble, Double the Fun: Treatment Approach for Double Diabetes

Event Date & Time

May 18, 2022 at 12:30pm - 1:30pm



Event Details:


There is a growing proportion of T1DM patients that possess clinical features of T2DM, a subgroup known as ‘double diabetes (DD)’, that is associated with an increased risk of metabolic complications. This disease state is unrecognized by current guidelines and minimal literature exists regarding the use of T2DM agents that are known to provide metabolic and vascular benefit. DD is intermittently seen in practice, so it would be of benefit to familiarize healthcare providers with the existing evidence to support clinical decision making regarding the use of adjunct noninsulin antidiabetic agents in DD.


  1.  Describe the pathogenesis of double diabetes.
  2.  Evaluate the available literature regarding the efficacy and safety of noninsulin antidiabetic agents in type 1 diabetes (T1DM) with clinical features of type 2 diabetes (T2DM).
  3.  Formulate the most appropriate evidence-based treatment approach for a patient diagnosed with double diabetes.

Financial Disclosures:

William Godinez, PharmD and his faculty mentor DeWayne Davidson, PharmD have no financial relationships with ineligible companies to disclose.

The Family & Community Medicine Professional Development and Grand Rounds Committee members (Mark Nadeau, MD, Marcy Wiemers, MD, Maria Del Pilar Montañez Villacampa, MD, Christine Song, DO, Nehman Andry, MD, Gabriela Lopez, PsyD, Yun Shi, MD, Stacy Ogbeide, PsyD, Inez I. Cruz, PhD, and Nichole Rubio) have no financial relationships with ineligible companies to disclose.

The Family & Community Medicine Professional Development and Grand Rounds Committee member Carlos Roberto Jaén, MD has disclosed he receives royalties from General Practice and Family Medicine for being UpToDate Editor-in-Chief.

AMA PRA Category 1 Credits™ (1.00 hours), Non-Physician Participation Credit (1.00 hours)

Target Audience:

Specialties – Primary Care; Family Medicine  
Faculty, residents, other health care providers and staff from our department; physicians and health care providers from San Antonio and South Texas; and medical students in our third-year clerkship and fourth year rotations. 


The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation:

The UT Health Science Center San Antonio designates this live activity up to a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurses and other healthcare professionals will receive a Certificate of Attendance. For information on applicability and acceptance, please consult your professional licensing board.


For activity related questions, please contact:

Name: Nichole Rubio- FCM Grand Rounds Coordinator


For CME general questions, please contact:

Ph: (210) 567-4445

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About the Speaker(s)

William Godinez, PharmD

William Godinez, PharmD
PGY2 Ambulatory Care Pharmacy Resident
Department of Pharmacotherapy & Pharmacy Services
University Health System