AAFP POEMs- Tight Control Associated with More Frequent and Persistent Hypoglycemia & Effects of Long-term Metformin

Overview:

Tight Control Associated With More Frequent and Persistent Hypoglycemia in Elderly Persons With Diabetes Mellitus
Marie-Lesly Emmanuel, MD

“There is no evidence that using medications to achieve intense glycemic control in older adults with type 2 diabetes is beneficial (A1c under 7.0%). Among non-older adults, except for long-term reductions in myocardial infarction and mortality with metformin, using medications to achieve glycated hemoglobin levels of less than 6 % is associated with harm, including higher mortality rates. Intense control has been consistently shown to produce higher rates of hypoglycemia in older adults. ” Choosing Wisely Canada.

Effects of Long-term Metformin and Lifestyle Interventions on Cardiovascular Events in the Diabetes Prevention Program and Its Outcome Study

Valentina Godoy Forero, MD

A review of the article “Effects of Long-term Metformin and Lifestyle Interventions on Cardiovascular Events in the Diabetes Prevention Program and Its Outcome Study”, a study included in the American Family Physician’s annual collection of the top 20 POEMs in 2022.

After this presentation, attendees will be able to:

1. Identify diabetes and cardiovascular risks and why it matters to physicians and patients.​

2. Review the article: “Effects of Long-term Metformin and Lifestyle Interventions on Cardiovascular Events in the Diabetes Prevention Program and Its Outcome Study.” and 3. Analyze the limitations of the study​

4. Review possible application of these findings to patient care.

Presenters:

Marie-Lesly Emmanuel, MD & Valentina Godoy Forero, MD

PGY3 Residents
Department of Family and Community Medicine
UT Health San Antonio

Financial Disclosures:

Marie-Lesly, MD and Valentina Godoy Forero, MD have no financial relationships with ineligible companies to disclose.

The Family & Community Medicine Professional Development and Grand Rounds Committee members (Mark Nadeau, MD, MBA; Nehman Andry, MD; Maria Del Pilar Montanez Villacampa, MD, Stacy Ogbeide, PsyD; Yun Shi, MD, PhD; Marcy Wiemers, MD; Christine Song, DO; Gabriela Gibson-Lopez, PsyD; Margaret Finley, MD; Richel Avery, MD; Khorshid Amirkhosravi, MD; Jeff Svec, MD; Oralia Bazaldua, Pharm D; Kelsi Sexton Barajas, MA, MEd) 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.

Credits:

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.

Accreditation:

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: Kelsi Sexton Barajas- FCM Grand Rounds Coordinator
Email: sextonk@uthscsa.edu

For CME general questions, please contact
Ph: (210) 567-4445
Email: cme@uthscsa.edu