Where Are We Now? A Clinicians’ Guide to the Use of Follow-on Insulin for Patients with Diabetes

Insulin has been used as a standard treatment for patients with diabetes for almost 100 years.  Over time, advances in insulin development have improved its pharmacologic properties.  Most recently, the US Food and Drug Administration approved a novel, follow-on basal insulin agent, with more expected to be commercially available in the near future. With the imminent availability of follow-on basal insulin agents, clinicians need to be aware of the potential benefits and concerns in order to facilitate informed decision making and to provide the best possible advice and guidance to their patients with diabetes.  This program will review how follow-on insulin products are developed, manufactured, and receive regulatory approval; evaluate clinical trial data for new and emerging follow-on basal insulin agents; and provide practical information and guidance on how they may be incorporated into clinical practice.  While it is unknown how follow-on basal insulins will affect patient outcomes, they have the potential to increase access to treatment among patients with diabetes and reduce healthcare costs.

TARGET AUDIENCE

This activity has been designed to meet the educational needs of health care professionals involved in the diagnosis, treatment, or management of patients with diabetes.

EDUCATIONAL OBJECTIVES

Upon completion of this activity, participants will be better able to do the following:

  1. Identify barriers to the initiation of basal insulin and strategies to remedy patient and physician misperceptions
  2. Define the terms generic, follow-on, and biosimilar with respect to the regulatory approval of new therapies for patient with diabetes  
  3. Restate the efficacy, safety, and tolerability profile of novel follow-on basal insulin products in patients with diabetes
  4. Apply principles related to the initiation and titration of follow-on basal insulin to manage hyperglycemia in patients with T2DM

FACULTY

Steven V. Edelman, MD
Professor of Medicine
University of California San Diego
Veterans Affairs Medical Center
San Diego, California

Priscilla A. Hollander, MD, PhD
Baylor University Medical Center
Lead Researcher
Baylor Endocrine Center
Dallas, Texas

Eugene E. Wright, Jr, MD
Consulting Associate
Department of Medicine and Department of Community and Family Medicine
Duke University School of Medicine
Durham, North Carolina

Disclosure of Conflicts of Interest

It is the policy of the Elsevier Office of Continuing Medical Education that all faculty, instructors, and planners disclose real or apparent conflicts of interest relating to the topics of this educational activity. 

The faculty reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:

Name of Faculty or PresenterRelationship Identified With:
Steven V. Edelman, MD

Consultant/Advisor: Eli Lilly and Company; Novo Nordisk A/S; Sanofi

Speakers’ Bureau: Eli Lilly and Company; Novo Nordisk A/S; Sanofi

Priscilla A. Hollander, MD, PhD

Consultant/Advisor: Eli Lilly and Company; Johnson & Johnson Services, Inc; Novo Nordisk A/S

Eugene E. Wright, Jr, MD

Consultant/Advisor: Abbott; Boehringer Ingelheim GmbH; Boehringer Ingelheim and Elli Lilly and Company Diabetes Alliance; Voluntis Connected Therapeutics

Speakers’ Bureau: Abbott; Boehringer Ingelheim GmbH; Boehringer Ingelheim and Elli Lilly and Company Diabetes Alliance; Voluntis Connected Therapeutics

Non-faculty: Deanna N. Schuly; Anne M. Sendaydiego, PharmD; Sandy Breslow; Alison Kemp; Bernard M. Abrams, MD; and Eileen Robinson, MSN, RN hereby state that neither they nor their spouse/life partner have any financial relationships to products or devices with any commercial interest related to the content of this activity of any amount during the past 12 months.

Peer Review

This CME activity has been peer-reviewed by The American Journal of Medicine

Financial Support

This activity has been supported by an independent educational grant from Boehringer Ingelheim Pharmaceuticals, Inc. and Lilly USA, LLC.

Provider Information

Jointly provided by the Elsevier Office of Continuing Medical Education, Elsevier ANCC Accredited Provider Unit, and Global Directions in Medicine, Inc.

CME Credit (Physicians)

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Elsevier Office of Continuing Medical Education and Global Directions in Medicine, Inc. The Elsevier Office of Continuing Medical Education is accredited by the ACCME to provide continuing medical education for physicians.

The Elsevier Office of Continuing Medical Education designates this enduring activity for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CNE CREDIT (NURSES)

Elsevier is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Elsevier is provider approved by the Florida Board of Nursing, Provider #50-4681, and the California Board of Registered Nursing, Provider #CEP 3257.

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the EOCME, Elsevier Accredited Provider Unit, and Global Directions in Medicine, Inc. The EOCME is accredited by the ACCME to provide continuing medical education for physicians. Elsevier’s Provider Unit is accredited by ANCC COA to provide continuing nursing education.

CME/CNE INQUIRIES/SPECIAL NEEDS

For all CME/CNE inquiries or special needs, please contact elsevierCME@elsevier.com.


Disclosure of Unlabeled Use: This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The Elsevier Office of Continuing Medical Education, Global Directions in Medicine, Inc., Boehringer Ingelheim Pharmaceuticals, Inc. and Lilly USA, LLC do not recommend the use of any agent outside of the labeled indications.

Disclaimer: Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

Course summary
Available credit: 
  • 1.25 AMA PRA Category 1 Credit(s)™
  • 1.25 Non-physician
  • 1.25 Nursing Contact Hours
Course opens: 
02/01/2017
Course expires: 
01/31/2018
Rating: 
5

Available Credit

  • 1.25 AMA PRA Category 1 Credit(s)™
  • 1.25 Non-physician
  • 1.25 Nursing Contact Hours

Accreditation Period

Course opens: 
02/01/2017
Course expires: 
01/31/2018
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