Using CGM and the AGP for Clinical Decision-Making in Primary Care

To receive credit, please complete a short survey: https://www.pcmg-us.org/survey/post/usingcgmall

To download the presentation slides: UsingCGMandAGPSlides.pdf

No time for video? Download the Summary Manuscript for the opportunity to earn 1.0 CME credits. (Note: Manuscript also includes presentation slides, so no need to download those separately.)

To receive credit:https://www.pcmg-us.org/survey/post/usingcgmman

About the Faculty

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 and Metabolism and the Journal of Family Practice.

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, 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, 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.

Disclosures
Primary Care Education Consortium adheres to the conflict-of-interest policy of the ACCME and the AMA. All individuals in a position to control the content disclose any relationships they may have with commercial companies whose products or services may be mentioned so that participants may evaluate the objectivity of the presentations. In addition, any discussion of off-label, experimental, or investigational use of drugs or devices will be disclosed by the faculty. Only participants who have no conflict of interest or who agree to an identified mitigation process prior to their participation were involved in the CME activity.

Stephen Brunton, MD, FAAFP, CDCES – advisory board and/or speakers bureau: Abbott Diabetes Care, AstraZeneca, Bayer, Boehringer Ingelheim, Lilly, Sanofi, Xeris. Stock options in 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 in Pendulum. Research for 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.

Accreditation
Primary Care Education Consortium is accredited by the ACCME to provide continuing medical education for physicians. Each video episode is certified for 0.25 AMA PRA Category One Credit(s)™. This enduring material is designated for a maximum of 1 credit for viewers of all four episodes, while those who view the 72 minute webinar in total will receive 1.25 AMA PRA Category One Credit(s)™.  Healthcare professionals should claim only the credit commensurate with the extent of their participation in the activity. Credit is available from April 1, 2023, to March 31, 2024. To receive CME credit or a certificate of participation (NPs, PAs), visit the survey link shown below each video.

Sponsorship
This activity is sponsored by the Primary Care Metabolic Group, and the Primary Care Education Consortium.

Supporter
This activity is supported by an educational grant from Abbott Diabetes Care.

 Webinar Series Learning Objectives:

After watching this webinar series, participants should be 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
  

If you would prefer to watch the video in shorter segments, the webinar is available in 4 roughly 16 minute segments below.

Part One: CGM Introduction

To receive credit for Part One: https://www.pcmg-us.org/survey/post/usingcgm1

Part Two: Accessing and Reviewing CGM Data

To receive credit for Part Two: https://www.pcmg-us.org/survey/post/usingcgm2

Part Three: The AGP in Clinical Decision-Making

To receive credit for Part Three: https://www.pcmg-us.org/survey/post/usingcgm3

Part Four: Practical Implementation in the Practice

To receive credit for Part Four: https://www.pcmg-us.org/survey/post/usingcgm4

For more information, links, and videos on using CGM and the AGP, visit PCMG's CGM Resource Toolkit: https://www.pcmg-us.org/toolkit/cgm

Here's what you'll find:

• Links to pages devoted to the individual devices, both professional and personal, including insertion videos
• Links to references used in this presentation
  
• Links to download the deck and review the presentation (share with colleagues who can also earn additional CME credit)
• Extensive cost and use data
  
• A list of helpful resources from the ADA, diaTribe, AAFP, the Association of Diabetes Care & Education Specialists, and more