Jointly sponsored by NASPGHAN & The NASPGHAN Foundation for Childrenís Digestive Health and Nutrition. Diagnosis and Management of Carbohydrate-Induced Diarrhea

RELEASE DATE: September 25, 2015 EXPIRATION DATE: September 25, 2017

Chair: Target Audience Robert Shulman, MD This activity is designed for pediatricians, pediatric Committee who has nothing to disclose. The resulting Professor of Pediatrics and adult gastroenterologists, primary care physicians, certified activity was found to provide educational Baylor College of Medicine physician assistants, nurse practitioners, dietitians, and content that is current, evidence-based, and commercially Children’s Nutrition Research Center other health care professionals who are interested in balanced. Houston, TX, USA treating children and young adults with carbohydrate- induced diarrhea. Medium or Combination of Media Used Faculty: Learning Objectives This activity consists of a slide set plus online posttest and Looi Ee, MBBS, FRACP CME evaluation. Upon completion of this activity, participants should be Senior Staff Specialist better able to: Queensland Pediatric Gastroenterology, Hepatology, and Nutrition Service • Explain the pathophysiology of carbohydrate- how to rECEivE CME CrEdit: Department of Gastroenterology induced diarrhea Brisbane, QLD, Australia To receive CME credit for this activity, participants • Utilize current diagnostic approaches must review the CME information Martín G. Martín MD, MPP (learning objectives, disclosures, etc.), review the • Provide individualized and appropriate Professor of Pediatric Gastroenterology and Nutrition entire activity, and complete the activity posttest and management to meet specific patient needs David Geffen School of Medicine at UCLA evaluation questions. To complete the activity posttest and evaluation, please visit: Los Angeles, CA, USA • Educate patients and parents on etiology http://www.gotomylist.com/esystems/quiz/ and physiologic consequences as well as the quiz.cfm?QuizNum=193 John F. Pohl, MD importance of dietary modifications Professor of Pediatrics Certificates will be provided immediately after Department of Pediatric Gastroenterology completion of both the posttest and evaluation. For Primary Children’s Medical Center Physicians any questions about receiving credit, please e-mail University of Utah This activity has been planned and implemented in [email protected] Salt Lake City, UT, USA accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education Yul Reinstein, MD (ACCME) through the joint sponsorship of the North Associate Professor of Pediatrics American Society for Pediatric Gastroenterology, Provider Contact Information Division of Pediatric Gastroenterology and Nutrition Hepatology and Nutrition (NASPGHAN) and Jointly sponsored by NASPGHAN and The NASPGHAN Duke University Medical Center The NASPGHAN Foundation for Children’s Digestive Foundation for Children’s Digestive Health and Nutrition. Durham, NC, USA Health and Nutrition. NASPGHAN is accredited by the ACCME to provide continuing medical education For questions, please contact: J. Marc Rhoads, MD for physicians. NASPGHAN: PO Box 6, Flourtown, PA 19031 Phone: Professor of Pediatrics (215) 233-0808 • Fax: (215) 233-3918 Section Head, Pediatric Gastroenterology, Hepatology, and Nutrition aMa Pra statEMEnt University of Texas Medical School at Houston isclaimer NASPGHAN designates this enduring activity for a D Houston, TX, USA The content and views presented in this educational maximum of 1.0 AMA PRA Category 1 CreditsTM. activity are those of the authors and do not necessarily Physicians should claim only the credit commensurate CME Reviewer: with the extent of their participation in the activity. reflect those of NASPGHAN, The NASPGHAN Foundation for Children’s Digestive Health and Nutrition, Emily Contreras, MD or QOL Medical. This material is prepared based Assistant Professor of Clinical Pediatrics Statement of Disclosure upon a review of multiple sources of information, but it Pediatric Gastroenterology, Hepatology, and Nutrition All faculty/speakers, planners, abstract reviewers, is not exhaustive of the subject matter. Therefore, health Riley Hospital for Children moderators, authors, coauthors, and administrative care professionals and other individuals should review Indiana University School of Medicine staff participating in the continuing medical education and consider other publications and materials on the Indianapolis, IN, USA programs sponsored by NASPGHAN are expected subject matter before relying solely upon the information to disclose to the program audience any/all relevant contained within this educational activity. Content Reviewer: financial relationships related to the content of their presentation(s). Accordingly, the NASPGHAN staff have Martin H. Ulshen, MD reported no financial relationships with any commercial Policy on Privacy and Confidentiality Professor of Pediatrics interests related to the content of this educational activity. NASPGHAN and The NASPGHAN Foundation for Chief, Division of Pediatric Gastroenterology, Children’s Digestive Health and Nutrition will make every Hepatology, and Nutrition effort to protect the privacy of every individual participant Looi Ee MBBS has nothing to disclose. Duke University Medical Center of this activity and will use information gathered only to Martin G. Martin MD has nothing to disclose. Durham, NC maintain records as required by the American Medical John F. Pohl MD has nothing to disclose. Association (AMA) and ACCME. Yul Reinstein MD has nothing to disclose. J. Marc Rhoads MD has nothing to disclose. This activity does not require readers to register to review Introduction Robert Shulman MD has nothing to disclose. the material, with the exception of physicians and other Carbohydrates represent a large portion of the world’s Emily Contreras MD has nothing to disclose. health care providers who desire to receive CME credit daily diet, yet approximately 70% of the world’s Martin H. Ulshen MD has nothing to disclose. for this accredited activity. If an individual completes a population experiences some form of carbohydrate CME for this accredited activity, we are required by the malabsorption. Incomplete carbohydrate absorption can In accordance with ACCME Standards for Commercial AMA and ACCME to collect personal information on cause serious problems in affected children, including Support of CME, NASPGHAN and The NASPGHAN the individual, such as their name, address, and phone poor nutrition and delayed growth. Diagnosis continues Foundation for Children’s Digestive Health and Nutrition number, that will allow us to issue a CME certificate to to be an issue in these children due to a lack of proper implemented mechanisms to identify and resolve conflicts them and to keep this information on file for up to 6 years. awareness and specific guidelines. In this presentation, of interest for all individuals in a position to control we provide detailed information concerning the content of this CME activity. To resolve identified conflicts Personal information gathered will not be released to pathophysiology, diagnosis, and treatment of pediatric of interest, the educational content was peer-reviewed any other company or organization for any purpose. patients with carbohydrate-induced diarrhea. by a physician member of the NASPGHAN Review This information remains totally confidential.

© Copyright 2013 NASPGHAN and The NASPGHAN Foundation for Children’s Digestive Health and Nutrition.

This educational activity is supported by an independent medical education grant from QOL Medical.