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Managing Hyperglycemia in Inpatients: Ensuring Success Managing Hyperglycemia in Inpatients: Ensuring Success Presented as a Dinner Symposium and Live Webcast at the 48th ASHP Midyear Clinical Meeting and Exhibition Monday, December 9, 2013 Orlando, Florida Action Reminder Planned and conducted by ASHP Advantage Supported by an educational grant from Novo Nordisk Inc. Your educational opportunities related to managing hyperglycemia in inpatients extend beyond today’s symposium… Available in 2014 n A live webinar on March 19, 2014, where faculty will explore issues raised by participant questions in today’s symposium (1 hour CPE) n Informational podcasts featuring interviews with the faculty n e-Newsletters featuring tips for incorporating information from this symposium into practice, as well as updates on emerging information related to the management of hyperglycemia in hospitalized patients n Web-based activity based on today’s live symposium (2 hours of CPE, please note that individuals who claim CPE credit for the live symposium or webcast are ineligible to claim credit for the web-based activity) For more information and to sign up to receive e-mail updates about this educational series, visit www.ashpadvantage.com/hyperglycemia Action Have ideas about what YOU want to remember to do as a result of what you are Reminder Email learning in this educational session? Use the Action Reminder tool via your smart device, and you will be sent an email reminder from YOURSELF next month. If you do not have a smart device, access the Action Reminder for this activity at http://www.ashpadvantagemedia.com/hyperglycemia/remindme.php 2 Managing Hyperglycemia in Inpatients: Ensuring Success Webcast Information What is a live webcast? A live webcast brings the presentation to you – at your work place or in your home. You view and hear the presentations in “real time” complete with slides and video of the speakers and have the opportunity to ask questions at the end of the activity. Continuing pharmacy education (CPE) credits earned through participation in webcasts qualify as live CPE credit. Please join the webcast at least 5 minutes before the scheduled start time for important activity announcements. How do I register? Go to http://www.ashpadvantagemedia.com/hyperglycemia/webcast.php and click the Register for Webcast button. You will receive an email confirmation with webcast connection information. How do I process my CPE? After completion of this webcast, you will process your CPE online and print your statement of credit at the ASHP eLearning portal (http://elearning.ashp.org). You will need the enrollment code that will be announced at the end of the webcast. If you have questions about processing CPE online, contact [email protected]. What if I would like to arrange for my colleagues to participate in this webcast as a group? One person should register for the webcast and will receive the webcast linking instructions via email. Each participant processes his or her CPE statement online at the conclusion of the activity. How do I ask a question of the presenters during the webcast? Click the “Ask a Question” bubble icon to type a question and your email. The speakers will answer as many questions as possible at the conclusion of the activity. Responses to technical questions will be sent to the email address you provided. Why doesn’t the presentation appear? If you’re using a pop-up blocker, configure it to allow this site’s pop-ups. You will need to change settings in your browser. Why can’t I hear audio? Check your volume controls and whether the device you are using has speakers. There are three areas you may find volume controls: • Player volume: look for volume icon inside the player. • Adjust the volume slider and confirm that mute is not selected. • External speakers (optional): check whether the speakers have a volume control dial or knob that you can use to increase or decrease the volume level. What if my video frame keeps freezing, progressing a bit, and then freezing again? Depending on the speed of your internet connection, there may not be enough bandwidth to accommodate the audio, slides, and live video. To alleviate this, either minimize or turn off the video by using the icons on your screen. You can also use the Classic Player version of the webcast tool to achieve better viewing. 3 Managing Hyperglycemia in Inpatients: Ensuring Success What do I need to participate in the webcast? For the best presentation viewing experience, we recommend a broadband internet or Wi-Fi connection and the following system requirements: Microsoft® Windows® Mac® • Windows 8Windows 2008, • Mac OS® X 10.5.7 or Windows 7, Windows Vista, later Windows XP, Windows 2003 • Safari® 4 or later or • Internet Explorer® 7.0 or Firefox 3.6 or later later, Firefox® 3.6 or later or • Microsoft Silverlight 5* Google Chrome™ • Broadband Internet • Windows Media® Player 9.0 connection or later • Microsoft Silverlight® 5* • Broadband Internet connection * If Silverlight is not detected on your computer when viewing a presentation, you will be automatically prompted to install the plug-in. Silverlight only needs to be installed once and will then be available for watching any other presentations. Classic Player Option If you are unable to install Silverlight or your bandwidth speed is slower than required, another version of the webcast is available. The requirements are as follows: Microsoft® Windows® Mac® • Microsoft® Windows 7, • Mac OS X 10.4.8 or later Windows Vista, Windows • Safari™ 2.0.4 or later or XP, Windows Server 2008 Firefox 2.0 or later • Windows Server 2003 • Microsoft Silverlight 1.0 or • Internet Explorer 6.0 SP1 or later* later, Firefox® 2.0 or later, or • Broadband Internet Google™ Chrome 1.0 connection (256Kbps or • Windows Media® Player 9.0 more) or later 1. • Broadband Internet connection (256Kbps or more) * If Silverlight is not detected on your computer when viewing a presentation, you will be automatically prompted to install the plug-in. Silverlight only needs to be installed once and will then be available for watching any other presentations. 4 Managing Hyperglycemia in Inpatients: Ensuring Success iPad iPhone and iPod Android BlackBerry • iOS 4.3 or later • iPhone 4 or later • Android 4.0 or later • BlackBerry OS 7.0 • Mobile Safari™ • iPod 4th generation • On-demand or later • Wi-Fi or cellular or later playback only • On-demand data connection • iOS 4.3 or later • Wi-Fi or cellular data playback only (3G or higher) • Mobile Safari connection (3G or • Wi-Fi or cellular • Mediasite Mobile higher) data connection app (free download (3G or higher) available from the • Blackberry Apple® App Store) Playbook running • Wi-Fi connection QNX 5 Overview Hyperglycemia is common in both critically and non-critically ill hospitalized patients and occurs not only in patients with previously diagnosed diabetes but also in patients with undiagnosed diabetes or acute stress-induced hyperglycemia. Identifying and managing inpatients with hyperglycemia can lead to improvements in patient outcomes. Toward that end, this activity will provide an update on recommen- dations for managing hospitalized patients with hyperglycemia based on current guidelines and recently published clinical trials. Using case-based examples, participants will learn to identify patients with hyperglycemia, as well as to develop evidence-based insulin therapy regimens. Emphasis will be placed on transitioning from intravenous to subcutaneous insulin therapy, developing basal and nutritional sub- cutaneous insulin regimens, and determining corrective doses. The role of the pharmacist in establishing glycemic control programs, managing different populations of hospitalized patients with hyperglycemia, preventing hypoglycemia, and transitioning patients to outpatient settings will also be discussed. Agenda Learning Objectives 5:30 – 6:00 p.m. At the conclusion of this application-based Registration and Dinner educational activity, participants should be able to n Explain the adverse impact of hyperglycemia 6:00 – 6:05 p.m. and hypoglycemia on critically and non- Welcome and Introductory Remarks critically ill hospitalized patients. Curtis L. Triplitt, Pharm.D., CDE n Outline recommendations for managing hospitalized patients with hyperglycemia 6:05 – 6:25 p.m. as set forth by current guidelines and Current Guidelines and Evidence research studies. for Inpatient Hyperglycemic Control n Compare the advantages and disadvantages Curtis L. Triplitt, Pharm.D., CDE of various insulin agents and regimens for the treatment of inpatient hyperglycemia. 6:25 – 7:05 p.m. n Devise patient-specific basal and nutritional Practical Approach to Inpatient subcutaneous insulin regimens and corrective Glycemic Control insulin doses. Kevin W. Box, Pharm.D. n Examine approaches for managing hyperglycemia in special populations of 7:05 – 7:50 p.m. hospitalized patients. Issues and Special Populations n Outline a plan for pharmacists’ involvement in for Inpatient Glycemic Management improving glycemic control for hospitalized Paul M. Szumita, Pharm.D., BCPS patients, including preventing hypoglycemia and ensuring safe transition to outpatient settings. 7:50 – 8:00 p.m. Audience Questions 6 Managing Hyperglycemia in Inpatients: Ensuring Success Continuing Education Accreditation The American Society of Health-System Pharmacists is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This activity provides 2 hours (0.2 CEUs) of continuing pharmacy education credit (ACPE activity # 0204-0000-13-484-L01-P). Attendees may print their official statements of continuing pharmacy education credit online after completion of the online evaluation. All statements are available online at the ASHP eLearning portal (http://elearning.ashp.org). For complete activity information, visit www.ashpadvantage.com/hyperglycemia. Complete instructions for receiving your statement of continuing pharmacy education credit online are available on the next page. Be sure to record the attendance code beginning with “M” announced during the activity. 7 Managing Hyperglycemia in Inpatients: Ensuring Success CPE Processing Instructions 1. Write down the Enrollment Code for the webcast you attend.
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