Lecture Hall CME | Diabetes
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Diabetes Mellitus

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Available Credits
CPME 0.75

Jeffrey M. Robbins
Jeffrey M. Robbins, DPM
Director, Podiatry Services
VA Central Office
Louis Stokes Cleveland VAMC
Cleveland, OH
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The chronic hyperglycemia of diabetes is associated with long term damage, dysfunction and failure of various organs; especially the eyes, kidneys, nerves, heart and blood vessels. The risk of heart disease and stroke is 2-4 times greater in patients with diabetes. Diabetes is the leading cause of blindness, accounting for 12,000-24,000 new cases yearly. Sixty percent of non-traumatic amputations are seen in patients with diabetes mellitus. Forty three percent of kidney disease is related to diabetes mellitus. Prolonged periods of hyperglycemia may cause a decrease in chemotaxis, the ability to phagocytize, which results in decreased intracellular destruction of bacteria.

Dr. Robbins reviews the Types of diabetes. Type 1 (pancreas produces little or no insulin), Type 2 (ineffective insulin production), Gestational diabetes and a new classification, "prediabetes". Management principles and goals of therapy are discussed with careful adherence to ADA guidelines. Dr. Robbins also cites changes in the new ADA guidelines.

Oral medications for diabetes help control blood glucose levels in people whose bodies still produce insulin. Dr. Robbins discusses the oral medications that are available and their mechanisms of action. Type 1 diabetes patients always need insulin. The various types of insulin are reviewed, with particular attention to their speed of action and length of their activity.

 Goal and Objective
After participating in this activity, the viewer should be better able to:
1. Describe the pathogenesis of diabetes.
2. Recognize the significance of diabetes complications.
3. Discuss therapy recommendations.
4. Recognize the importance of nutrition and exercise in the treatment of diabetes.
5. Select oral medications and insulin therapy.

Estimated time to complete this activity is 42 minutes.

Practicing Podiatrists
Accreditation and Designation of Credit
The The Ohio College of Podiatric Medicine (OCPM) is approved by the Council on Podiatric Medical Education as a sponsor of continuing education in podiatric medicine.

The Ohio College of Podiatric Medicine credits this activity for 0.75 credit hour.

Release Date: 07/31/2005 Expiration Date: 12/30/2011
Peer Review: on 07/31/2005


System Requirements
Diabetes Mellitus
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Method of Participation
Diabetes Mellitus
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Complete the 4 steps to earn CME credit:
  • Complete and submit the required pre-test
  • View Lecture
  • Complete and submit post-test and program evaluation. Credit will be issued with a passing score of 70% or better.
  • Click Print Certificate.
Disclosure Information
Diabetes Mellitus
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It is the policy of PRESENT e-Learning Systems to insure balance, independence, objectivity and scientific rigor in all its individually sponsored or jointly sponsored educational programs. All faculty participating in any PRESENT e-Learning Systems sponsored programs are expected to disclose to the program audience any real or apparent conflict(s) of interest that may have a direct bearing on the subject matter of the continuing education program. This pertains to relationships with pharmaceutical companies, biomedical device manufacturers, or other corporations whose products or services are related to the subject matter of the presentation topic. The intent of this policy is not to prevent a speaker with a potential conflict of interest from making a presentation. It is merely intended that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts.
Jeffrey M. Robbins, DPM has disclosed that he serves as a Consultant to Diapedia.