Southern Medical Journal CME topic: perioperative glucose control in the diabetic or nondiabetic patient.

Need

As diabetic patients are more likely to undergo surgery than those without diabetes, it is important to assess the operative risk of the patient prior to surgery. It is frequently challenging to maintain glycemic control in these patients during the perioperative period, and longer hospital stays, higher health care resource utilization, and greater perioperative mortality are often associated with diabetic patients. Additionally, evidence suggests that in hospitalized patients with and without diabetes, the presence of hyperglycemia is associated with poorer clinical outcomes.

Target Audience

The following CME feature was designed for physicians in all specialties, particularly those in primary care.

Purpose and Objectives

After completing this activity, participants should be familiar with the pathophysiology of hyperglycemia during trauma and surgical stress, as well as practical recommendations for the preoperative, intraoperative and postoperative care of diabetic patients.

Disclosure of Relevant Financial Relationships

The Accreditation Council for Continuing Medical Education's (ACCME) Standards for Commercial Support approved in September 2004 require that the provider (Southern Medical Association) show that anyone who is in a position to control the content of an education activity has disclosed all relevant financial relationships with any commercial interest to the provider. A relevant relationship is defined as financial relationships in any amount occurring within the past twelve months that create a personal conflict of interest. The disclosure must include the name of the individual, the name of the commercial interest and the nature of the relationship. Individuals with no relevant financial relationship(s) must also disclose to the learner prior to the activity. Any individual involved in planning CME Activities who does not comply with this policy will not be permitted to have control of, or responsibility for, the development, management, or evaluation of SMA's CME Activity. Resolution of conflict of interest is conducted during the review process. Disclosures will be noted in the footnote of each article.

Accreditation/Credit Designation

The Southern Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. This CME activity was planned and produced in accordance with the ACCME Essential Areas and Elements (including the Standard for Commercial Support) and Accreditation policies. The Southern Medical Association designates this educational activity for a maximum of I AMA PRA Category 1 Credit[TM]. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Method of Participation

Participants read the entire CME feature and review illustrations, charts, bibliographies or other supplemental materials associated with the feature. A self-assessment test follows at the end of this feature that allows participants to test themselves on the knowledge obtained from the activity. Participants document their completion of this activity by submitting the CME credit form located at the end of the feature. Participants are also asked to evaluate the activity, to note specific outcomes to their practice as a result of their participation, and list other topics to be addressed in future CME features on the CME credit form.

CME Credit Instructions

Participants may request CME credit for completion of this activity by completing and submitting the CME credit form by mail, or electronically via SMA's website at www.sma.org. A nominal fee is required to receive credit for this activity. A CME certificate will be mailed within two weeks of receipt of the CME credit form at the SMA headquarters office.

Date of Original Release: June 1, 2006

Term of Approval: 1 Year * Credit Expires: June 1, 2007

Estimated Time for Completion: 1 Hour

Credit Designation: 1 AMA PRA category 1 credit