Over a dozen faculty from UC San Francisco's Schools of Pharmacy, Medicine, Nursing, and Dentistry will present on topics including the epidemiology, diagnosis, nutritional strategies for self-management, the role of insulin in managing diabetes, effects of diabetes on oral/dental health, and current research in the field.
Course Syllabus:
Week 1: Introduction, Diagnosis, and Treatment Plans
- Review the epidemiology and pathogenesis of diabetes
- Outline the different types of diabetes
- State the diagnostic criteria for diabetes and the tests to distinguish type 1 diabetes and type 2 diabetes
- Review the relationship of glycemic control and outcomes, including the prevention or delay of long-term complications
- Provide a general treatment algorithm for type 2 diabetes, including glycemic targets and individualization
- Describe the general treatment approach to type 1 diabetes
Week 2: Self-Management, Nutrition, Technologies, Behavior Modifications
- Review the importance of self-management principles as applied to diabetes care, including problem-solving and SMART goal setting as examples
- Review the role of blood glucose monitoring in the self-management of diabetes
- Review the role of continuous glucose monitoring (CGM) in the management of diabetes
- Recognize the National Standards for Diabetes Self-Management Education (DSME) toward planning a diabetes education program
- Discuss meal planning tips for people with diabetes
- Discuss nutrition basics for people with diabetes
Week 3: Pharmacotherapy
- Describe the different types of insulins and their time action profiles.
- Review insulin therapy modalities used in type 1 diabetes
- Describe the role in therapy of the classes of medications used to treat type 2 diabetes (including sulfonyurea, meglitinides, biguanides , thiazolidinediones, alpha glucosidase inhibitors, DPP-4 inhibitors, GLP-1 receptor agonists, and SGLT-2 inhibitors
- Propose initial drug therapy in type 2 diabetes, logical advancement to dual and triple therapy, and transitions to insulin
- Review key side effects of diabetes medications, including hypoglycemia, and appropriate management strategies
Week 4: Diabetes and Oral/Dental Health
- State the risk for periodontal disease, root caries, tooth loss and impaired wound healing in diabetic patients
- Characterize the benefit of non-surgical periodontal therapy toward improved glycemic control
- State the effectiveness of adjunctive antibiotic therapy in non-surgical periodontal treatment in diabetic patients
- For non-dental health care providers: recognize root caries lesions, describe options toward prevention of root caries, and criteria for referral of patients with root caries
- Describe options for assessment and management in patients with extremely poor glycemic control and need for extraction of abscessed teeth
- Describe the impact of periodontal infection on adverse pregnancy outcomes and the safety of non-surgical periodontal treatment for women with gestational diabetes
Week 5: Frontiers/New Horizons
- Describe the role of T regulatory cells in modulating immune response in diabetes
- Define the role of induction of beta cell proliferation both during child development and in adults
- Describe the current state of stem cell differentiation for beta cells
- Describe future anti-inflammatory options, including those associated with macrophages and lipid metabolism, in type 2 diabetes
- Highlight the distinction between brown, beige, and white fat in humans in the pathophysiology and potential treatment of diabetes