Harvard Diabetes and Obesity Patient centered Management “ Caring for the Whole Patient ” 2023

This unique conference is a response to the global burden of diseases driven by obesity and diabetes and acknowledges that clinicians and systems cannot manage one or the other when they are present in the same patient, but rather must address both together. Our unique curriculum is designed to activate members of the care team to manage both conditions holistically with an eye toward the health of both our patients and our communities. Included in this 3-day deep dive, we address evidence-based patient assessment, methods to support behavioral modification in different care settings and tailoring both medical and procedural therapeutics to individuals struggling with metabolic disease.

2023 Course Overview
Schedule : January 25-27, 2023

Who Should Attend

1. Primary Care Physicians
2. Physician Assistants
3. Nurses
4. Nurse Practitioners
5. Other Specialty Physicians
6. Diabetologists
7. Nephrologists
8. Endocrinologists
9. Cardiologists
10. Bariatric Surgeons
11. Pediatricians
12. Internists
13. Dieticians
14. Nutritionists
15. Social Workers

Learning Objectives

Upon completion of this activity, participants will be able to:

• Review and interpret up-to-date literature relevant to clinical practice
• Apply current/recommended guidelines in clinical practice
• Perform up-to-date techniques to diagnose complex clinical problems
• Identify/integrate current therapeutic options for obesity and diabetes
• Deliver equitable care with respect to race, ethnicity, gender, disability status, sexual preference and gender orientation

2023 Agenda
All agenda sessions are in Eastern Time.

WEDNESDAY, JANUARY 25, 2023

Course Introduction and Agenda Overview

• Marie McDonnell, MD, Caroline Apovian, MD

LAYING THE GROUNDWORK. FACILITATING BEHAVIORAL CHANGE AND WELLNESS

• Keynote Lecture: Exploring the Link and Defining the challenge: Diabetes and Obesity
  Caroline Apovian, MD
• Science of Behavior Change
  Michael Vallis, PhD, R, Psych
• Fundamentals of Nutrition Therapy
  Nancy Oliveira, LDN
• Expert Panel: Your Cases Discussed & Questions Answered: Behavioral Change and Wellness
  Caroline Apovian, MD, Michael Vallis, PhD, R, Psych, Nancy Oliveira, LDN; Moderator: Caroline Apovian, MD

TALKING TO YOUR PATIENT ABOUT EATING

• I don’t eat on a schedule: Maladaptive patterns of eating in individuals with obesity and diabetes
  Marc O’Meara, RD, LD, CDE
• Just tell me what to eat and I’ll do it this time: Moving from diet to durable lifestyle change
  Megan McCrory, PhD
• When should I eat?: Exploring whether timing of meals is important for weight control
  Courtney Peterson, RD, PhD
  But I have Diabetes, will this diet work for me?: Tailoring healthy eating to the patient with Diabetes
  Melinda Maryniuk, MEd, RDN, CDCES, FADA
• Expert Panel: Your cases Discussed & Questions Answered: All About Eating
  Megan McCrory, PhD, Marc O’Meara, RD, LD, CDE, Melinda Maryniuk, MEd, RDN, CDCES, FADA, Courtney Peterson, RD, PhD
  Moderator: Nancy Oliveira, LDN

TARGETED BEHAVIOR CHANGE: PREVENTION

• Let’s talk prevention: Childhood Obesity
  Amy Fleischman, MD, MMSc
• Primary Prevention of Type 2 Diabetes: Translating Landmark Studies
  Samuel Dagogo-Jack, MD, Dsc
• Cardiovascular disease in obesity and T2D: Evidence and strategies for Prevention
  Jorge Plutzky, MD
• Impacting the Life Course: Prevention of Type 2 Diabetes in Women with prior GDM
  Ellen Seely, MD
• Expert Panel: Your cases Discussed & Questions Answered: Let’s Talk Prevention
  Amy Fleischman, MD, MMSc, Jorge Plutzky, MD Ellen Seely, MD, Samuel Dagogo-Jack, MD, Dsc
  Moderator: Caroline Apovian, MD
• Virtual Workshop: Activating behavior change in your patient: Motivational Interviewing Workshop
  Joji Suzuki, MD
  Wrap up, Missed Questions, and Preview Next Day
  Marie McDonnell, MD, Caroline Apovian, MD, Vanita Aroda, MD

THURSDAY JANUARY 26, 2023

Opening Remarks and Overview of the Day
Vanita Aroda, MD

WHAT NOT TO MISS: COMORBIDITIES AND UNIQUE PATIENT CHARACTERISTICS I

• Keynote: Beyond the Gut: The impact of Dysmetabolism Across the Lifespan
  Lee Kaplan, MD, PhD
• Where to start: The comprehensive assessment of the patient with diabetes and obesity
  Marie McDonnell, MD
• Effective use of cardiovascular imaging to evaluate CV risk
  Ron Blankstein, MD
• The spectrum of kidney disorders in obesity & diabetes
  David Mount, MD
• Evaluating Sleep In Obesity and Diabetes
  Lawrence J. Epstein, MD
• Expert Panel: Your cases Discussed & Questions Answered: Comprehensive Multi-Morbidity Management
  Ron Blankstein, MD, David Mount, MD, Lawrence J. Epstein, MD; Moderator: Vanita Aroda, MD

WHAT NOT TO MISS: COMORBIDITIES AND UNIQUE PATIENT CHARACTERISTICS II

• NASH – Update on screening and treatment
  Kenneth Cusi, MD, FACP, FACE
• Depression in obesity and diabetes
  Ashwini Nadkarni, MD
• The Role of Racial Disparities in outcomes: How to address in the clinic
  Joshua Joseph, MD, MPH
• Expert Panel: Your cases discussed & questions answered: Caring for the Whole Patient: Expanded Perspectives
  Kenneth Cusi, MD, FACP, FACE, Ashwini Nadkarni, MD, Joshua Joseph, MD, MPH
  Moderator: Vanita Aroda, MD

WHAT NOT TO MISS: COMORBIDITIES AND UNIQUE PATIENT CHARACTERISTICS III

• Recognizing atypical diabetes
  Miriam Udler, MD, PhD
• Lipodystrophy: How to recognize in your practice and how to assess and treat?
  Elif Oral, MD
• Managing the patient with Type 1 diabetes and obesity
  Adriana Gonzalez, MD
• Expert Panel: Your cases Discussed & Questions Answered: Recognizing and Assessing Unique Presentations
  Miriam Udler, MD, PhD, Elif Oral, MD, Adriana Gonzalez, MD
  Moderator: Vanita Aroda, MD

KEY TECHNOLOGIES IN THE TOOLBOX

The Big Reveal: use of professional CGM in the office to identify important glycemic patterns
Anna Goldman, MD
Self-management with CGM: Selecting the right patient for optimal benefit
Charles McKitrick, RN, CDCES
Would my patient do better on an insulin pump? Insulin Pump Therapy in the patient with obesity
Devin Steenkamp, MBChB
Expert Panel: Your Cases Discussed & Questions Answered: Technology- Enhanced Person- Centered Care
Anna Goldman, MD, Charles McKitrick, RN, CDCES, Devin Steenkamp, MBChB
Moderator: Vanita Aroda, MD
Wrap up, Missed Questions, and Preview Next Day
Marie McDonnell, MD, Caroline Apovian, MD, Vanita Aroda, MD

FRIDAY JANUARY 27, 2023

Opening Remarks and Overview of the Day
Marie McDonnell, MD

PATIENT-TAILORED THERAPEUTICS FOR MANAGING THE PATIENT WITH DIABETES AND OBESITY

Keynote: The Continuum of Obesity and Type 2 Diabetes: Revisiting Treatment Goals
Vanita Aroda, MD

PRESCRIBING FOR SUCCESS: MEDICAL THERAPY FOR WEIGHT AND METABOLIC CONTROL

• Weight impact of Medications commonly prescribed in the care of the patient with metabolic disease
  Louis Aronne, MD, FACP, DABOM
• A Closer look at GLP-1 RAs for metabolic control
  Carol Wysham, MD
  A Closer look at SGLT2-inhibitors for metabolic control
  Lee-Shing Chang, MD
• Why, when and how should obesity medications be prescribed?
  Caroline Apovian, MD
  Expert Panel: Your cases Discussed & Questions Answered: Prescribing for Success
  Louis Aronne, MD, FACP, DABOM, Carol Wysham, MD, Lee-Shing Chang, MD
  Moderator: Marie McDonnell, MD

PROCEDURAL THERAPIES FOR METABOLIC DISEASE

• Effects of metabolic surgeries on obesity and diabetes
  Ali Tavakkoli, MD
• Patient selection and the peri-op process for metabolic surgery
  Scott Shikora, MD
• The current state of non-surgical metabolic procedures: The future is now
  Christopher Thompson, MD, MSc
• Expert Panel: Your Cases Discussed & Questions Answered: Procedural Approaches to Metabolic Conditions
  Ali Tavakkoli, MD, Scott Shikora, MD, Christopher Thompson, MD, MSc
  Moderator: Marie McDonnell, MD

MANAGEMENT CHALLENGES AFTER BARIATRIC SURGERY

• Postoperative nutritional management
  Malcolm Robinson, MD
• Glycemic challenges after metabolic surgery
  Mary Elizabeth Patti, MD
• Addressing post-bariatric weight re-gain
  Nawfal Istfan, MD, PhD
• Expert Panel: Your Cases Discussed & Questions Answered: Long Term Management Challenges following Bariatric Surgery
  Malcolm Robinson, MD, Mary Elizabeth Patti, MD, Nawfal Istfan, MD, PhD
  Moderator: Marie McDonnell, MD

ACHIEVING LONGTERM SUCCESS: BARRIERS AND TOOLS

• Adherence to therapy in chronic disease
• Niteesh Choudhry, MD, PhD
• Self-management technologies and mHealth for adherence, where are we and where do we need to go?
• Julie Lauffenburger, PharmD, PhD
• Connected health and the future of chronic disease management
• Naomi Fisher, MD
• Expert Panel: Your Cases Discussed & Questions Answered: Achieving Long Term Success
• Niteesh Choudhry, MD, PhD, Julie Lauffenburger, PharmD, PhD, Naomi Fisher, MD; Moderator: Marie McDonnell, MD
• Wrap Up, Missed Questions, Take Home Messages
• Marie McDonnell, MD, Vanita Aroda, MD, Caroline Apovian, MD