Reduce Progression of Kidney Disease in Patients with Diabetes

In this CME activity, Dr. Javier Morales discusses the therapeutic interventions that will delay progression of diabetic kidney disease, as well as early screening utilizing UACR, eGRF and the KDIGO heat map. The association of medical renal disease and cardiovascular risk will be addressed as well.

Immunizing Your Adult Patients

This CME activity, “Immunizing Your Adult Patients”, was originally presented live in San Antonio, TX on November 12, 2021 at the 2021 Best Practices in Primary Care CME conference. During this activity, the faculty reviews the different types of immunizations, discusses the importance of shared clinical decision-making, and reviews the current Advisory Committee on Immunization Practices (ACIP) recommendations for adult immunizations.

Identifying and Managing Sleep Issues in Primary Care

It is estimated that about 70 million people in the United States suffer from chronic sleep problems. Lack of sleep is associated with injuries, chronic and mental illnesses, lower quality of life, loss of productivity, and higher economic burden. This complimentary activity will help clinicians recognize, diagnose, and treat the different sleep-related problems that might affect their patient’s quality of life and reduce the chronic consequences of these disorders.

Resources for the Recognition and Management of Long-COVID in Primary Care

Medical knowledge on the recognition and management of what is variously called “post-COVID syndrome”, “long COVID”, and multiple other descriptions is accumulating rapidly in response to an “epidemic within the pandemic”. The focus of this blog is to identify useful resources for primary care. Many of these resources are being continuously updated as knowledge evolves.

New Recommendation for Prediabetes Screening and Intervention from USPSTF

On August 24, 2021, the U.S. Preventive Services Task Force (USPSTF) revised their recommendations for type 2 diabetes and pre-diabetes screening. The revision includes a recommendation that screening of all overweight and obese adults should begin at age 35 rather than age 40, per their previous recommendation in 2015.

2020 Updated Asthma Guidelines

Asthma is one of the most common conditions we see in primary care and can result in significant morbidity and mortality if not diagnosed and managed optimally. The National Heart, Lung, and Blood Institute (NHLBI) has sponsored a consensus panel to develop clinical practice guidelines for child and adult asthma since 1989. The guidelines were updated at the end of 2020 for the first time in over a decade.

ADA Standards of Medical Care in Diabetes – 2021 Update

Each year the American Diabetes Association (ADA) updates its evidence-based clinical practice guidelines, Standards of Medical Care in Diabetes. This article reviews the annual update with emphasis on those changes most relevant to primary care practice.

Missouri Medical Cannabis: A Practical Primer

With Medical Cannabis now legal in 36 US States, practitioners have a greater need than ever to understand the laws surrounding this program, cannabis as medicine, the endocannabinoid system and the research available for its use in qualifying conditions. In Missouri, Amendment 2 became law effective December 6, 2018. Across the state, there is a general lack of information available about the program, the patient certification process, treating qualifying conditions and the potential benefits of medical cannabis.

Telemedicine in Primary Care

The COVID-19 pandemic has forced us all to alter our approach to patient care. Telemedicine has a century-long history of evolution, but the infrastructure for real-time broadband communication between providers and patients has only become widespread in the US over the past two decades.

Identifying and Managing Osteoporosis in Primary Care

This complimentary activity will provide primary care clinicians with an update on osteoporosis and bone health. Current screening guidelines, modalities, and current prevention & treatment regimens will be highlighted.