The prevalence of gestational diabetes is increasing worldwide.  This is partly fuelled global obesity pandemic.  Gestational diabetes is important because of its effect on mother and baby.
In this ‘on demand’ eLearning session,  Dr Johann Crauss,  Obstetrician and Gynaecologist will discuss in detail the diagnosis and management of gestational diabetes.
You will learn about the interplay between insulin deficiency and insulin resistance.  You will also learn about risk factors,  screening and identification of gestational diabetes.  You will also learn about the  different criteria used to diagnose gestational diabetes.  General management is discussed in detail as will be the role home blood glucose monitoring with particular emphasis on the 1 hour post prandial glucose.  Ultrasound scanning,  dietary advice,  pharmacological treatment and management of labour are also described.
On completion of the session you will be able to download a certificate of participation which you can use for accreditation purposes
Benefit from expert knowledge in the International Masterclass in Diabetes management by logging on to cme30.eu now

The planning of pregnancy is important in all patients,  but especially so in persons living with diabetes,  since this helps minimise risks to mother and baby.
In this ‘on-demand’ session,  Dr Katya Vella,  obstetrician and gynaecologist,  explains the possible medical complications of diabetes on the mother as well as the effects of diabetes in the developing fetus. 
 You will learn the importance of this subject considering the increasing prevalence of type 1 and type 2 diabetes in women of reproductive age.  You will learn about preconception counselling based on the recommendations by the American Diabetes Association and NICE Guidelines.  You will learn about recommended glycaemic targets and pharmacological interventions to achieve these targets,  taking into consideration the possible risks to the developing fetus.
You will also be recommended a list of selected online resources which can be handed out to diabetic patients planning a pregnancy.

On completion of the session you will be able to download a certificate of participation which you can use for accreditation purposes
Benefit from expert knowledge in the International Masterclass in Diabetes management by logging on to cme30.eu now

One of the most important microvascular complications of diabetes is Diabetic Eye Disease as this is associated with high morbidity.
In this ‘on-demand’ eLearning session,  Dr Maria Agius,  consultant ophthalmologist,  leads us through the anatomy of the retina and the pathophysiology of diabetic retinopathy. 
You will also learn about the symptoms of retinopathy and the importance of picking up diabetic retinopathy before the patient starts experiencing symptoms.
You will learn about the diagnosis of different stages of diabetic retinopathy and learn about the various medical and surgical options for treatment.  You will also learn about the screening programme for diabetic retinopathy which is run in the Maltese islands.

On completion of the session you will be able to download a certificate of participation which you can use for accreditation purposes
Benefit from expert knowledge in the International Masterclass in Diabetes management by logging on to cme30.eu now

Diabetes is a leading cause of end stage kidney disease and the prevalence of end stage renal disease is up to ten times higher in people with diabetes.

In this ‘on-demand’ eLearning session,  Professor Stephen Fava,  Consultant Diabetologist and head of the Diabetes and Endocrine Unit at Mater Dei Hospital discusses nephroprotection in diabetes. 

You will learn more about the pathophysiological mechanisms involved leading to the development of  diabetic nephropathy.  You will also learn about the role of hypertension,  genetics and familiar clustering. 

You will learn about markers which are predictive to the development of the diabetic nephropathy and how one can calculate the risk of developing diabetic nephropathy using validated tools.

You will also learn about the role of modifiable risk factors,  the importance of good glycemic control and how control of hypertension,  as well as the pivotal  role of ACE inhibitors and the role of novel drugs such as SGLT2 inhibitors and GLP1 receptor agonists  in protecting the kidney.

The importance of timely referral is emphasised.

On completion of the session you will be able to download a certificate of participation which you can use for accreditation purposes
Benefit from expert knowledge in the International Masterclass in Diabetes management by logging on to cme30.eu now

Ischaemic Foot problems are amongst the most feared complications in diabetic patients and good control of diabetes is a key factor in prevention of macrovascular complications. 
Dr Mario Cachia,  Consultant Diabetologist and Endocrinologist with special interest in diabetic foot problems discusses this important topic.
The concept of the ‘Diabetic Foot’ is to raise the awareness of the increased risk of amputations and what can be done about it. 
In this ‘on demand’ session you will learn more about the clinical features of peripheral vascular disease,  signs,  symptoms and timely investigations of ischaemic foot and you will also learn about classification systems utilised to grade peripheral vascular disease.  You will also learn about foot ulcers caused by neuropathy and how more than 80% of foot ulcers are potentially preventable with patient education and regular foot reviews.  Factors involved in wound healing are considered you will learn about management strategies,  wound care and how early recognition and management can lead to successful outcomes
On completion of the session you will be able to download a certificate of participation which you can use for accreditation purposes
Benefit from expert knowledge in the International Masterclass in Diabetes management by logging on to cme30.eu now.

One of the most important microvascular complications of diabetes is Diabetic Neuropathy as this is associated with high morbidity. 

In this ‘on-demand’ eLearning session,   Dr David Coppini,   consultant diabetologist describes the signs and symptoms of diabetic neuropathy.  You will appreciate the fact that diabetic neuropathy is frequently under reported and under treated.  You will learn about possible risk factors for both painful and painless diabetic neuropathy.  You will also learn about management challenges and the importance of making an accurate diagnosis,  explaining the condition to the patient and addressing patients concerns and expectations.  You will learn about the available management options with particular reference to NICE guidelines

On completion of the session you will be able to download a certificate of participation which you can use for accreditation purposes
Benefit from expert knowledge in the International Masterclass in Diabetes management by logging on to cme30.eu now

In this session, Professor Josanne Vassallo, Consultant Diabetologist & Endocrinologist explains the importance of instituting appropriate management of diabetes as early as possible and gives an overview of the pharmacological therapeutic options in type two diabetes including indications for early introduction of insulin therapy.

In this session you will learn about the pharmacokinetic properties of different insulin preparations that are available and how this can be used for optimal management in different scenarios. You will also learn about patient resistance and barriers to starting insulin, learn about initiation strategies as well as intensification of insulin therapy as well as the importance of assessing correct injecting technique at each encounter. You will learn about the importance of  educating the patient regarding self-monitoring , injection techniques and ‘sick day rules’. You will also learn about minimising the risk of extreme hyperglycaemia, hypoglycaemia and the importance of explaining warning signs and red flags to patients and relatives. 

You will also learn about simplification and deintensification of insulin therapy in certain situation and end of life care in patients on Insulin.

On completion of the session you will be able to download a certificate of participation which you can use for accreditation purposes

Benefit from expert knowledge in the International Masterclass in Diabetes management by logging on to cme30.eu now

Diabetes is a major risk factor for cardiovascular disease and risk factor management is an integral part of diabetes management because it improves outcomes.

In this ‘on demand’ session, Professor Stephen Fava, Consultant Diabetologist and head of the Diabetes Endocrine Unit at Mater Dei Hospital gives an overview of the importance of risk factor modification in Type 2 Diabetes.

In this session you will learn how a 1% drop in HbA1c, leads to a 14 % drop in risk of myocardial infarction and a 12% drop in risk of stroke. 

You will learn about the importance of both HbA1c and glucose variability are separate risk factors for cardiovascular disease and the importance of avoidance of both hyperglycaemia and hypoglycaemic episodes. You will learn about the importance of lifestyle interventions, Blood pressure control and statin therapy, irrespective of lipid levels.

On completion of the session you will be able to download a certificate of participation which you can use for accreditation purposes

Benefit from expert knowledge in the International Masterclass in Diabetes management by logging on to cme30.eu now

International Masterclass in Diabetes management   session 3
 
Diabetes management is complicated and when dealing with complicated conditions,  we need guidelines.
In this session,  Dr Sandro Vella,  Consultant Endocrinologist and Diabetologist at Mater Dei Hospital,  Malta,  will go through most recent guidelines for the management of diabetes

By the end of the you will know what the guidelines say about
Diabetes and cardiovascular risk
Hypertension,  Dyslipidaemia and Antiplatelet therapy in type 2 diabetes
Glycaemic targets
Glucose lowering agents and associated cardiovascular and renal benefits

On completion of the session you will be able to download a certificate of participation which you can use for accreditation purposes

Benefit from expert knowledge in the International Masterclass in Diabetes management by logging on to cme30.eu
 

International Masterclass in Diabetes Management - session 4

Adult Type 1 Diabetes in Primary Care

 In this 'on demand' session' Dr Alexia Abela, Consultant Diabetologist & Endocrinologist in Primary Care, will be going through many aspects of management related to type 1 diabetes in the primary care setting.

The aim is that, after viewing this session you will have improved your knowledge and gain confidence in managing type 1 diabetics.

 You will learn about the pathophysiology and diagnosis of type 1 diabetes, Pharmacological characteristics of available insulins,  insulin Carbohydrate ratios, insulin Sensitivity factors and how these interplay with maintenance of blood glucose, Insulin pumps and Continuous subcutaneous insulin infusion, blood glucose monitoring as well as complications such as hypoglycaemia and diabetic ketoacidosis. 

 You will learn about exercise-induced nocturnal hypoglycaemia, type 1 diabetes Distress Scale and much more.

 All in all this will prove to be very comprehensive overview of management of Type 1 diabetes in Primary care that all medical professionals will benefit from the expertise.