Diabetes Update

8:00 a.m.-8:15a.m. 
Welcome and Introduction 
Dr. Stewart Harris (C.M.) MD, MPH, FCFP, FACPM

8:15 a.m.-9:00a.m. 
Preventing or Delaying Type 1 Diabetes 
Dr. Diane Wherrett 

Objectives

• Identify key characteristics identifying those at high risk of developing type 1 diabetes and the early phases of type 1 diabetes
• Describe current evidence on immunomodulatory strategies for delaying the onset of type 1 diabetes in at-risk individual

9:00a.m.-9:45a.m. 
Treating Type 2 Diabetes & Cancer Care - A Balancing Act
Dr. Hiba Hashmi

Objectives

• Describe how cancer therapy influences diabetes management
• Recognize the increased risk of complications from cancer therapy induced hyperglycemia
• Develop a strategy for the successful management of patients with type 2 diabetes receiving cancer treatment

9:45a.m-10:00a.m. 
Nutritional Break 

10:00a.m.-10:45a.m. 
Peri-Operative medication management in Type 2 Diabetes 
Dr. Tayyab Khan MD, MPH, FRCP(C), Cert Endo. Dip ABOM

• Describe the importance of maintaining glycemic control in the perioperative period
• Explain titrations to insulin, including recommendations for once weekly insulins
• Suggest changes to non-insulin antihyperglycemic agents in the perioperative period

10:45a.m.11:30a.m. 
Type 2 Diabetes and Peripheral Vascular Disease: From Early Detection to Limb Preservation
Dr. Radha Joseph MD, MSc, FRCPC

• Describe the pathology and clinical spectrum of peripheral vascular disease in type 2 diabetes
• Identify key strategies for early detection and risk stratification in patients with diabetes
• Review evidence-based strategies for prevention and management of complications and to preserve limb health

11:30a.m.-12:15p.m.
Practical Strategies to Help Patients Stay on GLP-1 Receptor Agonist Therapy
Dr. Tamara Spaic MD, MSc, FRCPC

• Review dietary and physical activity recommendations to support patients initiating GLP-1 RA therapy
• Discuss when and how to reinitiate GLP-1 RA therapy after interruptions or discontinuation.

12:15p.m.-1:00p.m. 
Disrupted Sleep, Disrupted Metabolism: The link between Diabetes and Sleep Disordered Breathing 
Dr. William Reisman MD, MHSc, FRCPC

• Discuss the common presentations of sleep disordered by breathing as they may appear in an outpatient clinic
• Reveal what the appropriate diagnostic work-up for sleep disordered breathing, as well some of the basics of its treatment
• Review current literature regarding the link between sleep disordered breathing and metabolic disorders
• Be able to communicate to individuals with sleep disordered breathing what the benefits of pursuing treatment are, with a focus on the effects said treatments have on metabolism

1:00p.m.-1:15p.m. 
Summary & Adjournment
Dr. Tamara Spaic MD, MSc, FRCPC