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Dr. Trevor Orchard presents the 2016 Kenny Drash lecture. He highlights some of the work that has been done over the past 30 years in the Pittsburgh EDC study.

Educational objectives:

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

  • Review the temporal trends of type 1 diabetes complication rates.
  • Identify the major risk factors of complications
  • Appreciate the complex nature of glycemia and cardiovascular risk in type 1 diabetes

Reading Resources:

  1. Orchard TJ, Costacou T, Kretowski A, Nesto RW.  Type 1 Diabetes and Coronary Artery Disease.  Diabetes Care 2006; 29(11): 2528-2538.
  2. Writing Goup for the DCCT/EDIC Research Group, Orchard TJ, Nathan DM, Zinman B, Cleary P, Brillon D, Backlund JY, Lachin JM.  Association between 7 years of intensive treatment of type 1 diabetes and long-term mortality.  JAMA 2015 Jan 6; 313(1): 45-53.  doi: 10.1001/jama.2014. 16107.  PMID: 25562265 [PubMed – in process].
  3. Soedamah-Muthu SS, Vergouwe Y, Costacou T, Miller RG, Zgibor J, Chaturvedi N, Snell-Bergeon JK, Maahs DM, Rewers M, Forsblom C, Harjutsalo V, Groop P-H, Fuller JH, Moons KGM, Orchard TJ.  Predicting major outcomes in type 1 diabetes: a model development and validation study.  Diabetologia 2014; 57: 2304-2314.  PMID: 25186291 [PubMed – in process].


Dr. Orchard has financial interests with the following any entity or entities producing health care goods or services as indicated below:

  • Consultant: Eli Lilly, Inc.

All presenters disclosure of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients is listed above.  No other planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.1) continuing education units (CEU) which are equivalent to 1.0 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 9/14/2016 | Last Modified On: 9/14/2016 | Expires: 9/14/2017

This course has been expired.