In this issue of Update in Endocrinology,
specialists discuss topics which include hyperthyroidism during pregnancy, preparing
adolescents and young adults for lifelong diabetes management, and welcoming
transgender and gender-nonconforming patients into your practice.
Upon completion of this activity, participants should be
- Identify options for
treatment of hyperthyroidism in pregnancy
- Describe the rationale for
a program to prepare adolescent and young adult patients with diabetes for
the transition from pediatric to adult health care services.
developmentally-appropriate management strategies for adolescent and young
adult patients with diabetes.
- Increase empathy for
transgender and gender non-conforming patients by learning about the
social, cultural, economic, and psychological barriers that they face.
- Learn appropriate and
respectful ways to address transgender and gender non-conforming patients
including preferred pronouns and terminology.
- Improve the clinical
experience of transgender and gender non-conforming patients with
practical approaches to making a practice more welcoming to them.
- Marx H, Amin P, Lazarus JH. Pregnancy plus: hyperthyroidism
and pregnancy. BMJ: British Medical Journal. 2008 Mar 22;336(7645):663.
- Goodwin TM, Montoro MA, Mestman JH, Pekary AE,
Hershman JM. The role of chorionic gonadotropin in transient hyperthyroidism of
hyperemesis gravidarum. The Journal of Clinical Endocrinology & Metabolism.
1992 Nov 1;75(5):1333-7.
- Glinoer D. The regulation of thyroid function
in pregnancy: pathways of endocrine adaptation from physiology to pathology.
Endocrine reviews. 1997 Jun 1;18(3):404-33.
- Tan JY, Loh KC, Yeo GS, Chee YC. Transient
hyperthyroidism of hyperemesis gravidarum. BJOG: An International Journal of
Obstetrics & Gynaecology. 2002 Jun 1;109(6):683-8.
- Männistö T, Mendola P, Grewal J, Xie Y, Chen Z,
Laughon SK. Thyroid diseases and adverse pregnancy outcomes in a contemporary
US cohort. The Journal of Clinical Endocrinology & Metabolism. 2013 Jul
J, Libman I, Siminerio L. The emerging adult with diabetes: Transitioning from
pediatric to adult care. Pediatr Endocrinol Rev 2017;14(Suppl2):422-8.
KC, Foster NC, Agarwal S, et al. Health care transition preparation and
experiences in a U.S. national sample of young adults with type 1 diabetes.
Diabetes Care 2017;40(3):317-24.
A, Laffel L. Diabetes care for emerging adults: Recommendations for transition
from pediatric to adult diabetes care systems: A position statement of the
American Diabetes Association. Diabetes Care 2011;34(11):2477-85.
Professional Association for Transgender Health. Standards of Care for the
Health of Transsexual, Transgender, and Gender Nonconforming People, 7th
- 10. James,
S. E., Herman, J. L., Rankin, S., Keisling, M., Mottet, L., & Anafi, M.
(2016). The Report of the 2015 U.S. Transgender Survey. Washington, DC:
National Center for Transgender Equality.
- 11. Schuster
MA, Reisner SL, Onorato SE. Beyond Bathrooms – Meeting the Health Needs of
Transgender People. N Engl J Med 2016; 375 (2): 101-103.
Doctors Krall, O’Doherty, Codario, Ali, and Mahmud report no
relationships with any entities producing health care goods and
services. Doctor Siminerio is a consultant for Beckton Dickinson Advisory
Board. Dr. Libman is a consultant for Novo Nordisk.
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.
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 .5 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 (0.05) continuing education units (CEU) which are
equivalent to .5 contact hour.
For your credit transcript, please access our website 4
weeks post-completion at http://ccehs.upmc.com 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: 10/11/2017 | Last Modified On: 10/11/2017 |