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In this issue, Archana Bandi, MD, clinical co-leader of the Endocrine Telehealth Unit and director of Telehealth Services at the Veterans Administration Pittsburgh Healthcare System (VAPHS), highlights our use of innovative telehealth programs to transform the care of rural veterans with diabetes. Our endocrine fellows, Karla Detoya, MD, and Neha Karajgikar, MD, presented the positive impact of these programs on quality and cost of diabetes care at the 2018 Annual Sessions for the Endocrine Society and American Diabetes Association, resulting in a first place award at the 2018 Endocrine Society Presidential Poster Competition.

Educational objectives:

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

  • Recognize the behavioral and psychosocial stressors faced by adolescent type 1 diabetic population during transition
  • Recognize the importance of partner in facilitating management of diabetes across time through communal coping
  • Emphasize the importance of recruiting partners and families of newly diagnosed diabetics to share the diabetes burden and assist with diabetes self management
  • Analyze the care access for remotely located patients using modern care technologies
  • Analyze the continuity of care for existing patient population by providing alternative care access modalities
  • Identify collaborative partnerships with referring providers
  • Explain a rare case of non-Langerhans histiocytosis (Erdheim-Chester Disease), a multisystem hematopoietic neoplasm that can infiltrate the pituitary infundibulum, bone and other organ systems


Drs. Bandi, Challinor, Frahm, Helgeson, Mahmud, Oprea and Korytkowski have reported no relevant relationships with entities producing health care goods or services.

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 .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 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: 10/12/2018 | Last Modified On: 10/12/2018 | Expires: 10/14/2019

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