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In this edition of Update in Endocrinology, Yong Wan, PhD, discusses novel, evidence-based treatments for osteoporosis, Denise Charron-Prochownik, PhD, RN, CPNP, Andrea Fischl, PhD, CRNP, MPH, Sarah Stotz, PhD, RD, CDE, and Kelly Moore, MD, discuss the importance of preconception counseling for indigenous adolescents with diabetes, and Nami Safai Haeri, MD, and Hussain Mahmud, MD, present two clinical cases discussing rare occurrences of spontaneous bilateral adrenal hemorrhages in pregnancy.

Educational Objectives

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

  • Provide preconception counseling (e.g., READY-Girls program) to all women with diabetes, starting at puberty and throughout adolescence
  • Implement strategies to enhance women with diabetes’ intention to seek preconception counseling and care when planning a future pregnancy
  • Increase access to resources (READY-Girls and Stopping GDM) for providing developmentally appropriate, culturally relevant preconception counseling to adolescents with, and at risk for, diabetes
  • Recognize symptoms and lab findings of adrenal hemorrhage in pregnancy to enhance timely management
  • Identify the risk factors and pathophysiology of spontaneous adrenal hemorrhage in pregnancy
  • Identify the underlying mechanism of osteoporosis


Dr. Wan, Dr. Charron-Prochownik, Dr. Fischl, Dr. Mahmud, Dr. Safai Haeri, and Dr. Stotz have reported no relevant relationships with entities producing health care goods or services.

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

  • Grant/Research Support: National Institutes of Health, National Institute of Nursing Research (NIH NINR), American Diabetes Association, and American Heart Association
  • Consultant: Novo Nordisk, Inc.

All presenters' disclosures 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

In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

The University of Pittsburgh designates enduring material activity for a maximum of .50 AMA PRA Category 1 Credit[s]™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.

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: 10/21/2021 | Last Modified On: 10/21/2021 | Expires: 10/21/2022

This course has been expired.