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Type 2 diabetes (T2D) is a progressive metabolic condition associated with obesity, cardiovascular disease and substantial morbidity and mortality.1 Despite the availability of multiple glucose-lowering therapies, a significant proportion of individuals with T2D fail to achieve recommended glycemic targets, particularly those with long disease duration, obesity and insulin resistance.2,3 In parallel, excess adiposity remains a major driver of […]

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The key to ketoacidosis: Unlocking the potential for better DKA monitoring and detection

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Tutorial

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Poll

Would you consider DKA if glucose is 180 mg/dL?

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Yes
   
No
   
Depends on ketones
   
Depends on diabetes type
   

Tutorial

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Poll

For which individuals are you most excited about the potential benefits of CKM?

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SGLT2 users
   
Pregnant women
   
Insulin pump users
   
Other
   

Tutorial

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Poll

How often do you discuss DKA in diabetes consultations after diagnosis?

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When asked about it
   
At regular intervals
   
After an episode of DKA
   
Other
   
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The key to ketoacidosis: Unlocking the potential for better DKA monitoring and detection

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Expert Interviews

Recognizing DKA: Typical and atypical presentations

Duration: 14:07

Introduction

Start Time: 0:00

Which patients are at highest risk for typical or euglycemic DKA?

Start Time: 0:42

What clinical signs and symptoms should prompt immediate evaluation for DKA?

Start Time: 5:05

What are the laboratory tests required to diagnose DKA and help distinguish lower-threshold DKA from other causes of metabolic acidosis?

Start Time: 7:45

What are the immediate next steps following recognition of suspected DKA?

Start Time: 11:14

Ketone monitoring: Current tools and emerging CKM

Duration: 9:55

Introduction

Start Time: 0:00

What are the currently available methods of ketone testing and what are their limitations?

Start Time: 0:13

What patient- and physician-related barriers may limit routine blood-ketone monitoring in clinical practice?

Start Time: 1:30

How may continuous ketone monitoring change DKA detection and prevention?

Start Time: 3:57

How could continuous ketone monitors be integrated into clinical practice?

Start Time: 6:03

Patient and caregiver education: Actionable steps towards better outcomes

Duration: 8:39

Introduction

Start Time: 0:00

What are the core elements of an actionable sick-day plan?

Start Time: 0:13

What barriers may lead to sick-day education failure in real-world practice?

Start Time: 2:51

What communication tactics can be used to enable rapid sick-day education?

Start Time: 3:48

How should individuals with diabetes be prepared for the introduction of continuous ketone monitoring?

Start Time: 5:20

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Learning Objectives & Overview

Faculty & Disclosures

Downloads

Overview
Faculty
Downloads
  • Identify clinical signs, risk factors, and diagnostic criteria for typical and euglycemic diabetic ketoacidosis (DKA) to enable timely detection and intervention
  • Explain current and emerging methods of ketone monitoring, and how to interpret and apply the results in clinical decisions
  • Develop strategies to educate patients and caregivers about DKA risk, sick-day management, ketone testing, and when to seek urgent care

Watch Dr. Eden Miller, DO, D-ACD, D-ABOM, provide her views on the recognition of typical and euglycemic DKA, current and emerging ketone monitoring methods, including continuous ketone monitoring, and practical patient and caregiver education to reduce preventable DKA events and hospitalizations.

This activity is jointly provided by USF Health and touchIME.
touchIME is an EBAC® accredited provider.

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Target Audience

This activity has been designed to meet the educational needs of endocrinologists, diabetologists, and primary care physicians involved in DKA monitoring and detection.

USF Accreditation

Disclosures

USF Health adheres to the Standards for Integrity and Independence in Accredited Continuing Education. All individuals in a position to influence content have disclosed to USF Health any financial relationship with an ineligible organization. USF Health has reviewed and mitigated all relevant financial relationships related to the content of the activity. The relevant relationships are listed below. All individuals not listed have no relevant financial relationships.

Faculty

Dr. Eden Miller discloses: Advisory board or panel fees from Abbott, Boehringer Ingelheim, Eli Lilly, Insulet, Novo Nordisk, and Sanofi. Speaker’s bureau fees from Abbott, Boehringer Ingelheim, Corcept Therapeutics, Eli Lilly, Insulet, Novo Nordisk, and Sanofi.

Content Reviewer

Danielle Walker, DNP, APRN, AGNP-C has no relevant financial relationships to disclose.

touchIME Medical Contributor

Judah Issa has no financial interests/relationships or affiliations in relation to this activity.

USF Health Office of Continuing Professional Development and touchIME staff have no financial interests/relationships or affiliations in relation to this activity.

Requirements for Successful Completion

In order to receive credit for this activity, participants must review the content and complete the evaluation form. Statements of credit are awarded upon successful completion of the evaluation form.

If you have questions regarding credit please contact cpdsupport@usf.edu.

Accreditations

Physicians

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through a joint providership of USF Health and touchIME. USF Health is accredited by the ACCME to provide continuing medical education for physicians.

USF Health designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Advanced Practice Providers

Physician Assistants may claim a maximum of 0.75 Category 1 credit for completing this activity. NCCPA accepts AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society.

The AANPCP accepts certificates of participation for educational activities approved for AMA PRA Category 1 Credit™ by ACCME-accredited providers. APRNs who participate will receive a certificate of completion commensurate with the extent of their participation.

Date of original release: July 6, 2026. Date credit expire: July 6, 2027.

If you have any questions regarding credit please contact cpdsupport@usf.edu.

EBAC® Accreditation

touchIME is an EBAC® accredited provider since 2023.

This programme is accredited by the European Board for Accreditation of Continuing Education for Health Professionals (EBAC®) for 47 minutes of effective education time.

EBAC® holds an agreement on mutual recognition of substantive equivalency with the US Accreditation Council for CME (ACCME) and the Royal College of Physicians and Surgeons of Canada, respectively.

Through an agreement between the European Board for Accreditation of Continuing Education for Health Professionals (EBAC®) and the American Medical Association, physicians may convert EBAC® External CME credit to AMA PRA Category 1 Credit™. Information on the process to convert EBAC® credit to AMA credit can be found on the AMA website. Other healthcare professionals may obtain from the AMA a certificate of having participated in an activity eligible for conversion of credit to AMA PRA Category 1 Credit™.

EBAC® is a member of the International Academy for CPD Accreditation (IACPDA) and a partner member of the International Association of Medical Regulatory Authorities (IAMRA).

Faculty Disclosure Statement / Conflict of Interest Policy

In compliance with EBAC® guidelines, all speakers/chairpersons participating in this programme have disclosed or indicated potential conflicts of interest which might cause a bias in the presentations. The Organizing Committee/Course Director is responsible for ensuring that all potential conflicts of interest relevant to the event have been mitigated and declared to the audience prior to the CME activities.

Requirements for Successful Completion

Certificates of Completion may be awarded upon successful completion of the evaluation form. If you have completed one hour or more of effective education through EBAC® accredited CE activities, please contact us at accreditation@touchime.org to receive your EBAC® CE credit certificate. EBAC® grants 1 CE credit for every hour of education completed.

Date of original release: July 6, 2026. Date credit expire: July 6, 2028.

Time to complete: 47 minutes

If you have any questions regarding the EBAC® credit, please contact accreditation@touchime.org.

Dr. Eden Miller

Diabetes and Obesity Care, Bend, OR, USA
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Dr. Eden Miller

Diabetes and Obesity Care, Bend, OR, USA

Biography

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Video Navigation

Expert Interviews

Recognizing DKA: Typical and atypical presentations

Duration: 14:07

Introduction

Start Time: 0:00

Which patients are at highest risk for typical or euglycemic DKA?

Start Time: 0:42

What clinical signs and symptoms should prompt immediate evaluation for DKA?

Start Time: 5:05

What are the laboratory tests required to diagnose DKA and help distinguish lower-threshold DKA from other causes of metabolic acidosis?

Start Time: 7:45

What are the immediate next steps following recognition of suspected DKA?

Start Time: 11:14

Ketone monitoring: Current tools and emerging CKM

Duration: 9:55

Introduction

Start Time: 0:00

What are the currently available methods of ketone testing and what are their limitations?

Start Time: 0:13

What patient- and physician-related barriers may limit routine blood-ketone monitoring in clinical practice?

Start Time: 1:30

How may continuous ketone monitoring change DKA detection and prevention?

Start Time: 3:57

How could continuous ketone monitors be integrated into clinical practice?

Start Time: 6:03

Patient and caregiver education: Actionable steps towards better outcomes

Duration: 8:39

Introduction

Start Time: 0:00

What are the core elements of an actionable sick-day plan?

Start Time: 0:13

What barriers may lead to sick-day education failure in real-world practice?

Start Time: 2:51

What communication tactics can be used to enable rapid sick-day education?

Start Time: 3:48

How should individuals with diabetes be prepared for the introduction of continuous ketone monitoring?

Start Time: 5:20

Add a Note

Note Time: 00:00
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This activity is for healthcare professionals outside of the UK

This educational activity is supported by an independent medical education grant from Abbott Diabetes Care Inc.

This activity is jointly provided by USF Health and touchIME.
touchIME is an EBAC ® accredited provider.

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The activity is jointly provided by USF Health and touchIME.
touchIME is an EBAC® accredited provider.

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