Best Practices in Diabetes Management and Optimal Insulin Delivery in Older Adults

Recorded: Wednesday, March 7, 2018

Speaker: Naushira Pandya, MD, CMD

This program will address the need for updated knowledge of best practices for managing diabetes in older adults, as well as the most recent recommendations on optimal insulin injection procedures based on the recent worldwide Injection Techniques Questionnaire (ITQ), which compiled extensive data on current practices, which was subsequently utilized in developing new standards.


This webinar provides a review of the most current best practices regarding maintaining glycemic control in older adults with diabetes, as well as a comprehensive foundation for the individualization and optimization of insulin injection techniques to help ensure that appropriate blood glucose targets are maintained, with minimal risk of hyperglycemia and hypoglycemia - with the latter being the most critical. It builds on basic principles of insulin delivery to the circulation, as well as recent updates in understanding of the consequences of variations in injection devices, insulin type and preparation, and techniques. It culminates by explaining clearly and concisely how to implement the specific recommendations that resulted from expert analysis of worldwide data gathered by the international Injection Techniques Questionnaire (ITQ).

Learning Objectives:

  • Review the most current best practice guidelines for achieving good glycemic control while minimizing risk of hypoglycemia in older adults with diabetes.
  • Describe how treatment of diabetes in older adults is individualized based on physical and cognitive limitations, body type, disabilities and comorbidities.
  • Examine challenges affecting the consistent delivery of insulin in older adults.
  • Review best practices in insulin injection and delivery.

Credit Information:

AMDA – The Society for Post-Acute and Long-Term Care Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education for physicians. The Society designates this live activity for a maximum of 1.5 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CMD Credit Statement


1.5 CME, 1.5 CMD clinical, 1.5 MOC

Speaker Biography:

Naushira Pandya, MD, CMD, is a board-certified geriatrician internist as well as endocrinologist. She is chair of the Geriatrics department and directs the recently federally funded Geriatrics Education Center at Nova Southeastern University College of Osteopathic Medicine. She is the Immediate Past President of AMDA, and chair of the Diabetes CPG. She is a Fulbright Scholar and has lectured on diabetes and other topics nationally and internationally.

Speaker Disclosures: All members of the education and online education committees have no financial relationships to disclose. The speaker has no financial relationships to disclose.