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Appropriate Use of Basal Insulins

This activity is provided by Postgraduate Healthcare Education, LLC and supported by an educational grant from Sanofi US.


Joshua J. Neumiller, PharmD, CDE, FASCP
Associate Professor
Department of Pharmacotherapy
Washington State University
Spokane, WA


Dhiren K. Patel, PharmD, CDE, BC-ADM, BCACP
Associate Professor of Pharmacy Practice
School of Pharmacy
MCPHS University
Clinical Pharmacy Specialist
VA Boston Healthcare System
Boston, MA


Joshua J. Neumiller, PharmD, CDE, FASCP, discloses the following financial relationships or relationships to products or devices with commercial interest related to the content of this activity: receives grant/research support from AstraZeneca, Janssen Pharmaceuticals, Inc., Merck & Co., Inc., Novo Nordisk; consultant for Janssen Pharmaceuticals, Inc. and Sanofi; a member of the speakers bureau for Novo Nordisk.

Dhiren K. Patel, PharmD, CDE, BC-ADM, BCACP, who served as the Program Chair, states the following relevant affiliations or financial relationships with a commercial interest related to the content of this activity: consultant for AstraZeneca; Advisory Board for AstraZeneca, Novo Nordisk and Sanofi; member of the speaker's bureau for Merck, Novo Nordisk and Sanofi.

The following reviewer, Jennifer Goldman, PharmD, CDE, BC-ADM, FCCP, states the following relevant affiliations or financial relationships with a commercial interest related to the content of this activity: consultant for Becton Dickinson; member of the speaker's bureau for Novo Nordisk and Sanofi.

The following reviewer, Michael Gabay, PharmD, JD, BCPS, hereby states that he does not have any financial relationships or relationships to products or devices with any commercial interest related to the content of this activity of any amount during the past 12 months.

Susanne Batesko, RN, BSN, and Robin Carrino, as well as the planners, managers, and other individuals, not previously disclosed, who are in a position to control the content of Postgraduate Healthcare Education (PHE) continuing education (CE) activities hereby state that they have no relevant conflicts of interest and no financial relationships or relationships to products or devices during the past 12 months to disclose in relation to this activity. We are committed to providing participants with a quality learning experience and to improve clinical outcomes without promoting the financial interests of a proprietary business.


Postgraduate Healthcare Education, LLC is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
UAN: 0430-0000-16-063-H01-P

Credits: 2.0 hours (0.20 ceu)
Published: June 15, 2016
Expires: June 30, 2018
Type of Activity: Knowledge
Media: Internet

Fee Information: There is no fee for this educational activity.

Estimated time to complete activity: 120 minutes


This accredited activity has been designed for pharmacists.


During the period June 15, 2016 through June 30, 2018 participants must 1) read the learning objectives and faculty disclosures; 2) study the educational activity; and 3) complete the post-test and the evaluation form. To answer the questions, click on your selected choice for each answer then proceed to the next question. Once completed, click on Grade Exam at the bottom of the page. Your post-test will automatically be graded. If you successfully complete the post-test (score of 70% or higher), your statement of participation will be made available immediately. Click on the View Statement of Participation link and print the statement for your records. If you receive a score lower than 70%, you will receive a message notifying you that you did not pass the post-test. You will have 2 opportunities to pass the post-test. To receive Credit, you must provide your date of birth and NABP number. All Credit information will be uploaded into CPE monitor within 30 days.


To inform and educate pharmacists in all practice settings about current guideline-recommended strategies for use of basal insulin, including criteria for when to start therapy. Pharmacokinetic parameters and basic information about each of the available basal insulins, including dosage and administration and adverse effects, will be discussed.


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

  1. Review guideline recommendations for basal insulin use, including when to start basal insulin therapy;
  2. Describe potential barriers to early initiation of insulin therapy;
  3. Discuss aspects of currently available basal insulin products, including pharmacokinetic parameters, dosing and administration, and adverse effects; and
  4. Design an evidence-based medication regimen for a patient that involves appropriate timing and use of basal insulin.


Please ensure the computer system you plan to use meets the following minimum requirements:

  • Operating System: Windows 98 or higher & Macintosh 2.2 or higher
  • Internet Browser (Mac &/ Windows): Internet Explorer 6.0 or higher, Google Chrome, Safari 5.0.6 or higher, Firefox 3.0.3 or higher & Opera 5 or higher
  • Broadband Internet connection: Cable, High-speed DSL & any other medium that is internet accessible
  • Peripherals: Computer speakers or headphones
  • Monitor Screen Resolution: 320 x 480 or higher
  • Media Viewing Requirements: Adobe Reader, Microsoft PowerPoint, Flash Player & HTML5

Disclosure of Unlabeled Use and Disclaimer

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of Postgraduate Healthcare Education, LLC and Sanofi US. Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without an evaluation of their patients' conditions and current medications, including the identification of possible contraindications regarding the dangers of use and a review of any applicable manufacturer's product information, as well as a comparison with the recommendations of other authorities.

The author, sponsor, and publisher of this continuing education activity have made all reasonable efforts to ensure that all information contained herein is accurate in accordance with the latest available scientific knowledge at the time of acceptance for publication. However, because information regarding drugs (their administration, dosages, contraindications, adverse reactions, interactions, special warnings, precautions, etc.) is subject to constant change, the reader is advised to check the manufacturer's package insert for information concerning recommended dosages and potential problems and cautions prior to dispensing or administering the drug. Special precautions should be taken when a drug is new, or highly toxic, or is unfamiliar to the dispenser or administrant. This educational activity may contain discussion of published and/or investigational uses of agents that are not approved by the U.S. Food and Drug Administration (FDA). Neither the publisher nor sponsor promotes the use of any agent outside of approved labeling. Statements made in this monograph have not been evaluated by the FDA. Nutritional products discussed are not intended for the diagnosis, treatment, cure, or prevention of any disease.