Tribal Diabetes ECHO: Pancreatitis & SGLT2 Inhibitors | October 14, 2021

Date of Presentation: October 14, 2021

Type: Past Presentation

Audience: Clinical

Keywords: #pancreatitis #sglt2 inhibitors

Dr. Greenlee, practitioner at Western Slope Endocrinology in Grand Junction, Colorado, reviews the literature around SGLT2 inhibitors and pancreatitis. This review found:

A series of phase 2 and 3 trials did not identify a link between SGLT2 inhibitors and acute pancreatitis.
Although some case and observational studies have shown an association, this association was tenuous and did not establish a causative link.
There are many other causes of pancreatitis commonly seen in patients with diabetes such as high triglycerides, alcohol abuse, and gallstones.
Drug-induced pancreatitis can arise from many different common medications used in treating people with diabetes.

Dr. Greenlee also presents a diagnostic algorithm to help determine the cause of pancreatitis and discusses recent studies that show even acute bouts of pancreatitis, if severe enough, can cause residual damage to beta cells and exocrine function.

Recording:

Presented by:

Mary Carol Greenlee, MD, FACP, FACE

Mary Carol Greenlee, MD, FACP, FACE, is board-certified in Internal Medicine and Endocrinology, Diabetes and Metabolism and is in private practice at Western Slope Endocrinology in Grand Junction, Colorado. She is currently serving on the Endocrine Society Council after several years on the Society’s Clinical Affairs Core Committee. She has a special interest in care delivery issues and has been actively involved with the collaborative project sponsored by the Endocrine Society to develop tools to assist with the transition from pediatric to adult care for patients with endocrine disorders.

Resources Provided:

Date added: November 5, 2021

Resources

Past Presentation

Tribal Diabetes ECHO: Pancreatitis & SGLT2 Inhibitors | October 14, 2021

Recording:

Presented by:

Mary Carol Greenlee, MD, FACP, FACE

Resources Provided:

Northwest Portland Area Indian Health Board
Native BOOST Project Manager

Great Lakes Inter-Tribal Epidemiology Center

Tigua Indian from Ysleta del Sur Pueblo
Good Medicine Tribal Public Health Consulting
Lead Consultant

Crow Nation
Rocky Mountain Tribal Leaders Council
Project Coordinator

CDC Foundation
Tribal Public Health Educator

Rocky Mountain Tribal Leaders Council
Epidemiology Center Director

Diné (Navajo)
Northwest Portland Area Indian Health Board
TEC-IVAC Program Manager

Kauffman & Associates
Graphic Designer

Lummi
Northwest Portland Area Indian Health Board
Maternal Child Health Programs Director
Native BOOST Project Director

Oglala Sioux
Great Plains Tribal Epidemiology Center
Epidemiology and Disease Prevention Program Manager

Diné (Navajo)
Northwest Portland Area Indian Health Board
Native BOOST Provider Expert

Stockbridge-Munsee Band of Mohican Indians
Good Medicine Tribal Public Health Consulting
CEO and Founder

Alaska Native Tribal Health Consortium
Communication Lead

Rosebud Sioux
Great Plains Epidemiology Center
Senior Director

Seminole/Muscogee
Southern Plains Tribal Health Board
Tribal Epidemiology Center Core Program Manager

Southern Plains Tribal Health Board
Epidemiologist

Great Lakes Inter-Tribal Epidemiology Center
Communication Lead

Oglala Lakota
Great Plains Epidemiology Center
EDP Program Director

Cochita Pueblo
Albuquerque Area Tribal Epidemiology Center
Program Director for the Good Health and Wellness in Indian Country Program

Inter-Tribal Council of Arizona
Vaccine Epidemiologist

Great Lakes Inter-Tribal Epidemiology Center
Epidemiologist

	Jason Arion Butler is an enrolled member of the Ute Tribe of Fort Duchesne, Utah and is also part Mojave and Cherokee. He resides in Gibson, Idaho with his wife of 22 years, children, and grandchild who are all enrolled members of the Shoshone-Bannock Tribes. He graduated from Idaho State University with a Bachelor of Arts in Psychology and earned his Master of Science in Family and Human Development from Arizona State University. He has spent the past 5+ years employed by the Shoshone-Bannock Tribes, Tribal Health and Human Services Department, where he spent time serving as the Recovery Service Coordinator for the Four Directions Treatment Center, the manager for the Community Health Representative program, and recently accepted the position of Behavioral Health Manager. He strives to incorporate Native culture, traditions, morals, and values into the healthcare services provided to Native communities, implementing these practices into his work with the Shoshone-Bannock Tribes and advocating for the reconstruction of healthcare practices nationally. Today he says, “I am loving life and am extremely thankful to have found a career path I love.

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	Dr. Liu is a generalist OB/GYN at Gallup Indian Medical Center. In addition to her medical degree, she holds a PhD in Health Policy. Among other publications, she served as the chief editor for the 2019 Oxford University Press book: “50 Studies Every Obstetrician and Gynecologist Should Know.” She has formal training in Quality Improvement processes through the Partners Clinical Process Improvement Leadership Program (CPIP), which she utilized to implement emergency contraception at Massachusetts General Hospital. During her six years at Gallup Indian Medical Center she has primary responsibility for preparing and reporting of metrics related to the delivery of obstetric care, and serves on the Continuing Medical Education committee.

	Dr. Hoover is from Chicago, where he grew up and went to medical school, at Rush University, on Chicago’s diverse West Side. He was trained in Urology at Boston Medical Center in Boston’s beautiful South End neighborhood. Dr. Hoover went on to pursue fellowship training in voiding dysfunction and laser prostate surgery at Beth Israel Deaconess Medical Center. Dr. Hoover is a Board-Certified Urologist, by the American Board of Urology, having achieved this honor in 2018. Dr. Hoover has several peer-reviewed publications, including research studies and medical illustrations. His family is happy to call Gallup home since the end of 2017. In their free time they like to explore New Mexico’s wilderness and go camping. Now that their two girls are growing up, it’s also imperative that we catch Pokemon wherever we go.Dr. Hoover is the only Urologist in McKinley County, New Mexico, and in any of the surrounding counties– it’s just him between Albuquerque and Flagstaff. He’s happy to continue seeing established patients, and is accepting new patients from the entire region. Dr. Hoover believes in communication, candor, and compassion as essential tenets of patient care. Dr. Hoover is an expert in general Urology, male and female voiding dysfunction, kidney stones and kidney stone surgery, BPH and laser prostate surgery, erectile dysfunction, vasectomy, prostate cancer, bladder cancer, kidney cancer, testicular cancer. Many of the procedures he do as a Urologist are done in the office including: cystoscopy, vasectomy, urodynamics, treatment foroveractive bladder, and many others. Please call/text or email and let him and his staff know how they can help you.

	Eric Wortmann, MD is the former Director of Emergency Medicine at Chinle Comprehensive Health Care Facility. Besides patient care, Eric has a deep passion for mentoring aspiring physicians and health care providers. He was the Education Director of Emergency Medicine at Chinle as well as Adjunct Faculty for the US Army teaching Special Forces Medics. He has been a visiting professor of Emergency Medicine in Haiti and has worked in the Dominican Republic since 1989. Eric has a long-time passion as a mid and long-distance running coach. He has lived on Kauai for 30 years. Currently he divides his time between Northern Italy and Hawaii. Recently he was accepted into Doctors without Borders USA and is awaiting his first assignment.

	Corey Detlefs, MD, FACS, is the Trauma Outreach Director and an Associate Professor of Surgery at the University of Arizona College of Medicine – Phoenix