Adult Diabetes Management Case Studies

Addressing Social Determinants of Health as Part of Managing Type 2 Diabetes in Adults:
Case studies on demand

Original release date: June 17, 2019. Reviewed: December 5, 2020. Termination date: June 17, 2022.

View the Case Studies


This CME activity is designed to help clinicians better manage type 2 diabetes in adults. There are six case studies to help clinicians assess and improve their diabetes practice including addressing the social determinants of health.

This activity has been approved for up to 2 AMA PRA Category 1 Credits.

Continuing Medical Education Credit

To obtain a CME certificate (physicians only) or a Certificate of Attendance (other learners), read the case studies and click here.

Learning Objectives

At the conclusion of the case studies, participants will be able to:

  • List two examples of social determinants of health that may be identified by clinicians in the process of treating patients with Type 2 Diabetes.
  • Describe one situation in which linking to a community resource can be an important part of the care plan for a patient with Type 2 Diabetes.

Resources for Further Study

  • Diabetes Self-management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Position Statement.
  • Treating Depression in Diabetes: Emerging findings. Paper in Psychosomatics.
  • Food Insecurity is Associated with Hypoglycemia and Poor Diabetes Self-Management in a Low-Income Sample with Diabetes. Paper in J Health Care Poor Underserved.
  • DHS Best Practices: Outpatient Treatment and Management of Type 2 Diabetes Mellitus in Adults: Oral Agents, Non-Insulin Injectable, and Insulin Therapies. Los Angeles County Department of Health Services Endocrinology Work Group.


Janina Lord Morrison, MD, MPH - Director of Clinical and Preventive Services, Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health.

Shan-Pin Fanchiang, OTR/L, PhD - Chair of the Medical Consumer Health Information Program and Occupational Therapy Education Coordinator at the Rancho Los Amigos National Rehabilitation Center.

Gyanesh Agrawal, MD - Director of Adult Services at High Desert Health Center Group, Los Angeles County Department of Health Services. Co-Chair, DHS Endocrinology Work Group.

Theodore C. Friedman, MD, PhD - Chairman, Department of Internal Medicine and Chief, Division of Endocrinology, Metabolism and Molecular Medicine, Charles R. Drew University of Medicine and Science. Lead Physician, Endocrinology, Martin Luther King, Jr. Outpatient Center Chairman, DHS Endocrinology Work Group.

Tony Kuo, MD, MSHS - Director, Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health.

Target Audience

This activity is applicable for primary care providers, endocrinologists, and diabetologists. Other groups who are encouraged to participate include nurses, health educators, community health workers, and other health care professionals.

Accreditation Statement

California Medical Association accredited CME provider logo This activity has been planned and implemented in accordance with the accreditation requirements and policies of the California Medical Association (CMA) through the joint providership of The Los Angeles County Department of Public Health and the Los Angeles County Department of Health Services Endocrinology Workgroup.

The Los Angeles County Department of Public Health is accredited by the California Medical Association (CMA) to provide continuing medical education for physicians.

The Los Angeles County Department of Public Health designates this enduring activity for a maximum of 2 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other attendees may receive a Certificate of Attendance. According to the California Board of Registered Nursing, Continuing Medical Education is acceptable for meeting RN continuing education requirements, as long as the course is Category 1, and has been taken within the appropriate time frames.


No relevant financial relationships were disclosed by the authors or the planners.

This activity is not commercially supported.

Contact Information

For questions or further information, please contact: Tony Kuo, MD, MSHS at

For further information about DPH CME please email: