Case Studies in Managing Metabolic Issues in People with HIV: A STEP-HIV Initiative

Release Date: October 13, 2021
Expiration Date: October 13, 2022
Estimated Time to Complete: 1.0 hour

Support for this activity has been made possible through educational grants from Gilead Sciences and ViiV Healthcare.

Clinical Gap and Educational Need
Beyond diagnosing HIV infection and maintaining viral suppression in patients through prescribing optimal antiretroviral therapy; providing primary care is often the HIV specialists’ most important role. PLWH frequently have multiple metabolic complications that are related to HIV pathogenesis, interplay of ART medications with the immune system as well as morbidities affected by lifestyle. These can include metabolic syndrome, type 2 diabetes and dyslipidemia. Multiple members of the HIV care team are necessary to optimize health and decrease cardiovascular risk for patients by anticipating, identifying and treating metabolic complications. These include HIV and primary care providers, nurses, pharmacists and dieticians who together can collaborate to assure patients’ overall health.

Through didactics and clinical vignettes, this free interactive CME/CNE-Certified webinar will introduce members of the HIV treatment team to common metabolic issues experienced by PLWH as well as treatment and prevention measures to ensure optimal cardiovascular risk reduction.

Learning Objectives
After participating in the activity, learners should be better able to:
  • Describe at least three common metabolic disorders in PLWH.
  • Identify five physical and/or lab findings associated with metabolic syndrome.
  • Identify predictors of and the potential metabolic consequences of weight gain on antiretroviral therapy.
  • Discuss lifestyle modification interventions and available online patient education resources aimed at reducing CVD in PLWH.

Activity Faculty

Roger Bedimo, MD
Chief of Infectious Diseases Section
VA North Texas Health Care System;
Professor of Medicine
University of Texas Southwestern
Medical Center in Dallas
Jennifer Klein, FNP-BC
Family Nurse Practitioner
Prism Health North Texas

Roger J. Bedimo, MD – Dr. Bedimo is the Chief of Infectious Diseases Section at the VA North Texas Health Care System and Professor of Medicine at the University of Texas Southwestern Medical Center in Dallas. He’s also the leader of the Trinity Clinical Research Site of the AIDS Clinical Trials Group (ACTG). Dr. Bedimo has been actively involved in HIV clinical care and research since 2003. He completed his medical education at the University of Yaoundé, in Cameroon. He then completed Internal Medicine Residency training at Wright State University in Dayton, Ohio, and Infectious Diseases Fellowship training at the University of Alabama at Birmingham. His research interests include: 1) the trends, risk factors and predictors of non-AIDS complications, including Non-AIDS-defining malignancies, cardiovascular disease and bone mineral loss, and 2) the role of HCV co-infection on risk and outcomes of non-AIDS comorbidities.

Jennifer Klein, FNP-BC – Ms. Klein is a Family Nurse Practitioner providing primary and specialized care for people living with HIV since 2005. Her professional experience prior to working in HIV includes public education, community health and specifically health promotion. Jennifer was fortunate enough to stumble into her career with Prism Health North Texas (formerly AIDS Arms) while fulfilling her commitment working in an underserved clinic through National Health Service Corps after completing her Master of Science in Nursing degree at Johns Hopkins University School of Nursing in 2004. She maintains credentialing as an AAHIVM Specialist, acts as a sub-investigator on multiple clinical trials and currently sees patients full time at Prism Health’s Oak Cliff Health Center.

Accreditation and Credit Designation
In support of improving patient care, this activity has been planned and implemented by American Academy of CME, Inc. and ACTHIV Institute. American Academy of CME, Inc. is Jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

American Academy of CME, Inc., designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurse Practitioners and Nurses
American Academy of CME, Inc., designates this educational activity for 1.0 ANCC contact hours (0.7 Pharmacotherapeutic Contact Hours).

Provider approved by the California Board of Registered Nursing, Provider Number CEP16993 for 1.0 contact hours.

Physician Assistants
American Academy of CME, Inc. has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 1.0 AAPA Category 1 CME credits. Approval is valid until October 13, 2022. PAs should only claim credit commensurate with the extent of their participation.

Other members of the care team will receive a certificate of participation.

Target Audience
This activity has been designed to meet the educational needs of the HIV care team, including physicians (both specialists and primary care/family medicine), nurses, nurse practitioners, physician assistants, and pharmacists who are in practice but are newer to HIV medicine or who are in training. Other healthcare providers may also participate.

Disclosure Statement
According to the disclosure policy of the Academy, all faculty, planning committee members, editors, managers and other individuals who are in a position to control content are required to disclose any relationships with any ineligible company(ies). The existence of these relationships is not viewed as implying bias or decreasing the value of the activity. Clinical content has been reviewed for fair balance and scientific objectivity, and all of the relevant financial relationships listed for these individuals have been mitigated.

Disclosure of relevant financial relationships are as follows:


Roger Bedimo, MD discloses the following relevant financial relationships: Advisory Board/Consultant: ViiV Healthcare, Merck & Co, Theratechnologies*

Jennifer Klein, FNP-BC has no relevant financial relationships to disclose.

Planning Committee
John JD Juchniewicz, MCIS, CHCP, Edward Moylan, RPh, Natalie Kirkwood, RN, BSN, JD: No relevant financial relationships with any commercial interests.

*Relationship has ended.

This activity will not review off-label or investigational information.

The opinions expressed in this accredited continuing education activity are those of the faculty, and do not represent those of the Academy. This educational activity is intended as a supplement to existing knowledge, published information, and practice guidelines. Learners should appraise the information presented critically, and draw conclusions only after careful consideration of all available scientific information.

Instructions on How to Receive Credit
There are no fees to participate in the activity. Participants must review the activity information including the learning objectives and disclosure statements, as well as the content of the activity. To receive CME/CE credit for your participation, please complete the post-assessment and program evaluation. Your certificate will be available for printing immediately.

Privacy and Contact
For more information about the American Academy of CME privacy policy, please access  For any questions, please contact: [email protected].

Hardware/Software Requirements
This program should be viewed at a resolution of 1024 x 768 or higher using current versions of Microsoft Internet Explorer, Firefox, Chrome or Safari. A high-speed Internet connection is recommended.

© 2021. This CME/CE-certified activity is held as copyrighted © by American Academy of CME and ACTHIV Institute. Through this notice, the Academy and ACTHIV Institute grant permission of its use for educational purposes only. These materials may not be used, in whole or in part, for any commercial purposes without prior permission in writing from the copyright owner(s).