Teaching Case Studies: Managing Aberrant Behavior In Patients With Dementia
Title: Fronto-Temporal Dementia,
Diabetes Mellitus & Excessive Eating

Published in the journal, Gerontology and Geriatric Medicine 
In Joint Providership with Sage Publishing

Goals and Objectives

This activity is intended for health care providers, family, and/or caregivers who provide care for patients with dementia.

Diabetes mellitus is common among older people. Hypoglycemia is a sign of poorly controlled diabetes mellitus and may lead to irritability, agitation, anxiety, hunger and an excessive food intake, which in turn may make the control of diabetes more difficult. Excessive, inappropriate food intake is also a sign of Fronto-Temporal Dementia (behavioral variant: bvFTD).

In this case study we describe the events leading to an altercation that developed between an older diabetic patient with bvFTD and the staff in an Assisted Living Facility. His first dose of insulin was given early that morning while he was still asleep. He subsequently woke up feeling hungry, agitated and irritable. This in turn exacerbated the hyperorality associated with bvFTD.

We examine what went wrong in the patient/caregiver interaction and how this potentially catastrophic situation could have been avoided or defused.Upon completion of the activity, providers should be able to:

  • Apply the material addressed in the scenario when advising caregivers seeking help with similar situations.
  • Provide advice to caregivers about how to avoid aberrant behaviors from developing, escalating, and erupting, along with steps that can be taken to prevent it from occurring.

Important Note:

Before beginning this CME activity, you must review the article in its entirety, located here:

Fronto-Temporal Dementia, Diabetes Mellitus & Excessive Eating

R. C. Hamdy, MD1 , A. Kinser, PhD1 , J. V. Lewis, MD1 , R. Copeland, MD1 , A. Depelteau, PhD1 , T. Kendall-Wilson, RN1,2 , and K. Whalen, BA1

1East Tennessee State University, Johnson City, TN, USA
2Alzheimer’s Tennessee, Knoxville, TN, USA

Course Information

CME Release Date: June 8, 2018
Content Reviewed: April 3, 2019
Valid for credit through: June 8, 2020
Course type:  Journal CME

Credits Available

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Southern Medical Association and SAGE Publishing. Southern Medical Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Southern Medical Association designates this Journal CME Activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.  All healthcare professionals who are not MDs or DOs will receive a certificate of participation.

Instructions for Participation and Credit

This activity is designed to be completed within the time designated; learners should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period noted, following these steps:

  • Read the goals and objectives, accreditation information, and author disclosures.
  • Study the educational content and references.
  • Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score of 80%.
  • Complete the activity evaluation and attestation.

Upon successful completion of the test, evaluation and attestation, your certificate will be processed and emailed from [email protected] within approximately 1 hour. Credits will be archived for 6 years; at any point within this time period you may login to your account to print a duplicate copy of your certificate.

Course Materials


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