Diabetes/General Endocrine

ECHO Clinics

Temporarily on hiatus

This clinic is currently on hiatus while we hire and train our new hub team member.

If you would like to submit a case for discussion at clinic please complete the appropriate form below, and fax to (775) 327-5112 by noon on the day prior to the clinic. This form is a fillable PDF, but you may print and fill it in by hand as well.

Diabetes Case Presentation Template

Endocrine Case Presentation Template

This clinic provides a forum for presentation and discussion of patients with both Type I and Type II diabetes with a team of diabetes experts including an endocrinologist a diabetes nurse educator and a nutritionist, in addition, there is an opportunity for presentation of patients with other endocrine disorders.

This clinic team consists of:

  • Evan Klass, M.D. Dr. Klass is a Board Certified Endocrinologist with over 30 years of clinical practice experience. He is the Governor of the Nevada Chapter of the Fellow of the American College of Physicians and the American College of Clinical Endocrinology.
  • Karmella Thomas, RD, CDE. Karmella trained at University of Nevada, Reno, in both biology and nutrition. She has a certificate of Specialized Training in Adult Weight Management from the American Dietetic Association. She also earned the Certified Diabetes Educator (CDE) credential in June 2012.

For text message clinic reminders opt-in here: remind.com/join/diabendo

Join the clinic directly by clicking this link or entering Meeting ID code 684 551 843.

The University of Nevada, Reno School of Medicine designates this Live Activity for a maximum of 1.00 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The University of Nevada, Reno School of Medicine is a provider of continuing education credit through the Nevada State Board of Pharmacy. This program is approved for 1.00 hours of continuing education credit for pharmacists.

The University of Nevada, Reno School of Medicine approves this program for 1.00 hours of nursing continuing education credit.

Previous Diabetes and General Endocrine

June 2019

    • Topic: Case Consultations and General Discussion
    • Topic: Case Consultations

May 2019

    • Topic: ADA 2019 Update

    Slides available upon request to ProjectECHO@med.unr.edu

    • Topic: ADA 2019 Update

April 2019

    • Topic: Pre-diabetes

March 2019

February 2019

January 2019

December 2018

    • Topic: Case Consultation

November 2018

October 2018

    • Topic: Potential for Misdiagnosis of Adult Onset Type 1 Diabetes As Type 2 Diabetes
    • Topic: Case Consultation

September 2018

    • Topic: SGLT-2 Inhibitors
    • Topic: Case Consultations

August 2018


  • Topic: Vaccination Guidelines in Diabetes

  • Topic: Case Consultations

July 2018


  • Topic: The Mediterranean Diet

June 2018


  • Topic: GLP-1 Therapy

  • Topic: Case Consultations

May 2018


  • Topic: Hormone Replacement Therapy

  • Topic: Case Consultations

April 2018

March 2018


  • Topic: Osteoporosis

  • Topic: ADA Standards of Care

February 2018


  • Topic: Bariatric Surgery: a case based approach

  • Topic: Case Consultations

January 2018


  • Topic: Basal-Bolus Insulin Therapy
  • • No Clinic
    Topic: Case Consultations

December 2017


  • Topic: Minimizing Hypoglycemia

  • Topic: Case Consultations

November 2017

October 2017

September 2017


  • Topic: Adult Onset Male Hypogonadism

  • Concluding our series on Continuous Glucose Monitoring, this final session will discuss how patients can support the cost of a device and how providers can bill for its use.
    Topic: Continuous Glucose Monitoring Series - Part 4: Billing and Coding

August 2017


  • With three CGM devices available, learn the basics of each and how to review the data they collect.
    Topic: Continuous Glucose Monitoring Series - Part 3: Interpretation of Data

  • Continuing our series about Continuous Glucose Monitoring, this session will discuss the criteria to identify the proper candidate(s) to begin using a CGM device.
    Topic: Continuous Glucose Monitoring Series - Part 2: Identification of Appropriate Candidates for CGM

July 2017


  • This first session will cover the basic background information about Continuous Glucose Monitoring, as well as the differences between professional and personal applications.
    Topic: Continuous Glucose Monitoring Series - Part 1: What is CGM?

    New York Times article on pheochromocytoma

  • • No Clinic
    Topic: Case Consultations

June 2017


  • Topic: HRT in women

  • Topic: Case Consultations

May 2017

April 2017


  • Guest presenter: John Ganser, MD
    Topic: The Obesity Epidemic: The Role of Weight Loss Surgery

  • Topic: Case Consultations

March 2017


  • Topic: Diabetes Case Consultations

  • Topic: Case Consultations

February 2017


  • Topic: Gastroparesis

    Nutrition Therapy Handout


  • Topic: Case Consultations

January 2017


  • Topic: Subclinical Thyroid Disorders

  • Topic: Case Consultations

December 2016


  • Topic: Statin Therapy

  • Topic: Case Consultations

November 2016


  • Topic: Cardiac Aspects of Diabetes

  • Topic: Case Consultations

October 2016


  • Topic: Management of Depression in Diabetes

  • Topic: Case Consultations

September 2016


  • Topic: Alternative Diet Plans

  • Topic: Case Consultations

    Vitamin D Resource

August 2016

July 2016


  • Topic: Oral Agents

June 2016

May 2016


  • Topic: Opioid Endocrinopathy

April 2016


  • Topic: Insulin Therapy - What's New

March 2016


  • Topic: Diabetes Care in 2016 - Part II

February 2016


  • Topic: Mindfulness Based Stress Reduction

January 2016


  • Topic: Diabetes Care in 2016

December 2015


  • Topic: Open Forum & Case Consultation

    Carrying on our December tradition of holding open forums for our participants, we utilize this time to solicit feedback and gather clinic topics for the upcoming year. Cases always come first, though, so if you have any Diabetes cases you wish to present, get those faxed to (775) 327-5112 as soon as possible.

November 2015

October 2015


  • Topic: Special Series Diabetes: High Value Endocrine Consultation

  • Topic: Diabetes/General Endocrine Case Presentations and Consultations

    No didactic presentation during this clinic, but we will be having another Diabetes/General Endocrine ECHO clinic on October 29th from 8am to 9am as well.

September 2015


  • Topic: The Use of Continuous Glucose Monitoring Devices to Help Inform Treatment

    Since we had more cases than time last month, this presentation topic is a carryover from August. Be sure to get your cases faxed to the number on the case presentation template as soon as possible!

August 2015


  • Topic: Using Continuous Glucose Monitoring Data (CGM) in Guiding Therapy

July 2015


  • Topic: TBD

June 2015


  • Topic: TBD

May 2015


  • Topic: Osteoporosis Update Part III

April 2015


  • Topic: Osteoporosis Update Part II

March 2015

January 2015


  • Presented by Dr. Arshad Khanani from Sierra Eye Associates
    Topic: Diabetic Retinopathy

December 2014


  • Topic: Open forum Q&A

November 2014


  • Presented by Evan Klass, M.D., Steve Graybar, Ph.D., and Karmella Thomas, RD, LD, CDE
    Topic: Introduction to Insulin Pump Therapy

October 2014


  • Topic: Continuous Glucose Sensor Info

September 2014


  • Topic: Open Q&A with our Certified Diabetes Educator and Registered Dietitian.

August 2014


  • Presented by Karmella Thomas, RD, CDE
    Topic: Weight Loss Drugs

July 2014


  • Topic: Pregestational Diabetes

May 2014


  • Topic: New WHO Guidelines on Sugar

April 2014


  • Topic: Diabetes & Geriatrics