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Diabetes Management in Primary Care

OSU Center for Health Sciences and Project ECHO Offical Logo with TSET Offical Logo

ECHO uses videoconferencing to connect an interdisciplinary team of experts with primary care providers. They collaborate in interactive case-based learning sessions to help providers develop advanced skills and best practices.


Who Should Participate?

Medical providers (DO, MD, NP, PA), nurses, clinical pharmacists, nutritionists, dietitians, psychologists, behavioral health providers, social workers, case managers, and other professionals interested in learning new skills.



This ECHO Program is held the 2nd and 4th Wednesdays of the month from 12:00pm – 1:00pm CST. A one-time registration is required to participate in any ECHO sessions.




What does this ECHO Program Offer?

  • Learn about best practices and evidence-based care 
  • Collaboration, support, and ongoing learning with specialist physicians and other experts
  • Free CME for health care professionals *certain conditions apply


Why Diabetes Management in Primary Care?

  • While the state of Oklahoma faces many health challenges, one of the most glaring is diabetes. According to the America Diabetes Association, in 2022 approximately 451,888 people have been diagnosed with diabetes.
  • Every year an estimated 23,717 people in Oklahoma are diagnosed with diabetes.
  • Moreover, 1,036,000 people in Oklahoma, 36.9% of the adult population, have prediabetes. As of 2021, Oklahoma has 63 Endocrinologists, among which 52 (83%) practice in the metro areas of Tulsa or Oklahoma City.
  • People with diabetes have medical expenses approximately 2.3 times higher than those who do not have diabetes. The total direct medical expenses for diagnosed diabetes in Oklahoma were estimated at $2.8 billion in 2017. In addition, another $1 billion was spent on indirect costs from lost productivity due to diabetes.
  • In 2023, the National Institute of Diabetes and Digestive and Kidney Diseases at the National Institutes of Health invested $1,809,277 in diabetes-related research projects in Oklahoma. The Division of Diabetes Translation at the CDC provided $1,718,610 in diabetes prevention and educational grants in Oklahoma in 2021.



  • Diabetes nutrition and education
  • Importance of preventative exams
  • Pre-diabetes in adult and pediatric populations
  • Psychosocial associations with diabetes
  • Motivational interviewing
  • Clinical inertia
  • Complications of uncontrolled diabetes
  • Insulin adjustments and pumps
  • Social Determinants of Health
  • Support programs and resources



Bryan Bozell, PharmD, BCPS, AAHIVP

Clinical Assistant Professor

Department of Internal Medicine, Specialty Clinic

OSU Center for Health Sciences


Micah Derby, DO, AAHIVS

Clinical Assistant Professor

Department of Internal Medicine, Specialty Clinic

OSU Center for Health Sciences


Vivian Stevens, PhD


Psychiatry and Behavioral Sciences

OSU Center for Health Sciences


Anna Reinwand, MS, RDN/LD, CDCES

Clinical Diabetes Specialist

OSU Medical Center


Rebecca Graham, RN, CCM

Nurse Care Manager

OSU Health Access Network

OSU Center for Health Sciences


Nikkole Resciniti

ECHO Coordinator

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