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Ilias Spanakis, MD

Academic Title:

Assistant Professor

Primary Appointment:

Medicine

Location:

VAMC, 5D134

Education and Training

MD: Medicine, Demokritos University of Thrace, Greece
Research fellow: Endocrinology, Beth Israel Medical Center, Harvard Medical School, MA
Research fellow: Endocrinology, Milton Hershey Medical Center, Penn State University, PA
Resident: Medicine, St. Elizabeth’s Medical Center, Tufts University, MA
Post Doc Fellow: Endocrinology, Johns Hopkins Hospital, Johns Hopkins University, MD
Assistant Professor: Medicine and Endocrinology, Baltimore Veterans Administrative Medical Center, University of Maryland, MD, Current

Biosketch

My research focus in improving the safety and the quality of care in the inpatient setting with a goal to reduce morbidity, mortality and readmissions among hospitalized patients with Diabetes Mellitus (DM). I am  involved in epidemiological studies examining data from the VINCI (VA Informatics and Computing Infrastructure) database evaluating the mortality and readmission rates in hospitalized veterans with DM. I also lead the Inpatient Diabetes Management Committee, with a goal to improve the quality of care in hospitalized patients with Diabetes Mellitus, which aligns with my current research focus.

I have an extensive clinical and research experience using Continuous Glucose Monitoring (CGM) devices. We have published first the development of a novel glucose monitoring system in the inpatient setting, a system that we call Glucose Telemetry System (GTS). This system allows the wireless transmission of glucose values from the CGM to a monitoring device that is placed in the nursing station. I am also conducting a clinical trial to examine the effectiveness of GTS in hospitalized insulin treated, high risk for hypoglycemia patients with Type 2 DM, with a goal to prevent hypoglycemia. If our hypothesis is correct, the proposed clinical trial may lead to wider use of GTS/CGM devises among hospitalized patients with DM and may alter the way that we manage hospitalized patients with DM who at a higher risk for hypoglycemia, similar to the way that we monitor with cardiac telemetry  high risk for arryhmia patients.

 

Research/Clinical Keywords

Inpatient Management of Diabetes, Hyperglycemia, Hypoglycemia, Continuous Glucose Monitoring (CGM) Devices.

Highlighted Publications

Complete List of Published Work in My Bibliography:

http://www.ncbi.nlm.nih.gov/myncbi/browse/collection/48526848/?sort=date&direction=descending

Research Interests

 My research interest focus in the inpatient DM management. I am interested in using novel technologies with a goal to improve the quality and safety of hospitalized patients with DM. Our group reported the first successful case of Real Time CGM use in a hospitalized patient with type 1 DM. We also reported first the development of a novel system, that allows the wireless transmission of glucose values in a monitoring device that is located in the nursing station, a system that we named “Glucose Telemetry System” .

 a) Spanakis EK, Shah N, Malhotra K, Kemmerer T, Yeh HC, Golden SH.   Insulin Requirements in Non-Critically Ill Hospitalized Patients with Steroid-Induced Hyperglycemia.Hospital Practice (1995). 2014 Apr;42(2):23-30 (PMID:24769781).

b) Spanakis E, Chang YT, Wang NY, Munoz  M, Golden SH.Impact of a Hospital Wide Inpatient Glucose Management Program on Economic and Clinical Outcomes in the Non-Critical Care Setting. Oral presentation,  73rd American Diabetes Association Meeting, Chicago.

c) Levitt DL, Silver KD, Spanakis EK. Mitigating Severe Hypoglycemia by Initiating Inpatient Continuous Glucose Monitoring for Type 1 Diabetes Mellitus: A Case Report.Journal of Diabetes Science and Technology.2017; 11(2):440-441. (PMID 27543272)

d) Levitt DL, Silver KD, Spanakis EK. Inpatient Continuous Glucose Monitoring and Glycemic Outcomes. Journal of Diabetes Science and Technology. 2017 Mar 1 (PMID: 28290224)

e) Levitt DL, Spanakis EK, Ryan KA, Silver KD. Insulin Pump and Continuous Glucose Monitor Initiation in Hospitalized Patients with Type 2 Diabetes Mellitus. Diabetes Technol Ther. 2018 Jan 2. doi: 10.1089/dia.2017.0250. [Epub ahead of print]

f) Spanakis EK, Levitt DL, Siddiqui T, Singh LG, Pinault L, Sorkin J, Umpierrez GE, Fink JC. The effect of Continuous Glucose Monitoring in Preventing Inpatient Hypoglycemia in General Wards: The Glucose Telemetry System. Journal of Diabetes Science and Technology. 2018 Jan;12(1):20-25

Awards and Affiliations

2009: Permanent Resident/ Green Card Holder through self-sponsorship (National Interest Waiver/ EB2 category)
2010: Oral Presentation Award, 19th Annual Meeting, American Association of Clinical Endocrinologists 2010, Boston, MA
2010-2011: Teaching Award for Medical Students, Tufts University School of Medicine
2011: "George L. Tully, III" Medical Educator Award, St Elizabeth’s Medical Center, Tufts University, Boston, MA
2012: Presidential Poster Contest Award, 94th Endocrine Society Meeting, Houston, TX

Grants and Contracts

Current Grants

CX001825       Spanakis (PI) 07/01/2018-06/30/2023

VA MERIT    

“Continuous Glucose Monitoring in Insulin Treated Hospitalized Veterans with DM2 at higher risk for hypoglycemia.”

The major goals of this project are to examine whether an innovative glucose monitoring system in the inpatient setting, a system that we named it Glucose Telemetry System (GTS), can decrease hypoglycemia in high risk DM2 veterans and improve clinical outcomes. 

 

Professional Activity

Professional Society Memberships 

2008-2011: Member, Massachusetts Medical Society
2008-2011: Member, American College of Physicians
2009-2012: Member, American Association of Clinical Endocrinologists
2011-2012: Publications/Guidelines Committee, American Association of Clinical Endocrinologists
2009-present: Member, Endocrine Society
2009-present: Member, American Diabetes Association
2014-2015: Endocrine Fellows Advisory Group Committee, 74th American Diabetes Association Conference
2014-present Member, School of Medicine Council of University of Maryland
2015-present: Member, University of Maryland Endocrine Fellows Clinical Competency Committee (ACGME)

Administrative Service

2011                            American Association of Clinical Endocrinologists,                                                                           Publications/Guidelines Committee

2014                            American Diabetes Association, Endocrine Fellows Advisory Group                                               Committee

2017                            Guest Editor, Journal of Diabetes Science and Technology (Diabetes Technology in the Hospital.)

 

Manuscript reviewer

2009                            American Family Physician, Ad Hoc Reviewer

2009                            Virulence, Ad Hoc Reviewer

2015                            Endocrine Research, Ad Hoc Reviewer

2016                            Psychoneuroendocrinology, Ad Hoc Reviewer

2016                            Diabetology & Metabolic syndrome  

2017                            Diabetes Technology&Therapeutics

2017                            Journal of Diabetes Science and Technology

 

Teaching Service

2008-2011                   Teaching medical students, Tufts University School of Medicine, 1 hour daily, 4-6 months/year

2009-2011                   Teaching medical interns, Steward St Elizabeth’s Medical Center, 2 hours daily, 6-9 months/year

2011-2012                   Teaching medical interns, residents, and students, Johns Hopkins University School of Medicine, 1 hour daily, 9-12 months/year

2012-2014                   Teaching medical interns, residents, and students, Johns Hopkins University School of Medicine, 1 hour/ week, 9-12 months/year

2014-2016                   Teaching Medical Students, ICM2,  1 hour /week, for 6 weeks, University of Maryland School of Medicine

2014-current                Teaching medical interns and residents, 4 hours/week, 11 months/year, University of Maryland School of Medicine

2014-current                Teaching medical students, 4 hours/ 2 weeks, 11 months/year, University of Maryland School of Medicine

2014-2016                   Teaching Endocrine Fellows, 8 hours per week, 11 months/year, University of Maryland School of Medicine

2016-current                Teaching Endocrine Fellows, 12 hours per week, 11 months/year, University of Maryland School of Medicine

 

Committees

2014-2016                   Member, School of Medicine Council of University of Maryland

2014- current               Member, EDN Grand Rounds Planning Committee

2015-present               Member, University of Maryland Endocrine Fellows Clinical Competency Committee (ACGME), University of Maryland School of Medicine

2016-current                Inpatient Diabetes Management Committee (VABMC)

Previous Positions

2000-2001: Physician, Mires Health Center, Vasilika Anoyia, Greece
2001-2001: Teaching Assistant, 1st and 2nd IEK, Crete, Greece
2001-2003: Physician, Greek Army, Air Force Units, 5 MKSEP/126SM, Greece
2003-2005: Intern and Resident, University Hospital, University of Crete
2006-2007: Research Fellow, Beth Israel Deaconess Medical Center, Division of Endocrinology, Harvard Medical School, Boston, MA
2007-2008: Research Fellow, Penn State University, Division of Endocrinology, Hershey, PA
2008-2011: Internship and Residency, Saint Elizabeth’s Medical Center, Tufts University, Boston, MA
2011-2014: Clinical and research Fellow, Johns Hopkins Hospital, Johns Hopkins University, Baltimore, MD