Medha Munshi, MD

FOUNDING PRESIDENT

Medha Munshi, MD

Medha Munshi is a Professor of Medicine at the Harvard Medical School. She is a geriatrician and an endocrinologist. She practices primary care geriatrics at the Beth Israel Deaconess Medical center and directs a Geriatric Diabetes Program that she developed at the Joslin Diabetes Center. This is an interdisciplinary program beyond the traditional diabetes program, which includes considering clinical, functional and psychosocial barriers faced by older adults before formulating individualized treatment strategies.

The primary focus of Dr. Munshi’ s clinical research is to identify the challenges faced by older individuals with diabetes, to develop strategies to overcome these barriers, and to improve clinical and functional outcomes, including quality of life. One of the important areas for her investigation has been the risks and poor outcomes of hypoglycemia in the aging population. Her research team has performed several studies using continuous glucose monitoring (CGM) to detect unrecognized hypoglycemia in the older population, and improving the frequency of hypoglycemia by simplifying treatment regimens. These studies have resulted in the development of a “reverse algorithm” that can be used by clinicians to de-intensify complex insulin regimens in frail older adults. The recent focus of her team is to assess the use of technology to improve diabetes care and quality of life in older adults with type 1 and type 2 diabetes.

“Every day I learn about how to live life from my patients.  This population doesn’t complain much and are trying to do best they can. They have unique needs to be addressed, and I feel more passionate everyday about helping them live the way they envision their best quality of life.”

Highlighted Publications

1.Munshi, MN, Slyne C, Segal AR, Saul N, Lyons C, Weinger, K. Simplification of insulin regimen in older adults improves risk of hypoglycemia without compromising glycemic control. JAMA Intern Med 2016 Jul 1; 176(7):1023-5. PMID:27273335

2.Kirkman MS, Briscoe VJ, Clark N, Florez H, Haas LB, Halter JB, Huang ES, Korytkowski MT, Munshi MN, Odegard PS, Pratley RE, Swift CS: Diabetes in Older Adults; Diabetes Care 2012 Dec; 35(12); 2650-64; PMID 23100048

3.Munshi MN, Florez H, Huang E.S., Kalyani R.R., Mupanomunda M, Pandya N, Swift C.S., Taveira T.H., Hass L.B: Management of Diabetes in Long-term Care and Skilled Nursing Facilities: A Position Statement of the American Diabetes Association. Diabetes Care 2016; Feb: 39(2):308-318. PMID: 26752195

4.Munshi MN, Meneilly GS, Rodriguez-Manas L, Close KL, Conlin PR, Cukierman-Yaffe T, Fobes A, Ganda OP, Kahn CR, Huang E, Laffel LM, Lee CG, Lee S, Nathan DM, Pandya N, Prattley R, Gabbay R. Diabetes in ageing: pathways for developing the evidence base for clinical guidance. Lancet Diabetes Endocrinol 2020, 10; 8(10); 855-867. PMID: 32946822.