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Endocrine Clinical Pharmacy Specialist
CGM and Remote Monitoring Program Coordinator
Endocrinology and Metabolism Institute
Diana Isaacs, PharmD, BCPS, BCACP, CDCES, BC-ADM, FADCES, FCCP, has disclosed that she has received consulting fees from Abbott, Dexcom, Insulet, Lilly, Medtronic, and Novo Nordisk.
It is important to make the best use of your visit with a person with diabetes. I like to use the acronym DATAA when I meet with someone to make sure I cover everything.
Optimize a Clinic Visit With a Person With Diabetes by Using the DATAA Mnemonic
Strategies to Get the Most Data From Blood Glucose Monitoring
If possible, try to have the person with diabetes wear a professional continuous glucose monitor (CGM) quarterly or twice yearly to give you more comprehensive data and help you make better decisions. But if CGM is not an option, ask the person to monitor blood glucose more intensely in the days before the clinic visit. They should do 4-7 finger sticks per day; 7 data points are very helpful. If people can only do 1 or 2 finger sticks per day, they can alternate when they check blood glucose. Paired testing before and after a meal and different times of day can give valuable information.
Finally, I would like to emphasize that blood glucose numbers are just data; they are not good nor bad. I would caution healthcare professionals not to act like a cheerleader when numbers are in range because people will feel bad when the numbers are outside of target and may miss the next appointment. Healthcare professionals and people with diabetes don’t need to be perfect. Remember, the guideline recommendation is to be in range 70% of the time.
What are your thoughts on the how to optimize a visit with a person with diabetes who is using blood glucose monitoring? Answer the polling question and share your thoughts in the comments box below.