| Journal of Endocrinology and Metabolism, ISSN 1923-2861 print, 1923-287X online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Endocrinol Metab and Elmer Press Inc |
| Journal website https://www.jofem.org |
Review
Volume 14, Number 5, October 2024, pages 213-220
Diabetes Performance Improvement Program With Continuous Glucose Monitoring, Pharmacist Intervention, and Team Management
Table
| Personnel | Time needed | Description of duties |
|---|---|---|
| CDES: certified diabetes education specialist; CGM: continuous glucose monitoring; DPIP: Diabetes Performance Improvement Program; FTE: total amount of full-time employees; HbA1c: glycated hemoglobin. | ||
| Team leader | 0.1 FTE | Defining criteria for enrollment. Managing medication by creating algorithms for others to follow. Ordering appropriate laboratory tests and referrals to a physician (MD or DO) or advanced care practitioner (ACP). |
| Clinical pharmacist | 0.2 FTE | Meets with the individual initially to assess medication interactions, appropriate dose, and administration. Provides weekly check ins with the patient and follow dose adjusting by the algorithm provided by the team leader. |
| CDES | 0.1 FTE | Provide diabetes education consistent with a curriculum as set up by the American Diabetes Association. |
| Visit schedule | Personnel | Tasks |
| Week 1 | Team leader, CDES, clinical pharmacist | Introduce yourself and the role you play. Provide CDES education based on your program’s curriculum. Set up CGM and ensure the CGM is connected with the web based monitoring program. Ensure access to reliable electronic communication. |
| Week 2-12 | Clinical pharmacist | Establish either video or telephone contact with the patient. Review the data from the CGM. Review the medication regimen prescribed and assess compliance. Adjust insulin or medications as per the algorithm provided. Arrange for a follow-up visit next week. |
| Week 13 | Team leader, CDES, clinical pharmacist | Review progress of glucose monitoring and adjustments made at previous weekly visits. Assess levels of compliance and troubleshoot areas of concern. Order HbA1c and labs as indicated by the assessment. Encourage progress and review plans for long term success. Write a note to the referring provider summarizing the results and value of the program. |