Activity
- 12 hours, 15 minutes ago
  
  Fabio Gobeth likes your comment at
  Do you keep track of where you rotate your CGM site?
  No need to track it’s pretty obvious. Switch sides each time and try to miss any visible puncture spots
- 16 hours, 46 minutes ago
  
  Rafaela likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It really depends on when I catch it and how low it is. If I see it early enough I treat it and just watch it to make sure it is recovering.
- 18 hours, 5 minutes ago
  
  Chris Albright likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I usually think "oh goody I can have some chocolate!"
- 18 hours, 5 minutes ago
  
  Chris Albright likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Very anxious when it is really low, but not anxious at all when it is just mildly low.
- 18 hours, 6 minutes ago
  
  Chris Albright likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 18 hours, 6 minutes ago
  
  Chris Albright likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It depends on how fast it is dropping and how quickly it responds to my attempts to raise it back to normal.
- 18 hours, 23 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It all depends on how low, where I am and what I'm doing and if I can easily eat/drink fast acting carbs to treat it. I only get anxious if it's taking a long time to bring bg level up to my target of 110 and I'm out in public.
- 18 hours, 24 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It depends on how fast it is dropping and how quickly it responds to my attempts to raise it back to normal.
- 18 hours, 24 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Depends on how low and what I am doing. Like today I had one at work where Dexcom said low but because I could treat and had two people with them, aware of it, I was okay.
- 18 hours, 24 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Depends on how low and for how long. Generally not anxious as much as sweating and foggy headed.
- 18 hours, 25 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 18 hours, 25 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I usually get more annoyed than anxious...It typically happens when I'm in the middle of working! I work as a private clarinet instructor so it's just me and the student and it's really difficult to string words together when I'm low.
- 18 hours, 25 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Very anxious when it is really low, but not anxious at all when it is just mildly low.
- 18 hours, 26 minutes ago
  
  Lawrence S. likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It varies. It depends on how low and how long.
- 18 hours, 58 minutes ago
  
  John Barbuto likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 20 hours, 20 minutes ago
  
  KarenM6 likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 20 hours, 20 minutes ago
  
  KarenM6 likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I usually think "oh goody I can have some chocolate!"
- 20 hours, 20 minutes ago
  
  KarenM6 likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  Two Reese's Peanut Butter cups for me 😊
- 20 hours, 21 minutes ago
  
  KarenM6 likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I don’t feel anxious when my blood sugar goes low but when it goes high, I get very worried.
- 20 hours, 39 minutes ago
  
  Janis Senungetuk likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It depends on how fast it is dropping and how quickly it responds to my attempts to raise it back to normal.
- 20 hours, 40 minutes ago
  
  Janis Senungetuk likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  My anxiety kicks in a bit when low treatments seem to take forever to have an impact.
- 20 hours, 41 minutes ago
  
  Janis Senungetuk likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It varies. It depends on how low and how long.
- 20 hours, 43 minutes ago
  
  Becky Hertz likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  It varies. It depends on how low and how long.
- 20 hours, 59 minutes ago
  
  Bret Itskowitch likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I usually think "oh goody I can have some chocolate!"
- 21 hours ago
  
  Bret Itskowitch likes your comment at
  When you have low blood glucose, how anxious do you generally feel?
  I don’t feel anxious when my blood sugar goes low but when it goes high, I get very worried.
Clear All

Improving Type 2 Diabetes Medication Prescribing

T1D Exchange, 2 years ago 0 1 min read

Rioles, N, Desimone, M, Hess, E, Iwummadu, C, Ospelt, E, Rompicherla, S, Greenfield, M, Tsai, S

Background: For people with type 2 diabetes, implementing best practice guidelines for diabetes and cardiovascular comorbidities is important to reduce the risks of complications. Two adult medical clinics used population health EMR data reports to increase medication prescribing for statins, ACE & ARB, SGLT2 & GLP-1.

Methods: The clinics tracked measures and used data analytics to identify a cohort population and medication needs for 6241 patients. Table 1 reflects data from a one-year pilot. Patients with a diagnosis of type 2 diabetes, duration of disease for at least one year, ages 18-75, with at least one in-person or telehealth visit were included.

Results: Three medication prescribing baselines were tracked to improve type 2 diabetes and heart disease management. Prescribing rates of SGLT2 and GLP1 increased by 2%, ACE-I and ARB use increased by 1% and statins rates remained at 73%.

Conclusion: The clinics used data to identify the cohort and prescribe necessary medications. Partnering with clinical pharmacists helped to support patients, educate providers, and standardize medication prescribing workflows. Planning care so that the teams consistently identified appropriate medications for diabetes and cardiovascular disease management were clinical priorities. While the goal rate of medication prescribing has not been achieved yet, new reporting workflows are now incorporated, setting up the clinics for continued improvement.

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Tags #Journal – Diabetes 2022 #T2D

Persistence of Impaired Awareness of Hypoglycemia, Severe Hypoglycemic Events, and Suboptimal Glycemic Control Despite Advanced Diabetes Technologies

T1D Exchange