Blood glucose

Innovations

In-Office Education via Hand-Held Electronic Device Enhances Patient Knowledge Without Burdening Primary Care Staff 03/22/11

A primary care clinic offers patients 3- to 5-minute educational video modules, leading to enhanced patient knowledge without placing incremental demands on physicians and staff.

Medicaid Plan Offers Diabetic Patients Access to Fitness Facilities and Coaching, Leading to Weight Loss and Improvements in Cholesterol and Blood Glucose 03/21/11

Medicaid managed care enrollees with type 2 diabetes receive free access to YMCA facilities and have regular meetings with nurses, dietitians, and personal trainers that focus on diet, exercise, and other aspects of disease self-management, leading to weight loss and improvements in body mass index, cholesterol, and blood glucose control.

Personal Health Record Facilitates Ongoing Monitoring and Communication, Improving Engagement and Outcomes in Low-Income Diabetes Patients 01/11/11

A free, online personal health record assists diabetes patients and their clinicians in monitoring key clinical indicators, communicating during and between office visits, and sharing information with other relevant individuals, leading to enhanced levels of patient engagement and improved blood glucose control.

Proactive Office Encounter Systematically Identifies and Addresses Preventive and Chronic Care Needs at Every Primary Care and Specialty Visit 11/30/10

Nurses and medical assistants use electronic tools and standardized workflows and processes before, during, and after the patient encounter to identify and address preventive, screening, and chronic care needs at every primary and specialty care visit, leading to greater adherence to recommended care processes and better blood pressure control in those with diabetes and hypertension.

Supported by Nutrition Education, Inpatients with Diabetes Choose from Unrestricted Menu, Leading to Higher Satisfaction and Better Food Choices 10/20/10

Rather than being placed on a specialized meal plan, diabetic inpatients order meals from an unrestricted (patient-controlled) menu after receiving education from nutrition staff about how to make appropriate food selections, with additional education provided to those consistently making “incorrect” choices. The program increased patient satisfaction without having a negative impact on the ability to achieve consistent carbohydrate intake and blood glucose control.

Culturally Appropriate Education and Social Support Helps Chinese Immigrants With Diabetes Improve Knowledge, Self-Management Confidence, and Blood Glucose Control 06/27/10

Culturally and linguistically appropriate education and emotional support to low-income monolingual Chinese immigrants leads to improved knowledge and better blood glucose control in a pilot test of diabetes patients. Based on the success of this pilot, the program has been expanded to serve those with coronary artery disease and congestive heart failure as well.

Physician Practice–Based Medical Assistants Have Limited Success in Early, Ongoing Efforts to Engage Diabetes Patients in Self-Management 06/24/10

Guided by a health educator, medical assistants at an internal medicine practice are only modestly successful in encouraging diabetes patients to engage in goal setting, create personal action plans, and communicate home blood pressure and glucose measurements to physicians.

School Nurses Provide Daily Testing, As-Needed Administration of Insulin, Leading to Better Glycemic Control in Low-Income Students With Diabetes 12/16/08

A diabetes care center works in partnership with middle and high school nurses to proactively monitor glycemic levels and administer doses of long-acting insulin as needed, leading to a substantial reduction in hemoglobin A1c levels in students with poorly controlled type I diabetes.

Monthly Text Messages Increase Compliance With Recommended Blood Glucose Testing in Medicaid Managed Care Enrollees With Diabetes 11/21/08

A Medicaid managed care organization uses cell phone text messaging to remind members with type 2 diabetes to get regular blood glucose testing, leading to a significant increase in the percentage of members receiving tests on a regular basis.

Hourly Testing and As-Needed Dosing Adjustments Significantly Improve Effectiveness of Glycemic Control in Intensive Care Unit Patients 01/31/08

To reduce the high percentage of intensive care unit patients with hyperglycemia, Indiana University Health developed and implemented an hourly testing and as-needed dosing adjustment system that is enabled through use of an automated reminder system and dosing calculator.

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