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Continuous Glucose Monitoring Technology for Personal Use

An Educational Program That Educates and Supports the Patient

From the Diabetes Care Center, University of Washington Medical Center, Seattle.

Correspondence to Alison Evert, MS, RD, CDE, University of Washington Medical Center, Diabetes Care Center, Box 354691, 4225 Roosevelt Way NE, Suite 101, Seattle, WA 98105 (atevert{at}u.washington.edu).

Purpose

The purpose of this article is to describe the development and implementation of an educational program for the initiation of real-time continuous glucose monitoring (CGM) technology for personal use, not 3-day CGMS^TM diagnostic studies. The education program was designed to meet the needs of patients managing their diabetes with either diabetes medications or insulin pump therapy in an outpatient diabetes education center using a team-based approach.

Methods

Observational research, complemented by literature review, was used to develop an educational program model and teaching strategies. Diabetes educators, endocrinologists, CGM manufacturer clinical specialists, and patients with diabetes were also interviewed for their clinical observations and experience.

Results

The program follows a progressive educational model. First, patients learn in-depth about real-time CGM technology by attending a group presensor class that provides detailed information about CGM. This presensor class facilitates self-selection among patients concerning their readiness to use real-time CGM. If the patient decides to proceed with real-time CGM use, CGM initiation is scheduled, using a clinic-centered protocol for both start-up and follow-up.

Conclusions

Successful use of real-time CGM involves more than just patient enthusiasm or interest in a new technology. Channeling patient interest into a structured educational setting that includes the benefits and limitations of real-time CGM helps to manage patient expectations.

The Diabetes Educator, Vol. 35, No. 4, 565-580 (2009)
DOI: 10.1177/0145721709335467


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