Eden Miller, DO, expounds on how to use CGM monitoring to help patients manage their diabetes journey.
Continuous glucose monitoring is revolutionizing the way we look at diabetes. We've gone from a 30,000-foot view in diabetes to an individualized, patient-centric glucose- or diabetes-related journey. There's been much talk about utility and the science behind it, but I'm passionate about going from knowing CGM to actually doing CGM in clinical practice.
Understanding CGM and its technology can be sometimes overwhelming. We all have this great scientific background but getting that knowing into doing has a few steps. This clinician thinks all persons with diabetes can benefit from CGM. When you think of continuous glucose monitoring, you may put different reasons for CGM. You identify the person. You talk about how it may help illuminate their disease. Oftentimes, you choose a CGM that might be easier to use. The very first CGM that is probably the low-hanging fruit is to do that blinded professional CGM. All the different carriers and payers cover this.
From there, if you want to start identifying those people with personal CGM, the ones that need that real-time engagement ongoing as a part of their daily life, you can help them obtain that, oftentimes through pharmacy benefit or durable medical equipment. Remember to empower them so they know their time in range, what's their target, how to avoid, and how to do a few tasks over time. You don't need to do it all in one sitting. It's really a journey.
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