scholarly journals Leveraging Technology to Improve Diabetes Care in Pregnancy

2020 ◽  
Vol 38 (5) ◽  
pp. 486-494
Author(s):  
Sarah D. Crimmins ◽  
Angela Ginn-Meadow ◽  
Rebecca H. Jessel ◽  
Julie A. Rosen
Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 1239-P
Author(s):  
TEJASWI KOMPALA ◽  
MACKENZIE CLARK ◽  
SARAH KIM ◽  
LISA KROON ◽  
THOMAS A. PETERSON ◽  
...  

2021 ◽  
pp. 193229682110014
Author(s):  
Thomas W. Martens ◽  
Janet S. Lima ◽  
Elizabeth A. Johnson ◽  
Jessica A. Conry ◽  
Jennifer J. Hoppe ◽  
...  

Background: Quality measures relating to diabetes care in America have not improved between 2005 and 2016, and have plateaued even in areas that outperform national statistics. New approaches to diabetes care and education are needed and are especially important in reaching populations with significant barriers to optimized care. Methods: A pilot quality improvement study was created to optimize diabetes education in a clinic setting with a patient population with significant healthcare barriers. Certified Diabetes Care and Education Specialists (CDCES) were deployed in a team-based model with flexible scheduling and same-day education visits, outside of the traditional framework of diabetes education, specifically targeting practices with underperforming diabetes quality measures, in a clinic setting significantly impacted by social determinants of health. Results: A team-based and flexible diabetes education model decreased hemoglobin A1C for individuals participating in the project (and having a second A1C measured) by an average of −2.3%, improved Minnesota Diabetes Quality Measures (D5) for clinicians participating in the project by 5.8%, optimized use of CDCES, and reduced a high visit fail rate for diabetes education. Conclusions: Diabetes education provided in a team-based and flexible model may better meet patient needs and improve diabetes care metrics, in settings with a patient population with significant barriers.


2004 ◽  
Vol 19 (12) ◽  
pp. 1167-1174 ◽  
Author(s):  
Russell E. Glasgow ◽  
Paul A. Nutting ◽  
Diane K. King ◽  
Candace C. Nelson ◽  
Gary Cutter ◽  
...  

Diabetes Care ◽  
2006 ◽  
Vol 29 (7) ◽  
pp. 1675-1688 ◽  
Author(s):  
R. H. Glazier ◽  
J. Bajcar ◽  
N. R. Kennie ◽  
K. Willson

BMJ Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. e032762
Author(s):  
Ruth Ndjaboue ◽  
Selma Chipenda Dansokho ◽  
Bianca Boudreault ◽  
Marie-Claude Tremblay ◽  
Maman Joyce Dogba ◽  
...  

ObjectivePeople living with diabetes need and deserve high-quality, individualised care. However, providing such care remains a challenge in many countries, including Canada. Patients’ expertise, if acknowledged and adequately translated, could help foster patient-centred care. This study aimed to describe Expert Patients’ knowledge, wisdom and advice to others with diabetes and to health professionals to improve diabetes self-management and care.Design and methodsWe recruited a convenience sample of 21 men and women. Participants were people of diverse backgrounds who are Patient Partners in a national research network (hereafter Expert Patients). We interviewed and video-recorded their knowledge, wisdom and advice for health professionals and for others with diabetes. Three researchers independently analysed videos using inductive framework analysis, identifying themes through discussion and consensus. Expert Patients were involved in all aspects of study design, conduct, analysis and knowledge translation.ResultsAcknowledging and accepting the reality of diabetes, receiving support from family and care teams and not letting diabetes control one’s life are essential to live well with diabetes. To improve diabetes care, health professionals should understand and acknowledge the impact of diabetes on patients and their families, and communicate with patients openly, respectfully, with empathy and cultural competency.ConclusionExpert Patients pointed to a number of areas of improvement in diabetes care that may be actionable individually by patients or health professionals, and also collectively through intergroup collaboration. Improving the quality of care in diabetes is crucial for improving health outcomes for people with diabetes.


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