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Diabetes Care

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Diabetes Educator

A1c >= 10% and refractory to IMA-based interventions

Consider referral to HAC (High A1c) Diabetes Program

  • Frequent appointments (every 1-4 weeks) with endocrinology providers
  • AMB REF TO HAC DIABETES PROGAM
  • Diabetes care coordinator: Marie Kristen Calcetas

Type 1 DM, Pregnant

  • Place endocrine e-consult to request in person care

Continuous Glucose Monitors (CGM)

Medicare

Use the MSH LandauerMedstar workflow for DME. A CGM will be mailed to the patient.

All other insurances

Send an Erx for one of the following to the patient's pharmacy:

1) Dexcom G7 1 sensor q10d, and 2) Dexcom G7 receiver x 1

OR

1) Freestyle Libre 3 - 1 sensor q14d, and 2) Freestyle Libre 3 reader x 1

Would suggest including a note to pharmacy about the particular indication for CGM, for example:
* requires BG check 4x/d
* frequent hypoglycemia or hypoglycemia unawareness or history of severe hypoglycemia requiring intervention
* multiple insulin injections per day