Diabetes Educator
Must have A1C >= 8%
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 above. A CGM will be mailed to the patient.
All other insurances
Send an erx for the following to the patient's pharmacy: 1) Dexcom G7 1 sensor q10d 2) Dexcom G7 receiver x 1 3) Freestyle Libre 2 - 1 sensor q14d 4) Freestyle Libre 2 reader x 1
The pharmacy can figure out which of those is covered! 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