Type 1 Diabetes in Adults: How Can the PCP Reinforce Diabetes Management?
This video roundtable will give you a checklist of what you should talk to your type 1 diabetes patient about at most visits. The panel of diabetes experts, which is moderated by Thomas DeStefani, MD, reviews key points in diabetes management that you as a primary care provider can check-in on.
Dr. DeStefani is joined by:
- Amy Hess-Fischl, MS, RD, LDN, BC-ADM, CDE: Certified Diabetes Educator at the University of Chicago Medical Center
- Steven M. Armbrust, MD: Family Practice Physician
- David Oyer, MD: Endocrinologist
The panel discusses the following type 1 diabetes issues to review with your patients:
- Do you have a medical ID to alert people you have type 1 diabetes, should there be an emergency?
- Do you have glucagon handy?
- If you're thinking about becoming pregnant, how are your A1c levels? The A1c should be under control before becoming pregnant.
- How are you doing with carb counting?
- Do you have any questions about portion sizes and how to estimate it?
- Are you watching yoru alcohol intake and aware that it can lower your blood glucose level?
- Have you had your flu vaccine?
Of coure, this is not an exhaustive list, nor do you need to check-in on these issues at every visit. However, these provide a good framework for helping your patient better manage his/her type 1 diabetes.
While their diabetes is mostly managed by their endocrinologist (and, of course, by themselves), knowing that their primary care provider is concerned about their diabetes can be reassuring to patients. They may even feel more comfortable discussing diabetes-related lifestyle issues (such as alcohol or sex) with you than they do with their endocrinologist.
Since so much of healthcare is about teamwork, a PCP visit is an excellent opportunity to reinforce the diabetes treatment plan and goals set by your patient's endocrinologist.