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08-22-2017 | Type 1 diabetes | View from the clinic | Article

Five things you can do to make your diabetes visits more efficient

Author:
Jay Shubrook DO
Managing diabetes and other chronic diseases is hard. The current system is set up to manage acute problems and complaints. Our visits with patients are short, and reimbursement is largely based on volume and not quality. Many patients with type 2 diabetes are resistant to the idea of diabetes-specific visits. There are 8760 hours in a year, and diabetes is a serious chronic disease that warrants at least 1 hour of visits in total per year. If a patient has an acute complaint at the time of their visit then the focus can change to the patient’s concern; however, a new visit should then be scheduled to focus on their diabetes. There are often many things that need to be discussed during diabetes visits, including: a medication review and adherence check, a review of glucose logs and analysis of glucose patterns, cardiovascular risk reduction, preventative therapies (including vaccines), eye and dental appointments, nephropathy screening, and healthy living (eg, nutrition and exercise). One way to make sure that you get through all of these topics is to have staged visits with a particular focus.

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