{"id":470,"date":"2024-05-27T07:01:23","date_gmt":"2024-05-27T07:01:23","guid":{"rendered":"http:\/\/diabetes.digitalgrowthrevealed.com\/?p=470"},"modified":"2024-05-27T07:01:23","modified_gmt":"2024-05-27T07:01:23","slug":"diabetes-prevention-and-management-in-the-primary-care-setting","status":"publish","type":"post","link":"https:\/\/diabetes.digitalgrowthrevealed.com\/?p=470","title":{"rendered":"Diabetes Prevention and Management in the Primary Care Setting"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"480\" height=\"270\" src=\"\/\/www.youtube.com\/embed\/MVN_Y3MD7BY\" frameborder=\"0\" allowfullscreen><\/iframe><\/p>\n<p>Dr. Jay H. Shubrook shares tips for how health care professionals can better manage patients with diabetes and make patient visits more efficient in the primary care setting. <\/p>\n<p>This video is a part of the \u201cDiabetes Care: Finding Common Ground with Guiding Principles\u201d series. To learn more, visit and subscribe to the NIDDK Diabetes Discoveries &amp; Practice Blog.<\/p>\n<p>&#8212;<\/p>\n<p>Transcript:<\/p>\n<p>In primary care, there\u2019s a lot of challenges to do good diabetes care and I think part of it is that the system is set up in such a way that we really focus on volume of care. We&#8217;re seeing a lot of patients, it&#8217;s focused around the chief complaint, and we know that diabetes as a prototypical chronic disease requires lots of attention to detail and a long-term plan, not just a short-term plan.<\/p>\n<p>I feel that diabetes warrants at least four visits per year in the primary care setting. So, that&#8217;s one hour; we have more than 8,000 hours in a year. Diabetes deserves at least one hour. So, I want to be respectful of my patient who does have a complaint, so if they come in with a headache or sore throat that day, I might say, \u201cLet&#8217;s take time, let&#8217;s figure out what this is. But we&#8217;re going to reschedule this diabetes appointment for next week so that we give diabetes the attention it needs as well,\u201d because otherwise I&#8217;m shortchanging both the sore throat and the diabetes management, and that&#8217;s not good for anybody. <\/p>\n<p>So, diabetes prevention is of course critically important for primary care and for public health. I think that probably our best dollar spent is on prevention. I feel like in primary care, there&#8217;s still very little knowledge about the Diabetes Prevention Program, there&#8217;s very little knowledge about the importance of timely intervention, and then there&#8217;s also a lack of awareness of where to get those resources. <\/p>\n<p>What I love about the Guiding Principles from the National Diabetes Education Program is it\u2019s largely endorsed by many organizations. <\/p>\n<p>It&#8217;s got very simple actionable items that we can work on, and I think quite honestly, it&#8217;s one of the many resources that I think primary care should utilize to provide the best care possible for their patients with diabetes. <\/p>\n<p>I can say confidently that primary care has one of the toughest jobs in the world, they manage so many things. But at the same time, they don&#8217;t have to do it alone. Knowing where these programs are available in their community, using them as a resource to help our patients, really is something that I think is our next level. We need to have awareness about diabetes and prediabetes, but then also the resources available in the community to help our patients.<\/p>\n<p>So, if I had to leave anything for primary care providers about their interface with patients with diabetes, there&#8217;s probably three things: <\/p>\n<p>One is that diabetes needs four visits per year \u2013 at a minimum \u2013 to give it the proper attention. Two is, there are many things that you could do to make your diabetes visits more efficient. One of the things I would say is have a download station. If we try to look at manual glucose logs, that&#8217;ll take longer than I have for the entire appointment. So, get a download station so you can download your devices. And then three, recognize your patients for the process that they do, not the outcome. <\/p>\n<p>So, if a patient comes in and they&#8217;re checking their sugars three times a day and they&#8217;re taking their medication, they get a high five because they&#8217;re doing a lot of hard work no matter what their number is. And so, I think if we&#8217;re engaging patients in the long haul, we need to give them the recognition that the work is really what should be recognized and the outcomes are the bonus.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Jay H. Shubrook shares tips for how health care professionals can better manage patients with diabetes and make patient [&hellip;]<\/p>\n","protected":false},"author":0,"featured_media":471,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-470","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/diabetes.digitalgrowthrevealed.com\/?p=470\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Diabetes Prevention and Management in the Primary Care Setting - Diabetes Blog\" \/>\n<meta property=\"og:description\" content=\"Dr. Jay H. 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