HealthPartners Institute
The goal of this project is to see if an electronic health record (EHR)-based smart order set with continuous glucose monitoring data to provide decision support can improve blood sugar management in people with type 2 diabetes (T2D) using insulin.
Develop and test an electronic health record (EHR)-based smart order set to provide decision support by combining retrospective CGM data and a novel tool called Clinician CGM Guided Management (CCGM) that incorporates elements of the American Diabetes Association/European Association for the Study of Diabetes (ADA/EASD) Algorithm and established principles of insulin titration in T2D to improve glycemic management in people with T2D using insulin who are managed in primary care. A current quality improvement (QI) project within the care system will improve CGM data access to primary care prov…
Inclusion Criteria: * Type 2 diabetes * A1c greater than 7.5% * On insulin therapy * Use CGM for glycemic monitoring Exclusion Criteria: * Pregnancy * Use of insulin pump or automated insulin delivery system * Active cancer (other than nonmelanoma skin cancer or low-grade prostate cancer being followed with observation) * Cognitive barriers requiring assistance of a surrogate or caregiver for insulin management
Retrospective CGM data is combined with a readily available EHR-based smart order set tool to assist with guidance and decision support for participants with type 2 diabetes on insulin.
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