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Empowering Diabetes Management: Strategies for Achieving Patient Goals

Join our February 2013 webinar for practical tips on helping diabetes patients reach target ABCs - A1C, BP, and Cholesterol levels. Explore medication algorithms, medication titration, and evidence-based interventions to improve glucose control and prevent complications. Discover ways to identify high A1C patients, address depression, promote adherence, and manage blood pressure effectively. Learn actionable steps towards comprehensive patient care and optimizing health outcomes.

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Empowering Diabetes Management: Strategies for Achieving Patient Goals

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  1. February 2013 Webinar:“Practical Ways to Help Get Our Diabetes Patients to Goal” Controlling the ABC’s Cases

  2. The ‘ABCs’ • A1C • BP < 140/90 • Cholesterol (LDL<100, if CAD <70)

  3. Improving Glucose Control

  4. Who Are Your High A1C Patients? • Orals and need second oral? • Need insulin? • On insulin? • There can be inertia at each level • DEPRESSION? • Adherence? • Open-ended ended question: • “Some people find it hard taking their insulin every day, how’s it going for you?”

  5. BP CONTROL

  6. BP Management • <140/90 • Multiple meds • Don’t miss an opportunity to titrate • Standing orders?

  7. Medication Treatment Algorithm? • Start with ACE or ARB and/or HCTZ • Either one • Best might be early combo since all will likely need it • Third agent based on co-morbidity • Beta blocker and/or Ca channel • Add the 4th and hopefully you’ve reached goal - if not call an expert +/- alpha blocker?

  8. 140/80 150/90 140/80 150/90 Tashko and Gabbay, Integrated Blood Pressure Control (2010)

  9. Cholesterol LDL control <100If CVD <70

  10. Getting to Goal on LDL • Most myalgia not from statins! • Stop and observe • Switch to another statin • Mention stroke risk • TITRATE

  11. Evidence Based Interventions That Reduce Morbidity and Mortality • HbA1C < 7 • BP < 130/80 • LDL cholesterol < 100 (or <70 if CAD) • Aspirin age > 50 men, 60 women with 1 risk factor • ACE -age >55 • Statin use- age >40 • Yearly screen for nephropathy, feet, and eye exams

  12. QUESTIONS? Any Cases?

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