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Related Concept Videos

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The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
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Related Experiment Video

Updated: May 15, 2026

Improving IV Insulin Administration in a Community Hospital
12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Challenges and opportunities for implementing diabetes self-management guidelines.

Bernard Appiah1, Yan Hong, Marcia G Ory

  • 1Department of Health Promotion and Community Health Sciences, School of Rural Public Health, Texas A&M Health Science Center, College Station, TX, USA.

Journal of the American Board of Family Medicine : JABFM
|January 5, 2013
PubMed
Summary

Implementing evidence-based diabetes self-management guidelines faces challenges like data access and provider coordination. Opportunities include using health coaches and involving primary care providers in guideline development.

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Last Updated: May 15, 2026

Improving IV Insulin Administration in a Community Hospital
12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Area of Science:

  • Primary Care Medicine
  • Health Services Research
  • Diabetes Management

Background:

  • Evidence-based guidelines are crucial for optimal diabetes self-management.
  • Primary care providers (PCPs) face barriers in implementing these guidelines effectively.
  • Understanding these challenges is key to improving diabetes care delivery.

Purpose of the Study:

  • To identify perceived challenges faced by PCPs in implementing diabetes self-management guidelines.
  • To explore opportunities for promoting the use of these guidelines in clinical practice.

Main Methods:

  • Qualitative study involving 3 group discussions with 43 key stakeholders (family physicians, medical directors, quality assurance leaders).
  • Thematic content analysis was used to summarize discussion transcripts.
  • Study conducted in a large, university-affiliated, integrated health care organization.

Main Results:

  • Key challenges included poor electronic health information retrieval, inadequate care coordination, conflicting information, and fee-for-service compensation models.
  • Opportunities identified were utilizing trained health coaches/nurses and fostering collaboration between providers and guideline developers.

Conclusions:

  • Primary care providers and patients should be involved in the design and development of best practice guidelines.
  • Enhanced guideline implementation in primary care settings requires addressing identified challenges and leveraging opportunities.
  • This collaborative approach can improve diabetes self-management support.