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Diabetes: Management and Pharmacotherapy01:15

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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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Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
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Carbohydrate Metabolism01:36

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Related Experiment Video

Updated: May 23, 2025

Improving IV Insulin Administration in a Community Hospital
12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

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Real-world digitally based diabetes management program implementation by a large employer.

Jean M Abraham1, Teresa Ambroz, Megan Chacon

  • 1University of Minnesota, 420 Delaware St SE, MMC 729, Minneapolis, MN 55455.

The American Journal of Managed Care
|March 7, 2025
PubMed
Summary
This summary is machine-generated.

A digital diabetes management program saw low enrollment despite communication efforts. While diabetes self-management education and support use increased slightly, it did not reduce geographic disparities.

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Area of Science:

  • Digital health interventions
  • Diabetes management
  • Health services research

Background:

  • Large employers are increasingly adopting digital health solutions for chronic disease management.
  • Evaluating the implementation and effectiveness of these programs is crucial for optimizing health outcomes and resource allocation.

Purpose of the Study:

  • To assess the implementation and initial effectiveness of a digitally based diabetes management program.
  • To analyze factors influencing enrollment and utilization of diabetes self-management education and support (DSMES).
  • To determine if expanded access modalities reduced geographic disparities in DSMES utilization.

Main Methods:

  • Descriptive analysis of program implementation from May 2021 to April 2022.
  • Analysis of administrative claims data to identify enrollment predictors (demographics, clinical attributes).
  • Assessment of DSMES utilization changes and geographic access post-program launch.

Main Results:

  • Program enrollment was low relative to the eligible population, despite responsive communication campaigns.
  • Female employees and subscribers were more likely to enroll in the digital diabetes program.
  • DSMES utilization saw a slight increase, but no significant reduction in rural-urban disparities was observed.

Conclusions:

  • Digitally based disease management programs require strategic planning for successful implementation and engagement.
  • Employers and health plans can benefit from insights into optimizing digital health program design and outreach.
  • Further research is needed to address enrollment barriers and ensure equitable access to digital health solutions.