The Curbsiders Internal Medicine Podcast REBOOT #433 CGMs, Insulin, and How to Adjust Diabetes Meds to Glucose Patterns
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Dec 9, 2024 
Dr. Jeff Colburn, an expert in diabetes management and virtual care, shares valuable insights on continuous glucose monitors (CGMs) and insulin management. He discusses how to interpret CGM data, addressing issues such as overnight hypoglycemia and post-prandial highs. The conversation also highlights personalized medication strategies and the integration of GLP-1 agonists and SGLT-2 inhibitors. Colburn emphasizes the importance of patient education and adjusting treatment plans based on individual glucose patterns, making diabetes care more accessible and effective.
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CGM Recommendations
- Consider CGM for patients struggling with diabetes management, even those on basal insulin only.
- Educate patients on CGM use, including data interpretation and insulin adjustments.
Provider Portals for CGM Data
- Provider portals for CGM data are helpful for practices.
- Discuss portal adoption and data sharing among clinic staff for streamlined management.
Expanded CGM Coverage
- CGM use is expanding due to updated Medicare/Medicaid coverage.
- CGMs are now covered for patients on basal insulin, potentially impacting primary care.