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The Curbsiders Internal Medicine Podcast
REBOOT #433 CGMs, Insulin, and How to Adjust Diabetes Meds to Glucose Patterns
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.
01:15:34
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Quick takeaways
- Continuous glucose monitors (CGMs) have improved accessibility, allowing insurance coverage for patients using basal insulin, enhancing diabetes management.
- The data from CGMs help healthcare providers identify glucose trends, enabling personalized adjustments to insulin regimens for better patient outcomes.
Deep dives
The Importance of Continuous Glucose Monitors (CGMs)
Continuous glucose monitors (CGMs) have recently become more accessible due to changes in Medicare and Medicaid eligibility. Patients using basal insulin alone can now get insurance coverage for these monitors, which provide real-time data on glucose levels. This technology is especially beneficial for patients who struggle with hypoglycemia, as the CGMs can alert them to low levels, enabling timely interventions. Furthermore, using CGMs simplifies the management of diabetes, allowing healthcare providers to review patterns over time and make informed treatment adjustments.
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