PMON134
Synchronous Video Engagements Instrumental in Successful Diabetes Medication Self-Management Arnold Saperstein, MD, FACP • Cecelia Health Background � Medication adherence is a significant issue impacting individuals with diabetes and other chronic illnesses. � Research suggests that, on average, 30% of individuals with chronic illness fail to initiate their prescribed medication with an excess of 50% of patients dropping off their prescribed therapy by the end of the first year. � Limited disease state and/or therapy knowledge is often a leading contributor to drop off.
Incorporating remote CDCES monitoring into care plans can positively impact medication adherence and clinical outcomes
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Conclusion � This case demonstrates the significant benefits of incorporating remote CDCES monitoring into a care plan to observe the patient administering their medication while providing support. � Given the limited time physicians have for monitoring individuals with diabetes, a virtual home-based intervention model can be effective in improving medication adherence and clinical outcomes.
Clinical Case Patient was referred to Cecelia Health’s virtual clinic for an evaluation and assistance with chronic disease management, including access to an endocrinologist and CDCES via telemedicine. Patient was prescribed a continuous glucose monitor (CGM) for ongoing assessment of his glucose values. � CGM data indicated no obvious effect from insulin dosing. � During a video visit, our CDCES learned the patient followed an appropriate diet closely and lived a moderately healthy lifestyle with a daily walking regimen � When discussing frequent insulin dose increases, the CDCES asked him to demonstrate how he administers his medication.
The impact of video monitoring The CDCES determined the patient was using his insulin pen incorrectly, only removing the outer cap but not the inner cap, so effectively he was not getting any medication. The CDCES explained the appropriate use and demonstrated administration while conveying the importance of starting with a very low dose and how to adjust based on CGM results. TIR improvement Over 3 months, patient TIR gradually increased
4%
98%