Evert Alison, Trence Dace, Catton Sarah, Huynh Peter
The Diabetes Care Center, University of Washington Medical Center, Seattle
Diabetes Educ. 2009 Jul-Aug;35(4):565-7, 571-3, 577-80. doi: 10.1177/0145721709335467.
The purpose of this article is to describe the development and implementation of an educational program for the initiation of real-time continuous glucose monitoring (CGM) technology for personal use, not 3-day CGMS diagnostic studies. The education program was designed to meet the needs of patients managing their diabetes with either diabetes medications or insulin pump therapy in an outpatient diabetes education center using a team-based approach.
Observational research, complemented by literature review, was used to develop an educational program model and teaching strategies. Diabetes educators, endocrinologists, CGM manufacturer clinical specialists, and patients with diabetes were also interviewed for their clinical observations and experience.
The program follows a progressive educational model. First, patients learn in-depth about real-time CGM technology by attending a group presensor class that provides detailed information about CGM. This presensor class facilitates self-selection among patients concerning their readiness to use real-time CGM. If the patient decides to proceed with real-time CGM use, CGM initiation is scheduled, using a clinic-centered protocol for both start-up and follow-up.
Successful use of real-time CGM involves more than just patient enthusiasm or interest in a new technology. Channeling patient interest into a structured educational setting that includes the benefits and limitations of real-time CGM helps to manage patient expectations.
本文旨在描述一项教育计划的制定与实施，该计划旨在启动个人使用的实时连续血糖监测（CGM）技术，而非为期3天的动态血糖监测系统（CGMS）诊断研究。该教育计划旨在满足在门诊糖尿病教育中心使用团队协作方法，通过糖尿病药物或胰岛素泵疗法管理糖尿病的患者的需求。
采用观察性研究，并辅以文献综述，以制定教育计划模型和教学策略。还采访了糖尿病教育工作者、内分泌学家、CGM制造商临床专家以及糖尿病患者，以了解他们的临床观察和经验。
该计划遵循渐进式教育模式。首先，患者通过参加一个小组预传感器课程深入了解实时CGM技术，该课程提供有关CGM的详细信息。这个预传感器课程有助于患者根据自身使用实时CGM的准备程度进行自我选择。如果患者决定继续使用实时CGM，则安排CGM启动，使用以诊所为中心的启动和随访方案。
成功使用实时CGM不仅仅涉及患者对新技术的热情或兴趣。将患者的兴趣引导到一个结构化的教育环境中，其中包括实时CGM的益处和局限性，有助于管理患者的期望。
