Department of Family Medicine, Brody School of Medicine, East Carolina University, Greenville, North Carolina.
College of Nursing, University of Florida, Gainesville, Florida.
Sci Diabetes Self Manag Care. 2022 Oct;48(5):437-445. doi: 10.1177/26350106221120889. Epub 2022 Sep 1.
The integration of diabetes technology into diabetes care and self-management is evolving so rapidly that providing sufficient support has become an obstacle for many health care professionals (HCPs) in practice. Diabetes technology requires HCPs to stay current with treatment goals and practice guidelines. Diabetes care and education specialists (DCESs) are well positioned to take on this challenge by seizing opportunities to apply their skills, knowledge, and experience to contribute to a technology-enabled practice environment. Diabetes technology includes devices, hardware, and software utilized to manage all aspects of diabetes care, including lifestyle management, glucose monitoring, and insulin delivery. The complexities of caring for persons with diabetes (PWD) who utilize diabetes technology is best accomplished in partnership with other members of the care team and support staff to cover all aspects of technology including prior authorizations, onboarding PWD, downloading and interpreting data, and supporting ongoing utilization. The purpose of this article is to introduce a comprehensive set of role-based competencies for HCPs, DCESs, and staff for the selection, implementation, and sustainability of diabetes technology when providing diabetes care, education, and support. The role-based competencies described in this article are intended to support the initiation, continuation, and optimal use of diabetes technology in practice through ongoing education and guidance of care team members.
This article describes the diabetes technology competencies essential for all levels of the care team and support staff in various care settings to deliver comprehensive diabetes management and support to PWD utilizing diabetes technology in their self-care regimen.
糖尿病技术在糖尿病护理和自我管理中的整合发展如此之快,以至于许多医疗保健专业人员(HCP)在实践中都难以提供足够的支持。糖尿病技术要求 HCP 了解最新的治疗目标和实践指南。糖尿病护理和教育专家(DCES)通过抓住机会应用他们的技能、知识和经验,为实现技术支持的实践环境做出贡献,从而能够很好地应对这一挑战。糖尿病技术包括用于管理糖尿病护理各个方面的设备、硬件和软件,包括生活方式管理、血糖监测和胰岛素输送。与护理团队的其他成员和支持人员合作,共同管理技术的各个方面,包括预先授权、为使用糖尿病技术的患者提供服务、下载和解释数据以及支持持续利用,是为使用糖尿病技术的患者(PWD)提供护理的最佳方式。本文的目的是为 HCP、DCES 和工作人员引入一套全面的基于角色的能力,以在提供糖尿病护理、教育和支持时选择、实施和维持糖尿病技术。本文中描述的基于角色的能力旨在通过对护理团队成员的持续教育和指导,支持糖尿病技术在实践中的启动、持续使用和最佳利用。
本文描述了所有级别的护理团队以及在各种护理环境中的支持人员在为使用糖尿病技术进行自我护理的 PWD 提供全面的糖尿病管理和支持时所需的糖尿病技术能力。