Type 2 diabetes is one of the core conditions of CKM Syndrome, and it is managed almost entirely outside the clinic. What a patient eats, how much they move, whether they take their medication and how they respond to it all happen at home. The visit is a check on months of decisions the care team never saw.
The gap between visits
When a clinician adjusts a diabetes plan, the next real feedback may be a lab result months later. In between, small problems can build: missed doses, a new side effect, a run of high readings the patient did not mention, or a sore on the foot that went unchecked.
What a diabetes check-in looks like
With the PDS™ Patient Data System, the care team picks a few questions that fit the patient. Common examples:
- Did you take your diabetes medication today?
- What was your blood sugar this morning? (patient-reported from their own meter)
- How many minutes did you walk yesterday?
- Any new sores, numbness or tingling in your feet?
The patient answers on the phone they already carry. Answers become trends the care team can review, and answers that cross a threshold the team sets become an alert for follow-up.
Support, not just data
Patients do better when someone notices. Through the CareConnect™ care team chat, a real person can respond, encourage and answer questions, and escalate to the physician when a plan may need to change. EBM handles that workload; physicians keep every decision.
Diabetes and its neighbors
Diabetes travels with hypertension, heart disease, chronic kidney disease and excess weight. One question set can follow the whole patient, so each specialist sees the same picture.
EBM does not add work to the clinic. Our team handles the between-visit workload, escalates what needs attention and documents everything, while physicians stay in control of every clinical decision. There are no CPT codes required, no payer qualification, and no hiring, equipment purchase or IT build-out. Anyone in the chronic population can participate, regardless of age, diagnosis or insurance type.
Part of our series on CKM Syndrome and chronic disease. Related conditions: Copd, heart disease, hypertension, chronic kidney disease, excess weight.
Bring daily evidence to diabetes care
We will build a question set for your diabetes population and show your team what comes back between visits. Request a demonstration or call (833) 837-8881.