Time Savings Using a Standardized Glucose Reporting System and Ambulatory Glucose Profile
Open accessAbstract
BACKGROUND: Diabetes care is predominately done at home by the patient. When clinics do not have a reliable, easy process for obtaining this patient data, clinical decisions must be made with incomplete verbal recall reports. Unused or inaccessible glucose data represent a large information gap affecting clinical decision making. This study's purpose was to design an optimized glucose device download system with a standardized report and to evaluate its efficiency. METHODS: Observations and evaluations of glucose data retrieval occurred at two clinics; an additional clinic utilized the optimized process doing only post process timings. Patients/families and clinicians were surveyed about their experiences with the system and the standardized report (AGP). The study was approved by all the sites' IRBs. RESULTS: Optimized systems saved staff at least 3 min per patient. Standardized AGP reports and an optimized data system made the work flow of glucose data easier to complete. The AGP report was preferred by patients, families, and clinicians. CONCLUSIONS: An optimized system takes advantage of patient lobby downtime to download glucose devices and ensures that diabetes clinical decisions are made utilizing all available data. Staff and patients liked the software lobby system and found it a valuable time-saving tool.
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The AGP recommendation was endorsed at the international consensus conference on CGM metrics and referenced in ADA 2019 Standards of Care and AACE consensus.
“This recommendation was later endorsed at the aforementioned international consensus conference on CGM metrics (18) and is referenced as an example in the American Diabetes Association (ADA) 2019 Standards of Care (16) and in an update to the American Association of Clinical Endocrinologists (AACE) consensus on use of CGM (69).”
From Clinical Targets for Continuous Glucose Monitoring Data Interpretation: Recommendations From the International Consensus on Time in Range (2019) · cites this paper as [69]
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- Authors
- Mullen, D. M., Bergenstal, R., Criego, A., Arnold, K. C., Goland, R., & Richter, S.
- Affiliations
- International Diabetes Center, St. Louis Park, MN, USA
- Park Nicollet Clinic (US)
- The Diabetes Center, Ocean Springs, MS, USA
- Columbia University Irving Medical Center (US)
- Professional Data Analysts, Inc, Minneapolis, MN, USA
- Corresponding author
- Mullen, Deborah M.
- Venue
- Journal of Diabetes Science and Technology
- Publisher
- SAGE Publications
- Published
- 2017-11-24
- Volume
- 12
- Issue
- 3
- Pages
- 614-621
- ISSN
- 1932-2968 (ISSN-L)
- PMC
- PMC6154242
- OpenAlex
- W2769928215
- Cited by
- 22
- References
- 12
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 4 · 2021: 5 · 2020: 4 · 2019: 4 · 2018: 3
- FWCI
- 2.38
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Diabetes Science and Technology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Leona M. and Harry B. Helmsley Charitable Trust
- Dexcom
- Abbott Diabetes Care
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Keywords
- ambulatory glucose profile, diabetes management, clinical workflow efficiency, home blood glucose monitoring
- MeSH terms
- Blood Glucose, Child, Female, Humans, Male, Pilot Projects, Software, Blood Glucose Self-Monitoring, Workflow
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