How do Digital Therapeutics Apply to AADE7 Self-Care Behaviors®?

Digital therapeutics, such as insulin titration apps, are becoming more common as part of diabetes self-management, and consequently part of AADE7 Self-Care Behaviors®. Healthcare providers (HCPs) prescribe applicable digital tools to people with diabetes (PWD) who need help titrating their insulin. The AADE7® is a curriculum framework, used by diabetes educators, to assess and support the individualized needs of PWD. There are seven self-care behaviors: healthy eating, being active, monitoring, taking medication, problem solving, healthy coping, and reducing risks.

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Small Practices Well Positioned to Start Medicare’s New Remote Patient Monitoring

In the Fall of 2018, Medicare approved the rules for how they would pay for three new remote physiologic monitoring (RPM) codes.  These codes mark significant progress in payment for patient care occurring outside of the office.  There are requirements to learn, but they make sense for physicians and other qualified providers working with their staff in the care of patients with chronic disease.

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Translating the Science of Digital Insulin Titration into Practice

Years ago, when I was working as a dietitian at a diabetes clinic, part of my job was to help people with type 2 diabetes (PWD-T2) titrate their insulin. Being a dietitian, most of the adjustments were related to meal planning, like manipulating food to achieve desirable glucose goals. PWD and I were figuring out the carb to insulin ratio, the right amount of protein vs. fat, and meal/snack timing. Unfortunately, the insulin adjustment conversations always ended in “Talk to your doctor about your insulin adjustment.”

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