For 2020, Medicare expands and refines Remote Physiologic Monitoring

In 2019, Medicare began to pay for clinics to monitor their patients remotely, under its Chronic Care Remote Physiologic Monitoring (RPM) program.  Recently finalized rules for 2020 expand the opportunity, while refining, if only slightly, what kind of care is expected. 

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Self-monitoring of Blood Glucose (SMBG): Making it simple & actionable for PWD on basal insulin

For people with diabetes (PWD), initiating basal insulin can be a very scary and complicated process. As clinicians, we all try to help PWD prioritize self-management activities that are necessary to make therapy adjustments including basal insulin titration.
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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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