THE MICHIGAN COLLABORATIVE FOR TYPE 2 DIABETES
Shifting the paradigm of type 2 diabetes care through dissemination of best practices and partnering to remove barriers to care.
EVENTS
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More NewsTop Takeaways: New Primary Care Practices Respond to MCT2D Patient Needs Assessment Survey
- Patient satisfaction with their diabetes care experience
- Patient exposure to recommendations like low-carb eating, referrals to dietary counseling, access to diabetes education, CGMs, and newer diabetes medications
- Patients sense of confidence in their diabetes management and sense of support from their primary care team
MCT2D practices key takeaways
Generally High Patient Satisfaction and Confidence
- Practices noted overall high patient satisfaction with their diabetes care, communication, and decision-making.
- Many patients expressed confidence in managing their type 2 diabetes, often attributing this to support from their care team.
- Patients appreciate the interventions, tools, and resources offered and generally feel well-supported and involved in their care.
Low Participation in Diabetes Self Management Education and Support (DSMES) and Formalized Low Carb Diet Support
- Increasing DSMES referrals to these programs is seen as an opportunity.
- Practices acknowledged the recurring need for more education on diabetes management for both patients and providers.
- Many patients are informed about low-carb diets, but referrals to dietitians and formal education classes are less frequent.
- Some respondents noted the importance of ongoing education and providing resources to understand and manage their condition better.
Increasing Prescribing of CGMs through Improved Operational Workflows
- Practices recognize that there is consultation on the use of CGM, but it’s not consistently offered to all patients.
- Some practices indicated a need to improve the process around recommending and implementing CGM use.
- CGM is seen as beneficial for managing type 2 diabetes, but uptake and knowledge could be improved.
Taking Time to Strengthen Provider-Patient Communication and Understanding
- Effective communication and listening were critical for improving patient confidence, satisfaction, and trust.
- Practice representatives want to encourage providers to spend more time ensuring patients understand their diagnosis and treatment options.
Room for Improvement in Referrals and Team-Based Care
- Practices acknowledged successes while pointing out opportunities for improvement in care offerings and patient education.
- Programs paused during the pandemic should be considered for a restart, as well as improving educational resources.
- Discussions on improving organizational processes to better support diabetes management, such as increasing referrals to the diabetes education department and the involvement of case managers.
Strength in Collaboration and Team-Based Care
- Success is noted in collaborative efforts and utilizing multidisciplinary teams, including pharmacists and dieticians, to manage patient care.
- Some clinics report high effectiveness of collaborative approaches in improving patient outcomes.
Areas for Practice Improvement
1. Improve Education and Resources
- Emphasis on improving patient and staff education on diabetes management, diet, and CGM use.
- Develop and distribute more educational materials, including handouts on low-carb diets, information on DSMES classes, and resources for managing diabetes.
- CareUse of care managers should be used to provide ongoing education and support for diabetes patients.
- Focus on making diabetes education resources more visible and accessible to patients.
2. Utilization of Continuous Glucose Monitors (CGMs)
- Encourage and educate providers about CGM usage and benefits, and provide training in navigating insurance coverage for these devices.
- Address barriers to CGM approval and coverage; work to increase prescribing of CGMs when appropriate.
3. Increase Referrals to Diabetes Education and Support
- Plan to refer more patients to registered dietitians, DSMES classes, and self-management support programs.
- Consider implementing more creative ways to engage patients in diabetes education and support, including addressing cost and accessibility issues.
4. Diet and Lifestyle Modifications
- Strengthen conversations around diet, exercise, and lifestyle changes during patient visits.
- Include more referrals to dietitians and educators for personalized nutrition and exercise plans.
5. Patient Follow-Up and Monitoring
- Improve follow-up processes, ensure regular monitoring of blood sugar levels, and maintain contact with patients who miss appointments.
- Encourage patients to attend follow-up visits and stick to treatment plans to achieve their A1c goals.
6. Shared Decision-Making and Patient Involvement
- Foster patient involvement in decision-making processes to enhance their commitment to managing diabetes.
- Use motivational interviewing and other resources to empower patients.
7. Addressing Medication Management and Accessibility
- Improve understanding of medication use and address insurance and cost barriers that limit access to medications and devices.
- Ensure patients receive proper guidance on managing their medications effectively.
8. Collaborative and Proactive Approach
- Encourage a team approach that includes regular discussions with care managers and integrating community resources.
- Focus on proactive and personalized patient care, building trust and support for diabetic patients.
9. Addressing Social Determinants of Health
- Enhance technology integration and address broader social factors that impact diabetes management.
- Improving access to services
RESOURCE LIBRARY
Access content for MCT2D members including events, requirements, forms, and more.
VISIT NOWFeatured Resource
Guide for Starting Patients on a Low Carb Lifestyle
A green, yellow, and red light system for adjusting diabetes medications like GLP-1 RAs, DPP-4i's, basal and bolus insulin, and sulfonylureas and monitoring blood glucose and adapting nutrition goals while adopting a low carb lifestyle.
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PROJECTS
Innovative projects addressing type 2 diabetes care in support of MCT2D initiatives.
FEATURED PROJECTS
MCT2D CGM User Experience Program
The CGM UEP program is open to physicians, nurse practitioners, physician assistants, and pharmacists at any MCT2D practice with the goal of building clinicians' familiarity with using a CGM and ultimately, increasing understanding of the patient experience through an off-label provider trial.
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OUR PATIENTS
Innovative projects addressing type 2 diabetes care in support of MCT2D initiatives.
VISIT NOWMeet Frankie, MCT2D patient advisor
Meet Frankie, MCT2D patient advisor Frankie, who started on a lower carb lifestyle with the support of his doctor in September 2021. He's since lost 120 pounds and no longer takes insulin.
“If I could’ve had this information as a young man, my whole life would’ve been different.”
OUR MEMBERS
