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Adjusting Diabetes Medications on a Low Carb Lifestyle: An MCT2D Guide

A green, yellow, and red light system for aadjusting 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.
A low carbohydrate (carb) lifestyle consists of reducing one’s carbohydrate intake to 50-130g of total carbohydrates per day. Patients with type 2 diabetes (T2DM) who are interested in adopting a low carbohydrate lifestyle should monitor their blood glucose carefully and work closely with their primary care team to adjust medications as needed. Risk of hypoglycemia is greatest among patients who are on insulin or sulfonylureas, particularly if they significantly reduce carbohydrate intake without adjusting their medications.
Patients with T2DM who are on these medications may need to have their medications proactively reduced (i.e., when their diet is initiated) to prevent hypoglycemia. View a detailed review on medication management for patients with T2DM who follow a low carbohydrate lifestyle by visiting michmed.org/Jyng5 or scanning the QR code. Low carbohydrate lifestyles are not ‘one-size-fits-all.’ Success may require fine-tuning and adjustments along the way to find a suitable carbohydrate range for a patient. Considerations such as patient desire/interest, experience, cultural background, and commitment to work closely with their care team and be proactive in self-management skills are necessary tools for success.

Lower Carbohydrate Eating: A Free Starter Guide for Patients

A point-of-care tool to print and share with patients who are curious about low carb. In simple language, this document compares lower versus higher carb meals and their impact on hunger, cravings, and blood sugar levels. It provides tips to get started with evaluating one’s diet and swapping higher carbohydrate foods with lower carb options. It also provides a visual guide to evaluating the carb content of one’s meal.
Developed by MCT2D dietitian, clinicians, and design team, this tool was evaluated and co-designed with our Patient Advisory Board in April/May 2022.

Medications and CGM Coverage by Payer in Michigan 2022 Quick Reference Guide

Last updated 10/20/2022 (Q2)
Quickly reference insurance provider coverage of SGLT-2 Inhibitors and GLP1-Receptor Agonists as well as CGMs. Providers include private Blue Cross Blue Shield of Michigan, HAP, Priority Health, and United Plans, as well as public Medicare, Medicare Advantage, and Medicaid coverage. Pharmacy carve out coverage information is forthcoming.
Developed by the Michigan Collaborative for Type 2 Diabetes.

Affording your Type 2 Diabetes Care: A Patient Toolkit on Insurance Coverage and Cost

A all-in-one printable booklet designed for patients that will walk you through important aspects of insurance coverage for type 2 diabetes treatments like medication and continuous glucose monitors (CGM). This packet includes a worksheet of questions to ask your insurance company, plain language definitions to understand coverage, and guides to pharmacy discount programs. A great resource to print and have on hand for clinical pharmacists, care managers, MAs, and clinical staff who support patients as they navigate the costs of care.

Patient Assistance Program (PAP) Guide for Patients with Medicare Part D

Your patient may qualify for free medications as part of each drug manufacturer’s patient assistance program (PAP). Use this guide for patients who have Medicare Part D to find the right PAP and overview of the program’s qualifications and application process.

Healthy Eating JUMPSTART - A Lower Carb Lifestyle Website for Patients

Introducing JUMPSTART, a one-stop interactive learning portal for patients who are low carb curious or who are seeking a starting point for diabetes-friendly nutritional information. This site was designed by MCT2D clinicians, content experts, designers, and vetted by our Patient Advisory Board as a way to connect the role that food plays in one's health and wellbeing and to set individuals on a healthy path. We recommend sharing with all of your patients who might benefit.
JUMPSTART has plain-language, interactive tools to help your patients understand how nutrients and diet impact their diabetes health, as well as how to get started with a lower carb lifestyle with goal settingtracking, and meal building. The site includes downloadable grocery lists and recipesThis video will walk you through the main features of the site. Visit jumpstart.mct2d.org.

Continuous Glucose Monitor (CGM) Use Case Guide for Type 2 Diabetes

If a patient has requested a Continuous Glucose Monitor (CGM) or you are suggesting a CGM, use our use case to determine if a CGM is appropriate for the patient and if it is likely to be covered by the patient’s insurance. The guide includes 1.) common scenarios, 2.) technology considerations, 3.) patient characteristics to consider when navigating insurance coverage for CGMs.

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Blue Cross Blue Shield Blue Care Network of Michigan

Support for the Michigan Collaborative on Type 2 Diabetes is provided by Blue Cross Blue Shield of Michigan and Blue Care Network as part of the BCBSM Value Partnerships program. BCBSM’s Value Partnerships program provides clinical and executive support for all CQI programs. To learn more about Value Partnerships, visit www.valuepartnerships.com. Although Blue Cross Blue Shield of Michigan and the Michigan Collaborative on Type 2 Diabetes work in partnership, the opinions, beliefs, and viewpoints expressed by MCT2D do not necessarily reflect the opinions, beliefs, and viewpoints of BCBSM or any of its employees.