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Insulin Delivery and Glucose Monitoring Methods for Diabetes Mellitus: Comparative Effectiveness

Slide: 25 of 25

What To Discuss With Your Patients and Their Caregivers (2 of 2)

Other things you should discuss with your patients and their caregivers regarding insulin delivery and glucose monitoring strategies in the management of diabetes include:

  • The available evidence for the effectiveness of MDI versus CSII for insulin delivery
  • The available evidence for the effectiveness of SMBG versus rt-CGM for glucose monitoring
  • The patient’s preferences with regard to the mode of insulin delivery and glucose monitoring
  • The available evidence for the effectiveness of rt-CGM plus CSII (sensor-augmented pump) versus MDI/SMBG
  • The potential risks associated with intensive insulin therapy including hypoglycemic events and weight gain, their impact on quality of life, and strategies for their management
  • The potential out-of-pocket costs that the patient might incur with certain insulin delivery and glucose monitoring modalities based on his/her insurance coverage with each option

Abbreviations: CSII = continuous subcutaneous insulin infusion; MDI = multiple daily injections; rt-CGM = real-time continuous glucose monitoring; SMBG = self-monitoring of blood glucose