title: Continuous glucose monitoring technology for personal use: an educational program that educates and supports the patient.
abstract: The purpose of this article is to describe the development and implementation of an educational program for the initiation of real-time continuous glucose monitoring (CGM) technology for personal use, not 3-day CGMS diagnostic studies. The education program was designed to meet the needs of patients managing their diabetes with either diabetes medications or insulin pump therapy in an outpatient diabetes education center using a team-based approach.
  
  
  
  Observational research, complemented by literature review, was used to develop an educational program model and teaching strategies. Diabetes educators, endocrinologists, CGM manufacturer clinical specialists, and patients with diabetes were also interviewed for their clinical observations and experience.
  
  
  
  The program follows a progressive educational model. First, patients learn in-depth about real-time CGM technology by attending a group presensor class that provides detailed information about CGM. This presensor class facilitates self-selection among patients concerning their readiness to use real-time CGM. If the patient decides to proceed with real-time CGM use, CGM initiation is scheduled, using a clinic-centered protocol for both start-up and follow-up.
  
  
  
  Successful use of real-time CGM involves more than just patient enthusiasm or interest in a new technology. Channeling patient interest into a structured educational setting that includes the benefits and limitations of real-time CGM helps to manage patient expectations.
authors.affiliation: The Diabetes Care Center, University of Washington Medical Center, Seattle
authors.forename: Alison
authors.initials: A
authors.lastname: Evert
authors.affiliation: The Diabetes Care Center, University of Washington Medical Center, Seattle
authors.forename: Dace
authors.initials: D
authors.lastname: Trence
authors.affiliation: The Diabetes Care Center, University of Washington Medical Center, Seattle
authors.forename: Sarah
authors.initials: S
authors.lastname: Catton
authors.affiliation: The Diabetes Care Center, University of Washington Medical Center, Seattle
authors.forename: Peter
authors.initials: P
authors.lastname: Huynh
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000032:analysis*; D003920:Diabetes Mellitus / Q000097:blood* / Q000188:drug therapy / Q000523:psychology; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D007332:Insulin Infusion Systems; D018670:Monitoring, Ambulatory / Q000379:methods*; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D012648:Self Care; D013663:Teaching / Q000379:methods
chemical_list: D001786:Blood Glucose; D007004:Hypoglycemic Agents