Endocrinology
Diabetes Medication Management eConsult
SPECIALTY
Endocrinology
CHIEF COMPLAINT
Diabetes Medication Management eConsult
COMMENTS TO SPECIALIST
78-year-old female with Hypertension (HTN), Congestive Heart Failure (CHF), Type 2 Diabetes Mellitus (T2DM) and Stage 3 Chronic Kidney Disease (CKD3)
Medication: Metformin 1000mg PO BID, BASAGLAR® 15u QAM, Novolin N® 8u qAc. Eats meals poorly such that insulin is often held by nursing.
Creatinine Clearance (CrCl) 39, Glomerular Filtration Rate (GFR) 42, A1C 9.1%The goal is to reduce the need for sliding-scale insulin.
Self-Monitoring of Blood Glucose (SMBG) 60s-400s.
MAIN QUESTION
Would you recommend the Jardiance® for this patient? Is it okay to take with the metformin 1000 mg bid, or should I cut down on the metformin? What are your recommendations as far as long-acting or another Glucagon-Like Peptide 1 Receptor (GLP1) injectables such as Trulicity®?
Patient Education for Informed Decision-Making
In today’s complex world of healthcare, it’s more important than ever for people to have the knowledge they need to make wise decisions about their well-being. Patient education is a key part of this process, and it’s about more than just passing along information. It is important to know how educating patients is vital in helping them truly grasp the reasons for referrals and their array of healthcare choices.
This kind of understanding isn’t only about better health for individuals; it’s also about making healthcare systems run more smoothly and effectively. In a time when being well-informed about healthcare options is at the heart of receiving the best care, it’s crucial to explore how educating your patient can have a significant impact.
eConsults in Lieu of a Referral
Educating patients about eConsults is vital, as it enhances access to specialized care by offering a quicker and more cost-effective alternative to traditional referrals. eConsults are effective at reducing long wait times and can potentially save both patients and the healthcare system money.
eConsults empowers patients to make informed decisions about their healthcare, minimizing unnecessary referrals, and aligns with patient-centered care principles by ensuring individuals have a say in their healthcare journey and choose the most suitable mode of treatment. Ensuring patients are aware of the possibility of eConsults not only streamlines healthcare processes but also gives the patient control again.
Moreover, eConsults play a pivotal role in addressing social determinants of health (SDoH) by removing some barriers individuals face in accessing healthcare. They help bridge gaps related to geography, transportation, and financial constraints.