{"id":40829,"date":"2022-11-27T13:06:14","date_gmt":"2022-11-27T18:06:14","guid":{"rendered":"https:\/\/mtelehealth.com\/?p=40829"},"modified":"2022-11-27T13:06:14","modified_gmt":"2022-11-27T18:06:14","slug":"rpm-must-be-in-the-standard-of-care-for-diabetes-kaiser-physician-says","status":"publish","type":"post","link":"https:\/\/drmiltie.com\/at-home-testing\/rpm-must-be-in-the-standard-of-care-for-diabetes-kaiser-physician-says\/","title":{"rendered":"RPM Must Be in the Standard of Care for Diabetes, Kaiser Physician Says"},"content":{"rendered":"\n\n\n

November is Diabetes Awareness Month<\/a>. More than 37 million<\/a> U.S. adults live with this chronic condition, which can cause a variety of complications, such as stroke, kidney disease, heart disease and blindness.<\/p>\n\n\n\n

To help address this epidemic, Dr. Sos Mboijana argued in a recent interview that providers should incorporate\u00a0remote patient monitoring (RPM)<\/a>\u00a0into the standard of care for diabetes. Dr. Mboijana is a primary care physician and the assistant chief medical information officer at\u00a0Kaiser Permanente<\/a>\u2019s\u00a0Mid-Atlantic medical group<\/a>.<\/p>\n\n\n\n

Kaiser launched its RPM program<\/a> for diabetes care in 2017 in California, and it has since spread to the health system\u2019s other regions.<\/p>\n\n\n\n

Dr. Mboijana asks all his patients with diabetes to participate in the program. He gives them a Bluetooth-enabled glucometer (a handheld machine that measures their blood sugar) and ensures that they sign up for the \u201cKP Health Ally\u201d app. As patients measure their blood sugar daily, the glucometer transmits their blood sugar data to the app and to their care team.<\/p>\n\n\n\n

\u201cIt\u2019s a mechanism for us to reach into the patient\u2019s home and connect them to the healthcare team,\u201d Dr. Mboijana said. \u201cIt further allows us to coordinate care, adjust care and adjust medicines.\u201d<\/p>\n\n\n\n

When treating chronic conditions like diabetes, having access to a continuous flow of patient data is critical, according to Dr. Mboijana.<\/p>\n\n\n\n

When a patient is newly diagnosed with diabetes, their treatment plan will usually involve a new medication, often Metformin. Medication types and quantities often change for diabetic patients across the course of their life, so it\u2019s rare that a patient will stick with the exact same prescription they received on Day One forever. With a continuous flow of blood sugar data, a patient\u2019s care team can sooner figure out which adjustments need to be made to the care plan.<\/p>\n\n\n\n

\u201cWhen I started practicing initially, the standard for a patient with a new diagnosis was to collect all the data that we can, assign them for diabetic education, and then maybe a follow up with a month or a few weeks. And then we get into this cadence of about every three months. Essentially, what I would get is a snapshot in time of what\u2019s happening with the patient. But diabetes is a dynamic clinical condition, and it\u2019s a chronic medical condition. Things go up and down,\u201d  Dr. Mboijana explained.<\/p>\n\n\n\n

About 40,000 patients are enrolled in Kaiser\u2019s RPM program for diabetes. Dr. Mboijana said that providers across the country should create similar programs, as he thinks it\u2019s \u201cintegral to the whole care package that we should be offering patients.\u201d<\/p>\n\n\n\n

He also pointed out that diabetes can often lead to a host of complications. For example, diabetic retinopathy is the leading cause of blindness<\/a> in working-age U.S. adults. Because RPM improves providers\u2019 ability to intervene with diabetic patients\u2019 care plans sooner, it can play a huge role in decreasing the amount of complications that occur.<\/p>\n\n\n\n

\u201cIf we can track diabetes, in terms of chronic disease management, and improve on that from a population health standpoint \u2014 not just cast Kaiser Permanente patients, but everybody \u2014 the upside is dramatic,\u201d Dr. Mboijana said.<\/p>\n","protected":false},"excerpt":{"rendered":"

November is Diabetes Awareness Month. More than 37 million U.S. adults live with this chronic condition, which can […]<\/p>\n","protected":false},"author":3,"featured_media":40830,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","_uf_show_specific_survey":0,"_uf_disable_surveys":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[14,84,143,159],"tags":[],"class_list":["post-40829","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","category-diabetes","category-remote-patient-monitoring","category-telehealth"],"acf":[],"yoast_head":"\nRPM Must Be in the Standard of Care for Diabetes, Kaiser Physician Says · Dr. Miltie, LLC - At-Home Testing<\/title>\n<meta name=\"description\" content=\"November is Diabetes Awareness Month. 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