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Elizabeth Buschur Part 2, Patients Applying CGM Data

Dr. Elizabeth Buschur talks with Diabetes in Control Publisher Steve Freed during the AACE meeting in Austin, Texas. In this Exclusive Interview, Dr. Buschur explains the benefits of using CGM data.

Dr. Elizabeth Buschur, MD is an assistant professor at The Ohio State University in Columbus, Ohio. She has implemented and is the director of the Diabetes Transition Clinic at the Nationwide Children’s Hospital as well as the Endocrine Disorders in Pregnancy Clinic at The Ohio State University.

Transcript of this video segment:

Steve: For people that have diabetes, especially that are on insulin, they know what to do when they see the numbers. For a person that is prediabetic or has diabetes in their family, are a few pounds overweight, most likely will become diabetic, what do they do with the information?

Dr. Buschur: It can provide motivation, so you can see; “Oh, I had that for lunch and this is the result in terms of the numbers and then I went for a 45 minutes’ walk and ‘wow’, look how steady things have been and how good things look. It can be very good motivation. You did raise a good point about people with diabetes knowing what to do with those numbers but I would argue that sometimes it can be very overwhelming to see all those numbers. People with diabetes aren’t checking 20, 30 or 40 minutes after their meal and see those spikes that are a little bit frightening.

Steve: Have you found that people with diabetes, especially type 1 but even type 2, don’t want diabetes to be their life; and adding a CGM makes it like every moment diabetes affects your life because every moment you are looking and checking it on a regular basis and before CGM, you checked your blood sugar a couple times a day and now it becomes a part of your life every minute of the day that you are a diabetic and you are reminded. How do you deal with that with patients?

Dr. Buschur: I think that is very hard especially, I see a lot of adolescents and young adult patients so that they really don’t want to be reminded extra times a day and even don’t want that extra site; even maybe they have a pump or they are on injections but they don’t really want an extra site for that CGM. But I think the patients that do very well except for the fact that it is part of their life and figure out how to streamline that. Some of the patients are even getting their CGM readings on their apple watch and they can just glance at it and make sure that they are doing okay. It is definitely a balance.

Steve: I think that for patients that want to become pregnant, that they are happy to use it because they want a healthy child and they are willing and are motivated and they are going to do whatever is necessary to get their blood sugars down. So, they are already 80% there. They have very good questions for you; “What does this mean? ……What should I be looking for?” They are very concerned obviously for very different reasons. So, I would think that dealing with a person that would not become pregnant or gestational; for a lot of these patients; “I’ve got a lot of these already, I wear it for a week and then I don’t want to see it again.” Have you come in contact with that?

Dr. Buschur: I have. Some offices do. Our clinic owns a few and several other clinics it’s a popular thing to do. So, you can have a patient wearing a clinic owned CGM for a week a couple times a year and that is reimbursed by insurance and is very helpful. So, for the patients that are really overwhelmed by the amount of data or don’t want to wear an additional site all the time, it can provide huge benefits in seeing the trends of their glucoses.

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