In part 6, the conclusion, of this Exclusive Interview, Dr. Linda Siminerio talks with Diabetes in Control Publisher Steve Freed during the ADA meeting in San Diego, California, about her presentation goals for the provider audience.
Dr. Linda Siminerio RN, PhD is a Professor of Medicine at the University of Pittsburgh and Executive Director of the University of Pittsburgh Diabetes Institute.
Transcript of this video segment:
Steve: What do you want people to take away from your presentations here at ADA?
Dr. Siminerio: To make sure that we are current on the evidence. The first step in shared-decision making is making sure that the patient has received information on their condition and that it’s evidence based and it’s not your own personal idea. The next step is deliberation. We need to start listening to the patient, “what are your goals?” We have to listen to their goals, what their priorities are. We ask people with diabetes to do a lot of things, we bombard them. They have to prioritize and that’s why it’s important for them to deliberate what they’re going to prioritize on, what they can do, not what we say they should do. what they’re able to do at that time and work from there so they can make that informed decision.
Steve: Have you ever put together a list of tips to give to providers to help them through that?
Dr. Siminerio: I have colleagues that have worked on this. One tip would be the use of decision aides. It’s an easy way for them to understand the information, I’ll use A1c as an example. “What does an A1c mean?” Some people know, “My doctor told me that my A1c should be this.” They don’t know what that is, we have to explain to them in a user-friendly way what an A1c is. Then what are the benefits and risks, a colorful or graphic way, show them this is what happens if you do this or if you don’t do this. Then letting patients deliberate on that and decide what they’re going to do to manage it.
Steve: If you could have any number that you wanted, what would you like your A1c to be?
Dr. Siminerio: 5.5%
Steve: That’s curious because I get all different numbers, you know what is normal? We have a hard time defining what is normal.
Dr. Siminerio: For patients though, it’s different and depends on who the person is and what they’re indications are.