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Sept. 20, 2016

daveThis past weekend, I presented a talk to Consultant Pharmacists, Directors of Nursing, and Medical Directors in Long Term Care. We were focusing on the team approach to diabetes care and how that has changed over the past couple of years. (Part of that presentation is in this week’s Homerun slides.)

We discussed how in the past we would try to target everyone to an A1c below 7, but now we are expected to look at the individual patient and take into consideration current health and co-morbidities in setting targets. Many of the attendees were in agreement with that concept, and shared that the older their patients were, the less they were concerned about reaching that target. While that is a general statement, sometimes we may neglect patients who have conditions we think will preclude reaching a good A1c.

This week, our Disaster Averted looks at how blindness could get in the way of a good A1c, and how one Diabetes Educator went out of her way to make sure that did not happen.

Dave Joffe

Editor-in-chief