Proposed Topic (Most preferred): :
Clinical Safety and Quality Service I (Projects aiming to improve efficiency and effectiveness of care delivery to meet international standards)
Proposed Topic (Second preferred): :
Clinical Safety and Quality Service III (Projects aiming at quality service to patients and their carers)
Authors (including presenting author) :
Lee HY(1), Choi CYA(2), Chan SK(3), Kan CYE(4), Leung SM(3), Leung YSA(5)
Affiliation :
(1) Queen Mary Hospital, (2) United Christian Hospital, (3) Our Lady of Maryknoll Hospital,
(4) Queen Elizabeth Hospital, (5) Yan Chai Hospital
Introduction :
Continuous glucose monitoring (CGM) system is a novel self-management tool to help people with diabetes (PWD) to manage and optimize glycemia. Two approaches to CGM are currently available, real-time CGM (rtCGM) and intermittently scanned (isCGM). Both approaches provide patients’ information about their current glucose level as well as glucose trend and predictive information. However, rtCGM is less commonly used in Hong Kong (HK) as health care professionals (HCPs) are unfamiliar and less confident to use it. Hence, this education protocol was developed.
Objectives :
1. To guide HCPs (and diabetes educators) in educating PWDs on using rtCGM
2. Expand patients’ choice between rtCGM versus isCGM from the market
3. To empower PWD to use and interpret the retrospective CGM data
Methodology :
Protocol development proceeds through the following stages: 1) Five diabetes nurses formed a development group to review the education protocol and its evaluation feedback on isCGM protocol developed by Association of Hong Kong Diabetes Nurses (AHKDN); 2) Confirmed and adopted the theoretical bases (reciprocal determinism and self-determinism) and four education strategies for teaching: questions, feedback, reinforcement and evaluation; 3) Decided on protocol target users; 4) Integrated the evaluation feedback to the isCGM protocol to guide this rtCGM development; 5) Completed the protocol with 7 appendices for delivering education in 3-sessions.
Session 1 (day 1): explain concepts and pitfalls of rtCGM, initiate use, teach how to interpret values, trend arrows and alert alarm and take appropriate actions; Session 2 (day 5): share interpretation of statistics and graphs, explore glucose fluctuations and coping strategies; Session 3 (day 10): consolidate learnings, evaluate change in glucose metrics and reinforce successful interventions.
Result & Outcome :
The protocol was developed in 4Q 2023, and an evaluation is planned to generate feedback from 30 diabetes nurses for protocol revision in 2Q 2024. And by 3Q 2024, the rtCGM protocol will be ready for promulgation via AHKDN.
Development of a protocol that meets the need of expanding patients’ options in CGM and guiding education on use of rtCGM actualized the 2P (progressive and productive) and 2C (cohesive and creative) spirit of diabetes educators in HK.
