A1c Assessment
When will the Follow up for A1c Longitudinal Members in 2025 be scheduled ?
3-6 months.
Member engaged and wants education on 2+ topics follow up in 3 months.
Member engaged and wants education on 0-1 topic follow up in 6 months.
If member is not engaged no follow up needed.
A follow up may be scheduled in 1-3 months if member is unstable.
True or False: Alcohol is forbidden for DM patients.
False; But alcohol should be drank in moderation and patients aware of effects.
EX: Type 1 ; significant alcohol intake can cause hypoglycemia hours later. Patients encouraged to eat if drinking alcohol.
Name an Oral Medication that should not be taken with Dairy product.
Metformin
True or false: Medicare covers A1c test every 60 days for DM patients.
False. Medicare B covers A1c test every 90 days for DM patients and twice a year for people at risk for DM.
Name 2 social / economic factors that effect health outcomes.
Social and economic factors that influence health outcomes examples are poverty, transportation, housing, education, and access to healthcare.
Give 3 unstable DM examples that would possibly need a f/u scheduled in 1-3 months.
Hypo/hyperglycemia (more than once per week)
forgetting to take or not taking DM medications
recent changes to DM medication or dosage
Recent hospitalization or ER visit r/t DM
Recent amputation / new foot wound
1 symptom = 3 months
2-3 symptoms = 2 months
More than 3 = 1 month (or week after next PCP visit)
What hormone is not produced or properly used in people with diabetes?
Insulin
Name 3 serious complications caused by diabetes.
blindness, kidney failure, heart disease, stroke, lower limb amputations.
Fun Fact: in 2021 DM and kidney disease due to DM caused over 2 million deaths. In addition, over 11% of cardiovascular deaths were caused by high blood glucose.
Name 2 of the four main components of diabetes self-management?
Medication, Diet, Exercise, and Blood Sugar Monitoring
Fun Fact: more than half of people living with DM did not take medication for their DM in 2022.
Name 3 symptoms of DM.
Thirsty
Needing to urinate more often
blurred vision
feeling tired
losing weight unintentionally
Dry itchy skin
Numbness / tingling to feet and hands
Slow healing sores
Frequent infections
Mood changes
If unable to warm transfer call to QCP pharmacist what do you do?
Submit MAD - Follow up Task to MAD/MADHP - Pharmacist to call member. MAD/MADHP-Pharmacist SP for Spanish speaking members.
What are carbohydrates broken down into in the body?
Glucose
Patient reports having the following side effects: Diarrhea, Stomach upset, diarrhea. Reports recently starting on Oral Diabetic Medication- Metformin. What is the proper action?
Offer transfer to clinical pharmacist, Call PCP to report side effects, offer follow up appointment with provider.
True or False: Globally women are diagnosed with diabetes more than men.
False. World wide, estimated 17.7 million more men than women have DM.
True or false: Stress drops blood sugar level
False: Stress can raise blood sugar levels
You cannot speak to a member if they are in one of these states ?
Non Compact States - Alaska, California, Connecticut, District of Columbia, Hawaii, Illinois, Michigan, Minnesota, Nevada, New York, and Oregon
What are 2 important dietary considerations for people with diabetes?
Portion control, carbohydrate counting, consistent meal timing
True or False: Diabetes is not a chronic disease?
False. There is no cure for DM but it can be managed by diet, exercise, medication, and regular checkups.
True or false; Glucose meter should be replaced yearly.
False: Only replace if it is not working correctly with its strips.
Consider upgrading every 5 or so years because of innovation / upgrading.
How can lack of transportation impact a person's ability to manage their diabetes? Name 2.
This must be submitted by end of business day.
Assessments. Check your task Queue at the end of the day to verify no assessments are open.
What is the A1C test used to measure?
Average blood sugar levels over the past 2-3 months
True or False: Scientists are working on new treatments such as insulin-producing cells made from stem cells.
True
True or False: The number of people living with DM increased from 200 million in 1990 to 400 million in 2022.
False: the number of people living with DM rose form 200 million in 1990 to 830 million in 2022.
True or False: Diabetes is not a contributing factor for depression.
False: DM is a contributing factor to depression. People with DM are at a significantly higher risk for depression.