EpxDiabetes

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Jump To   Indications  ·  Intervention  ·  Communication Modes  ·  Messages  ·  Alerts

Intervention Details

Summary

EpxDiabetes is a proactive system to help patients track their blood glucose (BG) at intervals set by their physician. Individual patient BG values for the past two weeks can be reviewed graphically at any time, color-coded according to the magnitude of the value. Assessment of historical BG is also easy to do using color-coded values.

For generalized assessment, providers can also view their entire list of patients triaged by average blood glucose values.


Indications
Diabetic patients in a primary care setting who may benefit from SBGM for diagnosis, medication titration, and long term tracking.
Intervention

EpxDiabetes uses text messaging to prompt your patient to check his/her fasting/pre-meal or postprandial blood glucose level measurements. The clinician can modify the frequency of communications to fit a variety of schedules.


Communication Modes

Two modes of communication are available:

  1. Fixed: In this mode, messages can be sent on a fixed frequency set by the provider. These can be 1 or 3 times a day, or once or twice per week.
  2. Smart: In this mode, the schedule starts out at every day but then is decreased to three or one time per week if BG is well controlled. Any change in BG control will change the message schedule to every day until the weekly BG average is within normal ranges again.
Messages
Morning Messages
  • What is your blood sugar this morning?
If BG < 70 or BG ≥ 400
  • If you are feeling any symptoms, call us immediately. Please check your blood sugar again to make sure it wasn't an error and send it to us.
Afternoon / Evening Messages (Optional)
  • What is your blood sugar?
If BG 70–399
  • Did you eat anything?

Average of blood sugars over time used to triage patients into red, yellow, green every 2 weeks.

Alerts

The provider will be sent an optional alert if patient reports

  • Highest Fasting >= 400
  • Lowest Fasting < 70
  • Lack of supplies supplies (such as lancets or testing strips)

A triaged digest of all patients, including those reporting uncontrolled BP values but not suffering from hypertensive crisis or emergency, can also be sent to the provider via email for ease of monitoring.

Emergencies

Patients will be directed to call 911 if they are experiencing an emergency. You may designate a care provider to be acutely notified in the event of a defined critical value.

Intervention Team