Team Clinic is a clinical appointment to enhance the patient experience, accredit advocacy, and provide patients the empowerment to take control of their own appointments through real life experiences, interactive situations, and community connections at the Barbara Davis Center.
Patients meet briefly with their provider followed by breaking off into parent and teen groups.
Parents are able to share their experiences with one another while patients have the ability to problem solve and think critically through day to day settings they often come across.
Through this experience we provide the means for patients to prepare to become the driver of their Type 1 Management.
Newly diagnosed patients are referred to the Barbara Davis Center from all over Colorado, adjacent states and the Rocky Mountain region. Patients and their families receive intensive and comprehensive individual and group training, care, and counseling with the clinical care team members from the Center. BDC providers remain in close contact with newly diagnosed patients until the patient and family are comfortable with their care and in good control. Most patients will eventually be seen routinely four times a year, however providers are available 24 hours a day to help with changes in regimens, emergencies and illnesses. All newly diagnosed patients and their families receive a free copy of Understanding Diabetes (the Pink Panther book) written by Dr. Peter Chase and Dr. Brigitte Frohnert.
Additionally, in a collaborative effort between the BDC Pediatric and Adult Clinic as well as the Adolescent Medicine Program at the Children’s Hospital Colorado, the BDC has developed a novel approach to transitioning adolescents with T1D from pediatric to adult diabetes care. This program is focused on patient education and empowerment through shared medical appointments and peer interactions.
The Adult Diabetes Division offers special care for women with diabetes (pre-existing or gestational) to actively manage glucose levels throughout pregnancy. Women progress from insulin sensitivity in the first trimester to progressive insulin resistance in the second and third trimesters to insulin sensitivity once again in the early post-partum period. This includes the care of women on multiple daily injections of insulin, continuous subcutaneous insulin infusion therapy, and/or continuous glucose monitoring therapy. Adult clinic providers proactively monitor for progression of diabetic complications that may occur during pregnancy, such as eye and kidney disease and hypertension. Additional services include:
Pre-conception counseling visit
Educational pregnancy handouts tailored to patients with pre-existing diabetes
In-person clinic visits at least once monthly for glucose management during pregnancy
Interim management of insulin doses through My Chart or by phone in between clinic visits
Post-partum follow-up visit
For additional info please call 303.724.6797
A diagnosis of type 1 diabetes (T1D) is usually sudden and brings many unexpected life changes for families. Negotiating those changes and the many stressors associated with living with T1D can present challenges and frustrations. PLUGGEDIN is a program that focuses on strengthening family skills while building diabetes skills. This program is a great resource to: Boost diabetes problem solving skills Practice communication techniques Learn motivational practices Engage with other families Build a diabetes support network
Ustedes tienen la oportunidad para asistir al Grupo Latino en el Barbara Davis Center donde pueden saber mas acérca de la diabetes en una forma divertida y ambiente familiar que respete su cultura y su lenguaje. También van a tener la oportunidad para conocer a otros niños de su edad y familias latinas que también batallan con las mismas cosas. Cubrimos temas como la nutrición, el ejercicio, la insulina, el technología y problemas personales con nuestros enfermeras, nutricionistas, y trabajadores sociales. Cada visita reemplazará cada otra visita regular que tengan en e Barbara Davis Center para que no tengan que venir más a menudo de lo que normalmente hacen. Hacemos los grupos en español pero podemos dar las materiales en inglés dependiendo en su preferencia. Siempre estámos actualizando el plan de estudios para dar una experiencia nueva para los que están nuevos o han venido muchas veces.
La Reuñion de Grupo
- Adolescentes (12 años en adelante) el 2.º jueves cada mes a las 8:30am hasta 11:30am
- Niños (menores de 12 años) el 4.º jueves cada mes a las 8:30am hasta 11:30am
Preguntas sobre el Grupo Latino o para fijar una cita:
**Para el Grupo Latino pueden hacer cita enfrente**
Barbara Davis Center Latino Group Clinic
You have the opportunity to attend the Latino Group in the Barbara Davis Center where you can know more about diabetes in a fun way and with your family that respects both your culture and your language. Also you will have the opportunity to meet other kids your age and other Latino families that also struggle with the same things. We cover topics like nutrition, exercise, how to administer insulin, technology and personal concerns by our nurses, nutritionists and social workers. Each visit will replace every other regular visit you have at the Barbara Davis Center so you do not have to come more often than you normally do. The groups are done in Spanish but materials can be provided in both English and Spanish depending on reading preference. We are always updating the curriculum in order to provide a new and relevant experience for either those who are brand new or those who have been attending for a while.
Latino Group Meeting:
- Teens (12 and over) 2nd Thursday of the month from 8:30am to 11:30am
- Kids (11 and under) 4th Thursday of the month from 8:30am to 11:30am
Questions about the Latino Group or to schedule an appointment:
**For the Latino Group, you can make an appointment at the front desk**
Dr. Paul Wadwa has developed a model telemedicine program providing residents in Wyoming and remote parts of Colorado with access to our expert services. Since the start of the program, over 1,000 visits have taken place, significantly improving access to subspecialists for pediatric patients with type 1 diabetes without traveling hundreds of miles to the BDC. The program saw a 13% increase in encounters in 2018 and is on track to potentially see an additional 28% increase in 2019 (see Figure 5). In addition, several research studies have used videoconferencing technology to increase access to diabetes care, including direct to home care for high risk T1D patients.
BDC Telehealth Partner Facilities
Cheyenne Regional Medical Center
Wyoming Medical Center
St. John's Medical Center
December 2013-January 2016
Pediatric Partners of the Southwest/Mercy Regional Medical Cntr
Grand River Health
Grand Junction, CO
St. Mary's Medical Center
Our clinical social workers meet with each new onset family in order to help them adjust to the diagnosis of diabetes. They are available to help families and kids with diabetes related issues at any time, both during clinic visits and outside of regularly scheduled appointments. Drs. K. Driscoll and S. Majidi have implemented an innovative screening, evaluation and treatment program for depression in pediatric patients with diabetes.
This special workshop developed by the BDC pediatric clinic is designed specifically for grandparents of children with type 1 diabetes. The workshop teaches grandparents the fundamentals of diabetes from nutrition to blood testing. Sessions are designed to encourage open discussion and answer the myriad of questions parents and grandparents share when learning their child has been diagnosed with type 1 diabetes.