Clinical Care for Adult Patients

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Emerging diabetes technologies are discussed with patients at each clinic visit. Patients are advised on recent advances in technology and which technology might be best for them on an ongoing basis. Patients who choose to start an insulin pump will be trained on the features and use of the system (pump and continuous glucose monitor) in a group class on the 1^st or 3^rd Wednesday of each month by appointment only.  To schedule a pump training class please call 303-724-6755. Patients will be followed remotely (tele-visit) by 1-2 weeks after the pump initiation and then come to the clinic for a follow up appointment 3-4 weeks after the pump initiation. 

Patients who choose to start a Continuous Glucose Monitor (CGM) can come to the clinic for training and can call 303-724-6755 to set up an appointment. Patients will be trained on the features of the device and how to interpret the CGM data provided by the device to manage their diabetes. Patients are taught how to download their data and its importance.

Macro-vascular monitoring is provided on a routine basis to prevent long-term complications. Patients will have an EKG and Peripheral Vascular every 1-3 years as determined by their provider.

Patients at risk for Osteoporosis will be monitored on a regular basis using a DEXA (DXA) scan. The scan will be offered for patients who meet international criteria for increased risk for Osteoporosis including women over 65 years of age, men over 70 years of age, anyone who has had a broken bone over the age of 50 years or have other risk factors.

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