Digital Health and Continuous Glucose Monitoring (CGM)Interpretation of CGM Data: While traditional self-monitoring of blood glucose (finger pricks) is universally understood, many general practitioners and hospital nurses face a steep learning curve regarding Continuous Glucose Monitoring (CGM) systems.Addressing Glycemic Variability: There is a gap in clinical practice regarding how to analyze real-time glucose trends, time-in-range (TIR), and rapid fluctuations, rather than relying solely on static HbA1c metrics.

Nutrition, Meal Timing, and Lifestyle Feedback Loops Macro-Nutrient Impacts and Timing: Research indicates that a large percentage of general healthcare professionals score poorly on nutrition-specific diabetes management. Specific gaps exist regarding how the timing of meals interacts with pharmacotherapy to alter postprandial glycemic spikes.

Inpatient Glycemic Care: Hospital nurses working in non-medical or surgical specialties display significantly lower knowledge regarding acute glycemic fluctuations. This creates vulnerabilities in managing preventable hospital-induced hyperglycemia or sudden drops in blood sugar during clinical admissions."
END OF AI OVERVIEW

https://www.google.com/search?q=identify+gaps+i...

@A DiabetesTeam Member this is very true. They are focussed on the A1c number and don’t see what went on otherwise.

Mentioned Users

A Diabete...

@A DiabetesTeam Member You might find this AI overview interesting. It covers the gaps in knowledge of healthcare professionals as regards management of glucose and glycemic variability which may cover what you're experiencing.

Whilst care must be taken given that this is AI, a simple way to check is to go to the websites featured by AI.

This ignorance of healthcare professionals as regards glycemic variability is a little concerning so you might want to take an assertive role in making sure you get your bg swings properly assessed. As you'll see in the overview there are a lot of factors that may need to be looked at.

Are you on continuous glucoses monitoring? (CGM). If not it might be a good idea to see if your provider can supply you with one as it will show more accurately when the swings occur.

START OF AI OVERVIEW
"identify gaps in knowledge of health care professionals as regards understanding glycemic response in Type 2 diabetics

Research reveals that while healthcare professionals (HCPs) generally possess a strong foundational understanding of classic Type 2 Diabetes Mellitus (T2DM) symptoms, significant knowledge gaps persist regarding the nuances of glycemic response, medication mechanisms, and advanced monitoring tools. These deficits frequently contribute to therapeutic inertia and suboptimal patient outcomes.

The primary knowledge gaps among HCPs regarding glycemic response in Type 2 diabetics include:
Complex Insulin Regimens and Medication MechanicsLack of Confidence in Treatment Intensification: Many non-endocrinology HCPs lack confidence in navigating complex insulin regimens. This lack of familiarity often leads to delays of three years or longer in initiating or intensifying glucose-lowering therapy when a patient is failing to reach glycemic targets.

Misunderstanding Oral Hypoglycemic Agents (OHAs): Studies show notable gaps in understanding the specific roles, mechanisms, and timing of oral hypoglycemic medications, particularly among primary care providers and junior medical staff.

Severe Hypoglycemia (SH) Risks: HCPs frequently underestimate the risk of severe hypoglycemia in long-term, insulin-treated Type 2 diabetics. There is a gap in proactively identifying high-risk clinical phenotypes (e.g., older patients with cognitive impairment, kidney disease, or distorted hypoglycemia beliefs) who require personalized glycemic targets rather than tight control.

Mentioned Users

A Diabete...

Oh yes, I do remember!

Yes, unfortunately at this exact moment you have to defer to the Wisdom of "Kwai Chang Caine" - if you are old enough to remember....

Patience Grasshopper 😁