Follow Up

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Follow-up contacts with patients (phone, email, in-person) should serve a timely purpose and of course be individualized. Below are examples of follow-up timelines based on clinical needs. Timelines for educational needs will also vary, usually being more frequent for those with newly diagnosed type 1 diabetes. Educators are encouraged to check with their program policies or peers for follow-up practices as well as to encourage input from patients.

Same day, hourly or within hours:

  • After counselling regarding insulin dose error
  • Ketones or symptoms of DKA present and counselled regarding prevention of DKA 

1 to 5 days:

  • Newly started on insulin
  • New insulin regimen started
  • Adjusting insulin for hypoglycemia or hypoglycemia unawareness
  • A1c over 13% or glucose readings mostly over 20 mmol/L and making management changes
  • Insulin dose change of over 25% for one or more doses
  • Glucose readings mostly over 14 mmol/L (type 1) and making management changes

1 to 2 weeks or less:

  • Glucose readings mostly over 14 mmol/L and making management changes (type 2)
  • Client declines insulin start and wants “more time” before starting insulin
  • Client presents with no records and A1c significantly elevated and needs to gather some glucose data

2 to 6 weeks:

  • A1c over target, not urgent, and working on specific goals to reduce