Pictured from left: Donna Bryant, (Office Manager), Elyse Marriner (RN, CDE), Ananda Basu MD, FRCP (Director, Advanced Diabetes Management Clinic), Demetris Louderback (MA), Mary Voelmle (MS, FNP, CDE)
In January 2019, The Division of Endocrinology and Metabolism and the Center of Diabetes Technology established an Advanced Diabetes Management (ADM) Clinic – a unique facility that now provides diabetes technology access to a growing patient base with diabetes. The overall vision of the management program is, “To provide an integrated, comprehensive care package for patients with diabetes and related metabolic disorders, using a multi-disciplinary approach and applying advanced technologies, in a time-sensitive manner”.
Since the start of the ADM Clinic, there have been 1,600 clinic visits from almost 500 adult patients with diabetes (predominantly Type 1 diabetes but also patients with type 2 diabetes, cystic fibrosis-related diabetes, and post-transplant diabetes). The clinic currently runs seven half-day sessions a week and is staffed by a team of five endocrinologists, one Nurse Practitioner, and one Certified Diabetes Educator and support staff. The use of continuous glucose monitors (CGM) as a tool for glucose pattern recognition and insulin management has rapidly escalated together with the use of insulin pump therapy. The proportion of clinic patients that have used CGM for glucose management is now at 80% and insulin pump users at 67%. These data compare extremely favorably when compared to the national T1D Exchange data of 30% CGM usage in 2018. This has resulted in a dramatic improvement in the quality of care delivered by the ADM Clinic measured as a reduction of HbA1c by 1 % in a cohort of 120 patients analyzed within the last six months. This is a remarkable achievement given that 50% of the patient population from the Commonwealth of Virginia the clinic serves are either uninsured, under-insured, on financial assistance or on Medicare and Medicaid. Furthermore, seamless integration of CGM reports into the electronic medical records have streamlined clinical care saving time and therefore costs for the care provider team of the ADM clinic.
Contact details for the clinic: UVA Endocrinology-Pantops, 183 Spotnap Road, Suite A, Charlottesville, VA 22911, (434) 293-7811
Filed Under: In the Know