Table 1.

The ‘Check, Chat, Change’ framework and training elements

	Target outcome/behaviour	Health professional training
Check	GP understanding of evidence for effective and timely assessment of blood glucose and using r-CGM Effective and timely assessment of blood glucose using r-CGM Engagement of person with T2D in collaborative consultation	Present evidence and rationale for treatment intensification Present information about and demonstrate (model) how to apply/remove sensors, download and interpret r-CGM data; support person with T2D in correct use of r-CGM as a complement to usual care and testing Demonstrate (model) collaborative engagement of person with T2D in use of r-CGM
Chat	Collaborative reflection on and interpretation of recurring glucose patterns, and the effect of food/drink, physical activity and medication	Present information about how to read and interpret r-CGM patterns Demonstrate interpretation of r-CGM patterns by GP and RN-CDE using case studies Demonstrate (model) collaborative engagement of person with T2D in the interpretation of r-CGM, supporting them to interpret glucose patterns, identifying hyperglycaemia and hypoglycaemia and impact of lifestyle and medications on glucose levels
Change	Identify appropriate intervention to improve blood glucose and engage person with T2D in action planning	Present evidence (clinical guidelines) for intensification of lifestyle, OHA, injectable medications in response to r-CGM Demonstrate (model) collaborative discussion of potential change in management of T2D and agreement on action plan
Repeat the cycle	Observe and reflect on the effectiveness of changes made at the next visit

GP, general practitioner; OHA, Oral Hypoglycaemic agent; r-CGM, retrospective continuous glucose monitoring; RN-CDE, Registered Nurse-Credentialed Diabetes Educator; T2D, type 2 diabetes.