When | What and why |
---|---|
24–72 h | When initiating insulin or titration Support insulin initiation and reinforce titration |
1–2 week(s) | Patients report BG readings Ensure titration is occurring normally |
1 month | Patients report BG readings Ensure titration is occurring normally (it is encouraged to continue with biweekly contacts thereafter) |
3 months | A1C measurement If not at goal, patient may continue with titration for another 3 months This contact point should occur in person or by virtual consult |
6 months | A1C measurement Follow-up of titration If A1C above target, review glycemic profile and consider adding mealtime insulin |
Within 24 h of hypoglycemia | Educate patient on recognizing, preventing, and treating hypoglycemia If recurrent hypoglycemia occurs, re-evaluate titration schedule or reduce dose (frequent, recurrent hypoglycemia is typically defined as 1–2 lows in 1 week) |