Table 1.

Hallmarks of a Data-Driven Practice.

Hallmark 1: Identification	Hallmark 2: Configuration	Hallmark 3: Ongoing collaborative use of data
Identify the right technology tools for each person with diabetes (PwD) as a standard of care. This includes helping the patient identify the best route of insulin delivery for them. SIP indications for use: ❑ T1D or T2D ❑ On mealtime insulin ❑ Counting or estimating carbohydrates or taking fixed dose amounts Tech assessment: ❑ Has smart phone/uses apps ❑ Is monitoring blood glucose on regular basis	Configure the technology tool to match the routine, lifestyle, and therapy plan of the individual. For SIP this includes: 1. Provide personalized insulin therapy settings (for how to calculate see resource below) 2. Assure that the meal schedule in the app is adjusted to the person’s daily routine 3. Connect to available glucose monitoring devices 4. Agree on a plan for sharing the data with the care team. 5. Assure the patient has up to date prescriptions for basal insulin, rapid-acting insulin cartridges, and connected glucose monitoring supplies. 6. Be sure to check insulin injection technique, injection sites, understanding of priming, and proper insulin storage. 7. Discuss ability of PwDs to afford their insulin and supplies 8. Set clear expectations regarding use of SIP as part of daily self-management plan: ❑ Advise the patient to check the app home screen for the last dose amount and time, last glucose, and any active insulin when unsure if they took a dose or not. ❑ Encourage the patient to check their blood glucose and use the bolus calculator each time they dose. ❑ While fine-tuning settings and learning carbohydrate counting, ask the patient to check their glucose two hours after their meal time doses to determine if a correction dose is needed. ❑ Remind patients to log additional insulin doses such as long-acting insulin and short-acting doses taken without SIP in the Logbook. ❑ Suggest patients review their Logbook as needed for daily history and adjust reminders for doses and glucose checks as needed ❑ Ask patients to share data reports and engage with the care team between health care visits per plan ❑ Update Therapy Settings as care plan evolves.	Use the data on an ongoing basis in collaboration with the PwD to optimize care. For SIPs this includes determining data report workflow: The Receive, Review, Respond Model. Receive: ❑ Who receives the reports and assures the right team member reviews the report to take action? ❑ When and how will reports be received and on what cadence? Review ❑ Who will review and determine if care plan changes are warranted and if so what member of the care team will be responsible to address (prescribing clinician, diabetes care and education specialist, care coordinator, or health coach)? Respond: ❑ How does the designated care team member use the behavior-focused data to have a focused conversation with the patient about their self-management plan? ❑ How does the designated care team member use the clinical data to facilitate therapy changes? ❑ How are care plan changes communicated to the patient and to the rest of the care team?
Resource: Stanford University has designed a website, https://www.diabeteswise.org/ to help PwDs identify the right technology tools for their particular situation. Clinicians can use this website as a shared decision-making tool in partnership with their patients.	Resource: Consensus Statement by AACE/ACE Insulin Pump Management Task Force. Endo Practice, 2014. 21 See Table 4 in Consensus Statement for instructions in calculating individualized insulin therapy settings. (Open access reference)	Resource: Figure 2 Guideline on Reviewing Integrated SIP Data Report