Review the patient’s diabetes complication risk status: last HbA1c, blood pressure, lipid levels, smoking status, and calculated UKPDS 5-year cardiac risk score | |
Review the patient’s latest diabetes plan based on medical record progress notes and prescriptions | |
Coaching on dyadic approach to goal-setting and action planning | |
Coaching on use of positive and autonomy-supportive communication | |
Structured talking points for biweekly patient-supporter discussions about diabetes and action planning | |
Educate dyad about members of the patient’s PACT teamlet, their roles, and how to reach them | |
Educate dyad about diabetes risk reduction programs available in PACT | |
Techniques for effective and activated patient and supporter communication with patients’ medical providers |