Table 2

Monthly check-in procedures by blood glucose level

Blood glucose statusLevel 1
Remote monitoring criteria		Level 2
Patient report criteria		Procedures
In target rangeAverage BG <200 mg/dL
No BG <80 mg/dL
No BG >350 mg/dL		No repeat BG >300
No single BG <40 mg/dL
No repeat BG <80 mg/dL

  • MA reviews recent A1C and BG data

  • MA provides positive reinforcement on continued BG checks and maintaining in range BG levels

Above target range (Hi)A1C >9.0% or
average monthly BG >200 mg/dL		Repeat BG >300 mg/dLMA escalates to the monitoring center NPs via a flagged message in the EMR that includes the most recent BG log or reported data
Below target range (Lo)BG <80 mg/dLAny single BG <40 mg/dL or
repeat BG <80 mg/dL
Not checkingNo BG data availableNo BG data reportedMA inquires about perceived barriers to BG monitoring and assists with resolution if possible

  • BG, blood glucose; EMR, electronic medical record; MA, medical assistant; NP, nurse practitioner.