Blood glucose readings over time, with superimposed LOESS trend lines.

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Blood glucose readings over time, with superimposed LOESS trend lines. Blood glucose readings over time, with superimposed LOESS trend lines. Data came from a pilot project of a telehealth intervention connecting nurse case managers to Medicaid patients with diabetes served by a multispecialty clinic in the Pacific Northwest. A) All patients enrolled in the pilot project. B) Overall average blood glucose for this patient improved over time, and variability in blood glucose decreased over time. Both of these are indicators of better disease control. C) There was no change in average blood glucose variability over time for this patient. D) This patient initially was not deeply engaged in the program; once complete patient engagement occurred, blood glucose control improved. Marit L. Bovbjerg et al. Clin Diabetes 2017;35:227-231 ©2017 by American Diabetes Association