Spectrum - English Version (E-Book)


Gehr, Bernhard |  Training and Treatment Programm for Continuous Glucose Monitoring (CGM)

ArtNr.:ISBN 978-3-87409-719-2
Gewicht: 1.47 kg


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ISBN 978-3-87409-719-2
English version based on the 2nd edition 2017
Contents: Curriculum for adults (ePub) and Set of slides (pdf)
99,00 €

SPECTRUM - Training Set

Structured training and treatment program for continuous clucose monitoring (CGM) for adults with diabetes

Authors: AGDT/AGPD Spectrum-Group (Bernhard Gehr, Martin Holder, Bernd Kulzer, Ulrike Thurm, Thorsten Siegmund, Claudia Sahm, Eberhard Biermann, Sabine Carstensen, Guido Freckmann, Lutz Heinemann, Elke Kerth, Ralf Kolassa, Andreas Liebl, Rosalie Lohr, Berthold Maier, Kerstin Remus, Sandra Schlüter, Marcella Schulz Braun, Marita Wernsing, Dorothee Deiss, Bettina Heidtmann, Carmen Ludwig-Seibold, Simone von Sengbusch, Tanja Wadien, Ralph Ziegler, Karin Lange.)

SPECTRUM is intended to train all patients who have an indication for using an rtCGM system. The diabetes teams have the flexibility to adjust the content depending on the needs, possibilities and limitations of the patients. CGM helps handle complex metabolic problems and enables patients to live a more flexible lifestyle. Patients can only unlock the full potential of a sensor-based intensified insulin therapy with pens or with pump therapy if they receive proper training to optimally use the displayed CGM information and sensibly vary the alarm settings. 

SPECTRUM is best suited for use in group training. The group should be 2-4, maximum 5, patients. In groups with more than 5 participants, the risk exists that certain aspects might not be delved into enough, such as aspects which apply to individual participants, the individual evaluation of CGM data or characteristics of the different CGM systems. The training material is suitable for individual consultation although this then lacks the helpful effects of the synergy of the group.

Upon completing SPECTRUM, patients with diabetes have the knowledge to safely and successfully use a CGM system. Contrary to a product training, SPECTRUM places the focus not on the device characteristics but rather on the therapeutic use of the measurement results and the practical use of the systems in daily life. Patients learn how to understand the information given by the CGM device, how to properly use the alarm functions and how to draw the correct therapeutic conclusions.

Contents
The training set contains two files: 1) Curriculum and 2) Set of Slides

  • Curriculum (epub-file)
  • Set of Slides (pdf-file)

Also available: German version (print incl. USB stick)

 

Bernhard Gehr, Senior Diabetologist in Fachklinik Bad Heilbrunn (south of Munich, Germany), is the project leader of the entire SPECTRUM program and head of the adult version on behalf of the AGDT. Martin Holder, Chief Physician in the Stuttgart Clinic, Olgahospital, is head of the pediatric version on behalf of the AGPD (only available in the german version).

The following authors were involved in the creation of SPECTRUM ("The Spectronauts":)
Bernd Kulzer, Bernhard Gehr, Ulrike Thurm, Thorsten Siegmund, Claudia Sahm, Eberhard Biermann, Sabine Carstensen, Guido Freckmann, Lutz Heinemann, Elke Kerth, Ralf Kolassa, Andreas Liebl, Rosalie Lohr, Berthold Maier, Kerstin Remus, Sandra Schlüter, Marcella Schulz Braun and Marita Wernsing.
Frequently asked questions on SPECTRUM (adult version)

What is the target group for SPECTRUM?
For several years now there have been systems available on the market for continuous glucose monitoring (CGM). Real-time CGM systems display a current glucose value and have various alarm functions (rtCGM).

SPECTRUM is intended to train all patients who have an indication for using an rtCGM system. The diabetes teams have the flexibility to adjust the content depending on the needs, possibilities and limitations of the patients. CGM helps handle complex metabolic problems and enables patients to live a more flexible lifestyle. Patients can only unlock the full potential of a sensor-based intensified insulin therapy with pens or with pump therapy if they receive proper training to optimally use the displayed CGM information and sensibly vary the alarm settings.

In order for patients to profit from SPECTRUM, they should fulfill the following prerequisites:

high personal motivation for performing insulin therapy and for dealing with diabetes, the necessary cognitive abilities to understand complex metabolic connections and correctly interpret glucose trends and the willingness to actively participate in the training course. This includes following glucose values and trends closely between the course sessions and implement and consolidate what they have learned with the help of tasks and exercises. It is also important for patients to be ready to share their observations in the course sessions and critically reflect upon therapy decisions.

Participation in the SPECTRUM training and treatment program is not recommended for patients who expect CGM to be the solution for all their diabetes problems and place the responsibility for the success of their diabetes therapy on the course leader/doctor, are overwhelmed by the high volume of data and information, both for cognitive and psychological reasons, react with strong, dysfunctional fear when dealing with CGM data and/or who might be at risk for trying to handle their fears by using excessive control strategies, are affected by insufficiently controlled psychological problems, abnormalities and disorders (e.g. fear or obsessive-compulsive disorders, addiction or dependence disorders).

How is SPECTRUM for adults set up?
An information session („Module 0“) and a consultation with the diabetes team should precede the actual CGM training course so that patients are informed well enough to decide for or against using CGM. This module contains the basic information on CGM. Module 0 can be used as part of an MDI or insulin pump training or, for example, as part of an information evening as per the possibilities and plans of the diabetes center.

Modules 1 to 6 are intended for people with diabetes who have already decided to use CGM. This modules contain information for participants on the practical use of CGM and participants then practice using it in daily life. Any knowledge or skills already present are refreshed, brought up-to-date and delved into. The modules intend to convey information and skills on using CGM and also to exchange both the experience of daily life with diabetes as well as solutions for difficulties with CGM.

What time frame is sensible?
A time frame of approximately 8 weeks is intended for participation in the entire training and treatment program (4–12 weeks).

Module 0 can be presented at any point in time before beginning the course.

Patients who have decided to participate in SPECTRUM are first taught the basics of CGM in Module 1 before inserting the sensor and beginning with CGM one week later as part of Module 2.

To get off to a good start with CGM, patients should reflect upon the initial personal experience as part of Module 3 one week later. Any problems at the start should be addressed directly and solved as much as possible. Participants also quickly learn about the display and alarms. 

Individual or group training?
SPECTRUM is best suited for use in group training. The group should be 2-4, maximum 5, patients. In groups with more than 5 participants, the risk exists that certain aspects might not be delved into enough, such as aspects which apply to individual participants, the individual evaluation of CGM data or characteristics of the different CGM systems. The training material is suitable for individual consultation although this then lacks the helpful effects of the synergy of the group.

Are there ways to prepare for implementing SPECTRUM?
The SPECTRUM AGDT author team offers regional training courses for physicians and qualified training personnel In Germany. For more information, visit www.diabetes-technologie.de.“


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inkl. Leitfaden, Curriculum und Übungsmaterialien
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* inkl. MwSt., zzgl. Versandkosten ** Elektronische Dienstleistung