The ‘Check, Chat, Change’ framework and training elements
| Target outcome/behaviour | Health professional training | |
| Check | GP understanding of evidence for effective and timely assessment of blood glucose and using r-CGM Effective and timely assessment of blood glucose using r-CGM Engagement of person with T2D in collaborative consultation | Present evidence and rationale for treatment intensification Present information about and demonstrate (model) how to apply/remove sensors, download and interpret r-CGM data; support person with T2D in correct use of r-CGM as a complement to usual care and testing Demonstrate (model) collaborative engagement of person with T2D in use of r-CGM |
| Chat | Collaborative reflection on and interpretation of recurring glucose patterns, and the effect of food/drink, physical activity and medication | Present information about how to read and interpret r-CGM patterns Demonstrate interpretation of r-CGM patterns by GP and RN-CDE using case studies Demonstrate (model) collaborative engagement of person with T2D in the interpretation of r-CGM, supporting them to interpret glucose patterns, identifying hyperglycaemia and hypoglycaemia and impact of lifestyle and medications on glucose levels |
| Change | Identify appropriate intervention to improve blood glucose and engage person with T2D in action planning | Present evidence (clinical guidelines) for intensification of lifestyle, OHA, injectable medications in response to r-CGM Demonstrate (model) collaborative discussion of potential change in management of T2D and agreement on action plan |
| Repeat the cycle | Observe and reflect on the effectiveness of changes made at the next visit | |
GP, general practitioner; OHA, Oral Hypoglycaemic agent; r-CGM, retrospective continuous glucose monitoring; RN-CDE, Registered Nurse-Credentialed Diabetes Educator; T2D, type 2 diabetes.