Table 1

The ‘Check, Chat, Change’ framework and training elements

Target outcome/behaviourHealth professional training
CheckGP 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
ChatCollaborative reflection on and interpretation of recurring glucose patterns, and the effect of food/drink, physical activity and medicationPresent 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
ChangeIdentify appropriate intervention to improve blood glucose and engage person with T2D in action planningPresent 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 cycleObserve 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.