The primary care pediatric nurse practitioner is reviewing lab work and diabetes management with a school-age child whose HbA is 7.6% who reports usual blood sugars before meals as being 80 to 90 mg/dL. The nurse practitioner will consult with the child's endocrinologist to consider which therapy?

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The child's HbA of 7.6% indicates that their blood sugars have been consistently high over the past 3 months. While their usual blood sugars before meals may be within the target range, it is important to monitor blood sugars throughout the day to ensure that they are not spiking after meals or at other times. Continuous glucose monitoring (CGM) allows for more frequent monitoring of blood sugars and can provide additional data on trends and patterns that may not be seen with self-monitoring of blood glucose (SMBG) alone. With the child's HbA indicating poor diabetes control, CGM may provide the necessary information to adjust therapy and improve glycemic control. Consultation with an endocrinologist is also recommended to determine the most appropriate therapy based on the child's individual needs and preferences.

The Primary Care Pediatric Nurse Practitioner Is Reviewing Lab Work