Medical History: The member has a history of diabetes and atrial fibrillation.
MCM Intervention: Since enrolling in the diabetes program the member has been receiving education and surveillance on proper diet including snacks. The member was experiencing low blood sugar in the morning. In addition, he was drinking soda pop. This caused fluctuations in his blood sugar making it difficult to control. Although the member was exercising everyday, his weight fluctuated and was not able to sustain weight loss. Upon the advice and support from the health coach the member eliminated soda pop and began eating a snack with protein and carbohydrates with a low glycemic index before bedtime. Protein and carbs with a low glycemic index take longer for the body to burn which helps prevent spikes in blood sugar that cause irritability, fatigue, and sweating. The nighttime snacks included light Greek yogurt or string cheese. His morning blood sugars improved to low 100’s from a low of 50. Additionally, his A1C went from a high of 8.7% to 6%. Moreover, he has lost thirty-five pounds and his BMI has gone from 46 to 42. His goal is to be able to come off diabetes medication through adherence to proper diet and exercise.