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iPDM: 3. Addressing the Problem

3. Addressing the Problem: iPDM

Integrated personalised diabetes management, or iPDM, is a therapeutic approach which structures the treatment process [8], connects healthcare professionals (HCPs) and patients, and integrates digital tools that visualize and analyse data. In this regard, iPDM has the potential to address several different aspects of clinical inertia.

Specifically, iPDM is built upon five guiding principles


Where does a patient stand? What goals does a patient have? What would he/she like to achieve? What would he/she (not) like to change?...

Collaborative Care and Participative Decision Making

Inclusion of the patient in the evaluation and adaptation or modification of the therapy as required


Regular feedback on the achievement of therapeutic goals and adherence (compliance with self-monitoring of blood glucose recommendations)

Training and Counselling

Joint, structured analysis of the course of therapy

Written Agreements

Written agreement on therapeutic measures until the next appointment

[8] Ceriello et al. Diabetes as a case study of chronic disease management with a personalized approach: the role of a structured feedback loop. Diabetes Res Clin Pract. 2012 Oct; 98(1):5–10O'Connor et al. Clinical Inertia and Outpatient Medical Errors. In: Henriksen K et al., editors. Advances in Patient Safety: From Research to Implementation (Volume 2: Concepts and Methodology). Rockville (MD), USA: Agency for Healthcare Research and Quality (US) 2005; pp. 293–308.

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