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SugarSmart™ Diabetes & Foot-Safe Program

Trusted diabetes support at home that improves safety, strengthens daily routines, and reduces avoidable complications through structured monitoring, patient education, and tight physician coordination.

ShapeSugarSmart™

SugarSmart™ Diabetes Support At Home

Ideal for patients with:

Recent hospital or SNF discharge with diabetes-related changes

New or adjusted insulin plan, injectable meds, or complex oral regimens

History of hypoglycemia or frequent high blood sugar episodes

Poor appetite, dehydration risk, or inconsistent meal patterns

Diabetic neuropathy, reduced sensation, or high-risk feet

Current foot blister, redness, callus breakdown, or early skin concerns

What Makes SugarSmart™ Different

  • Standardized blood sugar safety workflow (clear thresholds + action steps)
  • Medication reconciliation focused on high-risk diabetes meds and interactions
  • Teach-back training for patients and caregivers to build real confidence
  • Foot-safe screening habits to catch problems early (before wounds form)
  • Fast escalation playbook for hypo/hyperglycemia and infection concerns
ShapeHealSeal™

The SugarSmart™ Care Approach

Clinical Care

01

Complete diabetes baseline assessment at start of care

02

Review glucose patterns and symptoms to identify risk trends

03

Support safe medication administration and monitoring routines

04

Monitor for dehydration, infection, and condition-related decline

05

Reinforce foot checks and skin protection to prevent breakdown

06

Coordinate supplies as ordered (glucometer/strips, CGM support, etc.)

Education + Self-Management
  • Teach blood sugar routines that fit real daily life
  • Reinforce hypo/hyperglycemia signs and what to do immediately
  • Coach nutrition basics, hydration habits, and meal consistency
  • Train insulin safety, injection technique, and site rotation if applicable
  • Train caregivers using teach-back for confidence at home
  • Support adherence to care plan and follow-up appointments
  • Encourage foot-safe habits (daily checks, proper footwear, skin care)

Care Coordination

Provide timely physician updates with clear glucose and symptom trends

Request and confirm orders for diabetes plan adjustments when needed

Coordinate supplies and refills to prevent gaps in monitoring

Communicate with PCP/endocrinology as indicated for escalations

Align plan with discharge instructions and medication changes

Maintain consistent handoffs with referral partners and family

ShapeWhy Home Heal

First 7 Days Workflow

Days

01 - 02

➜ Skilled nurse evaluation and diabetes risk baseline
➜ Medication reconciliation with focus on insulin, sulfonylureas, steroids, and interactions
➜ Confirm monitoring plan (glucose checks / CGM use if applicable)
➜ Identify supply needs and initiate right away

Days

03-05

➜ Establish daily routine for meds, meals, and monitoring
➜ Teach-back with patient/caregiver for insulin safety and red flags
➜ Early physician touchpoint if readings are unstable or symptoms are present

Days

06-07

➜ Review trends and refine routine for consistency
➜ Reinforce prevention plan (hydration + foot-safe habits)
➜ Update physician and confirm next-step plan

ShapeCall the nurse immediately

Red Flags We Watch

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Blood sugar very low with symptoms (shaking, sweating, confusion)

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Repeated high readings with weakness, vomiting, severe thirst, or confusion

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New fever, chills, or signs of infection

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New foot redness, swelling, warmth, drainage, open area, or black/blue discoloration

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New dizziness, fainting, severe weakness, or inability to keep fluids down

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Sudden shortness of breath or chest pain (emergency)

ShapeHEALSEAL™ OUTCOMES

Outcomes we track

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Blood sugar safety trend (stabilizing patterns over time)

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Diabetes-related ED visits and hospitalizations

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Hypoglycemia events and urgent escalations

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Patient/caregiver confidence with daily routine (quick 1–10 score)

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Foot concerns caught early and addressed before becoming wounds

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Monitoring continuity (no missed checks due to supply gaps)

ShapeHEALSEAL™ CARE TEAM

Team Involved

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Skilled nurse (RN/LPN per case needs and regulations)

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PT/OT as appropriate for mobility, balance, strength, and safety

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MSW as needed for caregiver support and resource coordination

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Care Coordinator for scheduling, supply follow-up, and referral communication

ShapeConnect With Home Heal

Care Starts With a Conversation

Whether this is for you or a loved one, we’ll guide you through eligibility, timing, and what to expect, one step at a time.

Serving DuPage, Cook, and Will County. Not sure if you qualify?

Let's Figure it out