Summary for Physicians:
1. Structuring the Shared-Care Model Between Academic and Community Centers:
- Clear Roles: Define specific roles for academic and community centers to ensure complementary care.
- Communication: Foster regular communication (eg, case discussions, telemedicine) for collaboration and updates.
- Education: Academic centers provide training to keep community physicians informed on best practices.
- Shared Decision-Making: Involve both centers in patient care decisions for comprehensive management.
- Technology: Use electronic health records and telemedicine for seamless information exchange.
2. Monitoring TAG in the Community Setting:
- Blood Glucose: Regularly monitor fasting and postprandial glucose levels to assess therapy effectiveness.
- Kidney Function: Track renal parameters (eg, creatinine, estimated glomerular filtration rate) to detect any adverse effects.
- Adverse Effects: Watch for gastrointestinal issues or hypoglycemia and manage promptly.
- Comorbidities: Monitor for complications in patients with other conditions (eg, cardiovascular disease).
- Adherence: Ensure patients follow the TAG regimen through regular follow-ups and support.
These strategies ensure effective collaboration and safe use of TAG therapy in both academic and community settings.