Sweet Success Story: The Device Education That Tripled Daniel’s Time in Range

When Daniel*, a 50-year-old man with type 2 diabetes, joined his provider’s SweetSpot program in April 2025, he was determined to get his health back on track. In recovery from addiction and beginning a new wellness journey, he was eager to improve his diabetes management — but unsure where to start. Balancing a busy job, family responsibilities, and a history of inconsistent medication use, Daniel’s Time in Range (TIR) was just 19% when we first met. 

Despite his interest in making changes, Daniel’s days were hectic. He was open to suggestions right from the start, but he was often working during our calls, so each encounter needed to be very focused. 

As a SweetSpot Certified Diabetes Care and Education Specialist (CDCES), I partner closely with providers to offer remote care for their patients using CGMs and insulin pumps. I review patients' diabetes device data every month, suggest any treatment adjustments if needed, and keep in touch with patients to help them stay on track between visits. Watching patients make meaningful progress is the best part of my job — and Daniel’s transformation is one I’ll always remember. 

Finding the Hidden Barriers

When he first enrolled in SweetSpot, Daniel’s CGM data showed high post-meal spikes, overnight elevations, and big swings from day to day. At first, I focused on building trust and learning his habits. 

Through open-ended, nonjudgmental questions — a hallmark of SweetSpot’s motivational interviewing approach — I uncovered key challenges: 

• Frequent sugary drinks and high-carb snacks 

• Skipped or reduced mealtime insulin doses 

• Inconsistent meal timing 

• Misunderstanding of his insulin delivery device 

Daniel thought his insulin delivery device only provided mealtime insulin. When he ran out of bolus “clicks” for the day, he removed it — not realizing it also delivered his daily basal insulin. Once we discovered that, it explained a lot about his glucose variability. 

Starting with Small, Doable Changes  

Rather than overwhelm Daniel, I helped him choose one change at a time: 

• Reducing sugary drinks and high-carb snacks between meals 

• Matching rapid-acting insulin to carbohydrate intake 

• Wearing his insulin delivery device for the full 24 hours, as prescribed 

• Being consistent with meal patterns and pre-meal insulin clicks 

We always ask the patient to decide which change to focus on first. That way, the plan is realistic and patient-driven. 

From Setbacks to Breakthroughs   

By May, Daniel’s TIR had climbed to over 50% — then dipped to 25% again. He was discouraged, believing he was on track. That’s when a deeper dive into his CGM data revealed the insulin delivery device issue. 

After educating Daniel on the device’s basal insulin delivery and reinforcing the importance of consistent wear, things turned around quickly. Just three weeks later, his TIR jumped to 62%. Sometimes the breakthrough comes from asking one more question and taking the time to connect the dots. 

The Human Impact   

While the numbers were impressive, I noticed another important change: Daniel’s confidence. 

He’s a great example of someone who truly wanted to improve, but faces a lot of daily challenges. With SweetSpot, he gets ongoing guidance and education that helps him make focused changes — the kind that add up to big results. 

Daniel is now more engaged in his care and remains committed to making further progress at each call.  

The SweetSpot Difference 

Daniel’s story is a reminder that small, targeted interventions — combined with real-time data review and a trusted care team — can create major wins for people with diabetes. Without SweetSpot’s monitoring and flagging system, his device issue might have gone unnoticed for months, leading to continued variability and risk. 

If you’d like to see how SweetSpot can help your patients achieve results like Daniel’s, reach out to us at info@sweetspot.health.

*Patient name has been changed to protect privacy. 

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SweetSpot partners with endocrinology practices to provide virtual CGM monitoring and enhanced patient care.

SweetSpot combines a centralized software platform for managing diabetes device data, such as data from CGMs and insulin pumps, with wrap-around clinical support services. SweetSpot’s virtual team of Certified Diabetes Care and Education Specialists (CDCES) performs monthly CGM data reviews and coordinates with providers and patients to facilitate treatment plan changes. By actively managing and remotely reviewing CGM data between patient visits, we ensure patients receive timely treatment adjustments to improve glycemic control and patient outcomes.

Additionally, SweetSpot’s automated capture of reimbursable care events optimizes CPT code utilization, unlocking new revenue streams for practices and making our partnerships both clinically effective and financially profitable.