Case study 4

Late Engagement Still Leads to Dramatic Turnaround 
Patient Profile: Type 2 diabetic, A1c of 12.7; lacked engagement until motivated

Medications:

  • Ozempic
  • Dexcom
  • Atorvastatin
  • Lisinopril (previously Lantus)


Northwind Actions: Health coaching created lasting behavior change and clinical improvement, as well as, discontinuation of multiple therapies

Measures Taken:

  • Pharmacist partnered with provider to ensure medication adherence 
  • Health Coach
    • guided goals related to lifestyle modifications and dietary changes
    • helped navigate continuous glucose monitoring (CGM) system


Clinical Results:

  • A1c trend: 7% Reduction in 3 months
    • Upon program enrollment in October 2024, patient’s hemoglobin A1c was 12.7% and with the guidance of the Northwind clinical team, he achieved an A1c of 5.7% 3 months later and has maintained.
  • Patient now has normal A1c
  • Discontinued insulin since program enrollment

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