That’s fine. Let’s go over it together. A1C tells you how well you are controlling your diabetes. A1C tells you what your average blood sugar has been for the last three months. Just to make sure I was clear, can you tell me what your A1C measures? Coach [Tells the information Mr. Newton doesn’t know, then asks to check understanding, also called the loop”] “closing Mr. Newton I think A1C is an average of my blood sugar over 3 months. Is that right? Yes, that’s correct! Why do you think we care about your A1C number? Coach [Finding out what Mr. Newton knows or doesn’t know] Mr. Newton I’m not sure. I think you said it shows something about my diabetes. Yes! Your A1C number is another way to measure how your diabetes is doing. Can you tell me what your A1C number is? And do you know your goal? Coach information and then asks to find out what Mr. Newton knows or doesn’t know] I’m not sure. Mr. Newton Your A1C is 10 and your goal is seven. What do you think about that? Coach [Asking about Mr. Newton’s motivation] My A1C is too high. I don’t like that. It needs to be seven. Mr. Newton Yes, would you like to talk about how to bring it down to seven? Coach [Asking permission] Mr. Newton Yes. Coach Do you know how to bring your A1C to seven? [Asking to assess Mr. Newton’s knowledge] No, I don’t. Mr. Newton The three main options are healthy eating, physical activity and taking your medicines. Is there one of Coach those you would like to work on? [Tells options then asks for Mr. Newton’s preference] Mr. Newton I think eating better. we talk about that when we meet next week? Coach [Asks permission for a future coaching meeting] Source: AMA. Practice transformation series: health coaching. 2016.
Coach That’s fine. Let’s go over it together. A1C tells you how well you are controlling your diabetes. A1C tells you what your average blood sugar has been for the last three months. Just to make sure I was clear, can you tell me what your A1C measures? [Tells the information Mr. Newton doesn’t know, then asks to check understanding, also called “closing the loop”] Mr. Newton I think A1C is an average of my blood sugar over 3 months. Is that right? Coach Yes, that’s correct! Why do you think we care about your A1C number? [Finding out what Mr. Newton knows or doesn’t know] Mr. Newton I’m not sure. I think you said it shows something about my diabetes. Coach Yes! Your A1C number is another way to measure how your diabetes is doing. Can you tell me what your A1C number is? And do you know your goal? information and then asks to find out what Mr. Newton knows or doesn’t know] Mr. Newton I’m not sure. Coach Your A1C is 10 and your goal is seven. What do you think about that? [Asking about Mr. Newton’s motivation] Mr. Newton My A1C is too high. I don’t like that. It needs to be seven. Coach Yes, would you like to talk about how to bring it down to seven? [Asking permission] Mr. Newton Yes. Coach Do you know how to bring your A1C to seven? [Asking to assess Mr. Newton’s knowledge] Mr. Newton No, I don’t. Coach The three main options are healthy eating, physical activity and taking your medicines. Is there one of those you would like to work on? [Tells options then asks for Mr. Newton’s preference] Mr. Newton I think eating better. Coach we talk about that when we meet next week? [Asks permission for a future coaching meeting] Source: AMA. Practice transformation series: health coaching. 2016.
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