The RN also provides education on complex and rapid evolving diabetes technology and non-comprehensive program visits, such as, insulin pump assessment and insulin pump therapy, continuous glucose monitoring assessment and instruction, clinic-initiated continuous glucose monitoring, blood glucose monitoring/meter instruction, insulin start, change, and dose adjustments, insulin carbohydrate ratios, gestational diabetes, recurrent hyperglycemia or hypoglycemia, recurrent hospitalization requiring additional education, annual review, and follow-up diabetes education. The comprehensive program focuses education on diabetes disease process, nutritional management, physical activity, medications, monitoring and use of results, prevention, detection, and treatment of acute and chronic complications, goal setting and problem solving, psychosocial adjustment, preconception care, management during pregnancy, and gestational diabetes management.