Interprofessional Continuous Glucose Monitoring for Underserved Adults with Type 2 Diabetes on Insulin or Secretagogues

Background: Literature describing continuous glucose monitoring for underserved patients, including those with type 2 diabetes or at risk for hypoglycemia, is lacking. Methods: An interprofessional internal medicine residency team implemented a blinded CGM service for underserved adults with type...

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Autores principales: Ife Fasina, Obed Agyei, Jennifer Kim, Ellen Montgomery, Sharon Powers, Donna Plyler
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Lenguaje:EN
Publicado: University of Minnesota Libraries Publishing 2021
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Acceso en línea:https://doaj.org/article/0731113d6604484391a7525596a5881c
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spelling oai:doaj.org-article:0731113d6604484391a7525596a5881c2021-11-20T18:42:30ZInterprofessional Continuous Glucose Monitoring for Underserved Adults with Type 2 Diabetes on Insulin or Secretagogues2155-0417https://doaj.org/article/0731113d6604484391a7525596a5881c2021-11-01T00:00:00Zhttps://pubs.lib.umn.edu/index.php/innovations/article/view/3997https://doaj.org/toc/2155-0417 Background: Literature describing continuous glucose monitoring for underserved patients, including those with type 2 diabetes or at risk for hypoglycemia, is lacking. Methods: An interprofessional internal medicine residency team implemented a blinded CGM service for underserved adults with type 2 diabetes with at-goal glycated hemoglobin (A1C) taking insulin or secretagogues. Results: The 2-week blinded CGM service (N=44) significantly reduced time in hypoglycemia (<70 mg/dL) by 4.1% (P=0.0038). Time-in-target-range increased significantly (4.31%, P=0.025). Body weight, number of medications, and daily insulin dose decreased significantly. Overall, A1C remained stable, indicating no worsening of diabetes control associated with the service. Conclusions: The interprofessional blinded CGM service influenced improved glycemic control in this vulnerable population. Ife FasinaObed AgyeiJennifer KimEllen MontgomerySharon PowersDonna PlylerUniversity of Minnesota Libraries Publishingarticlecontinuous glucose monitoring, healthcare disparities, hypoglycemia risk, interprofessional patient care, type 2 diabetes, underserved patientsPharmacy and materia medicaRS1-441ENINNOVATIONS in Pharmacy, Vol 12, Iss 4 (2021)
institution DOAJ
collection DOAJ
language EN
topic continuous glucose monitoring, healthcare disparities, hypoglycemia risk, interprofessional patient care, type 2 diabetes, underserved patients
Pharmacy and materia medica
RS1-441
spellingShingle continuous glucose monitoring, healthcare disparities, hypoglycemia risk, interprofessional patient care, type 2 diabetes, underserved patients
Pharmacy and materia medica
RS1-441
Ife Fasina
Obed Agyei
Jennifer Kim
Ellen Montgomery
Sharon Powers
Donna Plyler
Interprofessional Continuous Glucose Monitoring for Underserved Adults with Type 2 Diabetes on Insulin or Secretagogues
description Background: Literature describing continuous glucose monitoring for underserved patients, including those with type 2 diabetes or at risk for hypoglycemia, is lacking. Methods: An interprofessional internal medicine residency team implemented a blinded CGM service for underserved adults with type 2 diabetes with at-goal glycated hemoglobin (A1C) taking insulin or secretagogues. Results: The 2-week blinded CGM service (N=44) significantly reduced time in hypoglycemia (<70 mg/dL) by 4.1% (P=0.0038). Time-in-target-range increased significantly (4.31%, P=0.025). Body weight, number of medications, and daily insulin dose decreased significantly. Overall, A1C remained stable, indicating no worsening of diabetes control associated with the service. Conclusions: The interprofessional blinded CGM service influenced improved glycemic control in this vulnerable population.
format article
author Ife Fasina
Obed Agyei
Jennifer Kim
Ellen Montgomery
Sharon Powers
Donna Plyler
author_facet Ife Fasina
Obed Agyei
Jennifer Kim
Ellen Montgomery
Sharon Powers
Donna Plyler
author_sort Ife Fasina
title Interprofessional Continuous Glucose Monitoring for Underserved Adults with Type 2 Diabetes on Insulin or Secretagogues
title_short Interprofessional Continuous Glucose Monitoring for Underserved Adults with Type 2 Diabetes on Insulin or Secretagogues
title_full Interprofessional Continuous Glucose Monitoring for Underserved Adults with Type 2 Diabetes on Insulin or Secretagogues
title_fullStr Interprofessional Continuous Glucose Monitoring for Underserved Adults with Type 2 Diabetes on Insulin or Secretagogues
title_full_unstemmed Interprofessional Continuous Glucose Monitoring for Underserved Adults with Type 2 Diabetes on Insulin or Secretagogues
title_sort interprofessional continuous glucose monitoring for underserved adults with type 2 diabetes on insulin or secretagogues
publisher University of Minnesota Libraries Publishing
publishDate 2021
url https://doaj.org/article/0731113d6604484391a7525596a5881c
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AT obedagyei interprofessionalcontinuousglucosemonitoringforunderservedadultswithtype2diabetesoninsulinorsecretagogues
AT jenniferkim interprofessionalcontinuousglucosemonitoringforunderservedadultswithtype2diabetesoninsulinorsecretagogues
AT ellenmontgomery interprofessionalcontinuousglucosemonitoringforunderservedadultswithtype2diabetesoninsulinorsecretagogues
AT sharonpowers interprofessionalcontinuousglucosemonitoringforunderservedadultswithtype2diabetesoninsulinorsecretagogues
AT donnaplyler interprofessionalcontinuousglucosemonitoringforunderservedadultswithtype2diabetesoninsulinorsecretagogues
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