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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University of Minnesota Libraries Publishing
2021
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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) |
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continuous glucose monitoring, healthcare disparities, hypoglycemia risk, interprofessional patient care, type 2 diabetes, underserved patients Pharmacy and materia medica RS1-441 |
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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.
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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 |
work_keys_str_mv |
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