Addressing Disparities Using Continuous Glucose Monitors and Remote Patient Monitoring for Youth With Type 1 Diabetes
Authors' conclusion
We established a program to support CGM use in youth with T1D and barriers to consistent CGM supplies, offering lessons for other clinics to address disparities with team-based, algorithm-enabled, remote T1D care. This real-world pilot and feasibility study noted challenges with low levels of protocol adherence and obtaining complete data in this cohort. Future iterations of the program should explore RPM communication methods that better align with this population's preferences to increase participant engagement.
Study context
- Population
- Youth with established T1D on public insurance with challenges obtaining consistent continuous glucose monitor (CGM) supplies; median age 14.7 years, diabetes duration 4.4 years, 33% non-English speakers, 44% Hispanic
- Participants
- 91 participants
- Outcome
- Feasibility of a program to support CGM use with remote patient monitoring (RPM)
- Follow-up
- 12 months
Methodological detailsprospective, single-group, real-world, Aug 2020 to Jun 2023
- Prospective
- Single-group
- Real-world
- Aug 2020 to Jun 2023
Main finding
As reported in the abstract
Participants with CGM data consistently available (≥70%)
23%
Observational data: associations, not effects.
Further findings
Hemoglobin A1c (HbA1c), enrollment to study end (participants with paired values, 64%)
- Median HbA1c decreased from 9.8% to 9.0%
- P < 0.001
Diabetes technology use
- Insulin pump users increased
- 31 to 48
- AID users increased
- 11 to 38
Original publication
Composed by AI from the published abstract and checked against it. How Briefs are made →