Diabetes technology

Comparing Glucose Outcomes Following Face-to-Face and Remote Initiation of Flash Glucose Monitoring in People Living With Diabetes

J Diabetes Sci TechnolPublished Audit

Authors' conclusion

Online videos as an onboarding method can be used without significant differences in glucose and engagement metrics. The most deprived group within the audit population had lower engagement metrics, but this did not translate into differences in glucose metrics.

Study context

Population
People living with diabetes starting FreeStyle Libre (FSL) Jan 2019–Apr 2022, with recorded onboarding mode and ≥90 days of LibreView data with >70% data completion
Participants
935 people
Exposure
Face-to-face vs online onboarding to FreeStyle Libre
  • Face-to-facen = 413reference
  • Onlinen = 522
Outcome
Glucose metrics (% time in ranges) and engagement statistics from LibreView
Follow-up
Previous 90-day averages
Methodological detailsretrospective cohort study, linear models adjusted for ethnicity, deprivation, sex, age, percent active (where appropriate) and duration of FSL use
  • Retrospective cohort study
  • Linear models adjusted for ethnicity, deprivation, sex, age, percent active (where appropriate) and duration of FSL use

Main finding

As reported in the abstract

Glycemic and engagement indices
  • No significant differences in glycemic or engagement indices between onboarding methods and ethnicities

Observational data: associations, not effects.

Further findings

OutcomeBP value
Percent active time by deprivation quintileMost deprived quintile vs Least deprived quintile−9.20P = 0.002

Original publication

Comparing Glucose Outcomes Following Face-to-Face and Remote Initiation of Flash Glucose Monitoring in People Living With Diabetes. J Diabetes Sci Technol. Published 25 May 2023. doi:10.1177/19322968231176531

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