Improving Continuous Glucose Monitoring Uptake in Underserved Youth with Type 1 Diabetes: The IMPACT Study
Authors' conclusion
Placing a sample CGM at the point of care can improve uptake of personal CGM and may help mitigate disparities in CGM use in minority and underserved youth.
Study context
- Population
- Youth with T1D; mean age 14.1 ± 2.9 years, 65% male, 42% Black, 12% Hispanic, 65% public insurance, 43% household income <$50,000; mean baseline HbA1c 10.7% ± 2.4%
- Participants
- 26 participants
- Comparison
- Trial continuous glucose monitoring (CGM) placement at point of care; baseline vs follow-up
- CGM naiven = 15
- Prior CGM usersn = 11
- Outcome
- Uptake of personal CGM after trial CGM use
- Follow-up
- 3-6 months
Methodological detailspoint-of-care sample CGM placement, pre-post comparison, Follow-up calls at 5 and 10 days; follow-up at 3-6 months; surveys at enrollment, 10 days and 3 months
- Point-of-care sample CGM placement
- Pre-post comparison
- Follow-up calls at 5 and 10 days; follow-up at 3-6 months; surveys at enrollment, 10 days and 3 months
Main finding
As reported in the abstract
Uptake of personal CGM · 3-6 months follow-up
Wanted personal CGM after trial CGM use
85%
Obtained personal CGM
76%
Using personal CGM
43%
Further findings
HbA1c and time in range
- No improvements in A1C or time in range
Perceived benefits of CGM usage
- Increase in perceived benefits of CGM usage
- 4.0 vs. 4.3, p = 0.03
Original publication
Improving Continuous Glucose Monitoring Uptake in Underserved Youth with Type 1 Diabetes: The IMPACT Study. Diabetes Technol Ther. Published 7 November 2022. doi:10.
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