Remote Patient Monitoring With Continuous Glucose Monitoring Improves Glycemic Outcomes in Patients With Type 2 Diabetes at a Safety-Net Hospital
Authors' conclusion
RPM with CGM improved glycemic control in T2DM in an under-resourced setting, compared to standard care. Further research is needed to explore implementation on a larger scale.
Study context
- Population
- Adults ≥18 years with T2D, hemoglobin A1c (HbA1c) >8.5% (69 mmol/mol), basal insulin and continuous glucose monitoring (CGM) prescriptions, at a Bronx safety-net hospital; patients unable or unwilling to use telemedicine or CGM excluded
- Participants
- 41 vs 766
- Exposure
- Remote patient monitoring (RPM) with CGM vs standard care
- RPMn = 41
- Controln = 766reference
- Outcome
- Change in HbA1c from baseline to repeat HbA1c
- Follow-up
- 2-6 months
Methodological detailssingle-centre safety-net hospital, pilot program, multivariable logistic regression adjusted for baseline HbA1c and demographics
- Single-centre safety-net hospital
- Pilot program
- Multivariable logistic regression adjusted for baseline HbA1c and demographics
Main finding
As reported in the abstract
HbA1c decrease · follow up (2-6 months)
RPM
3.0
% (32.9 mmol/mol)
Control
2.1
% (22.4 mmol/mol)
P = 0.004
Observational data: associations, not effects.
Further findings
| Outcome | RPM | Control | OR (95% CI) | P value | |
|---|---|---|---|---|---|
| Goal HbA1c <7.5% (58 mmol/mol) achieved | 58.5% | 36.2% | 2.53 (1.31–4.88) | P < 0.01 | |
| 0.20.5125Odds ratio (log scale) |
| Outcome | RPM | Control |
|---|---|---|
| Baseline HbA1c · mean baseline | mean 10.5 ± 1.4 % (91 ± 15.6 mmol/mol) | mean 10.6 ± 1.7 % (92 ± 18.8 mmol/mol) |
Medication adjustments
- Most frequent medication adjustments occurred with insulin, GLP-1 and GLP-1/GIP
Original publication
Remote Patient Monitoring With Continuous Glucose Monitoring Improves Glycemic Outcomes in Patients With Type 2 Diabetes at a Safety-Net Hospital. Endocr Pract. Published 30 December 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →