Temporal Changes in Continuous Glucose Monitoring Profiles in Health Care Workers Participating in a Digitally Delivered Metabolic Wellness Program
Authors' conclusion
While static CGM metrics remained unchanged, MWP participation was associated with significant behavioral and temporal glycemic improvements, particularly among those with lower baseline TITR.
Study context
- Population
- Health care workers and dependents within a California health care system who completed an 8-week digital Metabolic Wellness Program (MWP) combining lifestyle education with real-time continuous glucose monitoring (CGM)completed the MWP
- Participants
- 100 workers
- Comparison
- CGM metrics before vs after the digital Metabolic Wellness Program
- Outcome
- Static pre-post CGM metrics (AG, GRI, TIR, TITR, CV)
- Follow-up
- 8 weeks
Methodological detailssingle-group, 8-week digital program, stratified by baseline time in tight range (TITR)
- Single-group
- 8-week digital program
- Stratified by baseline TITR
Main finding
As reported in the abstract
- No significant glycemic changes cohort-wide or within TITR strata
Further findings
| Outcome | Low TITR | High TITR | P value |
|---|---|---|---|
| Temporal change metrics (MCI, ICI), Low TITR | all P < .05 | ||
| AG MCI | −17.2 mg/dL | — not stated in the abstract | |
| GRI MCI | −15.3 | — not stated in the abstract | |
| CV MCI | −3.2% | — not stated in the abstract | |
| TIR MCI | 8.5% | — not stated in the abstract | |
| TITR MCI | 8.8% | — not stated in the abstract | |
| GRI ICI | 72.1% | — not stated in the abstract | |
| TIR ICI | 70.5% | — not stated in the abstract | |
| CV ICI | 73.3% | — not stated in the abstract | |
| Temporal change metrics, High TITR | P < 0.001 | ||
| CV MCI | — not stated in the abstract | −1.6% | |
| CV ICI | — not stated in the abstract | 69.5% |
— not stated in the abstract
Engagement and behavioral changes
- MWP engagement associated with positive behavioral changes
- P < 0.001
- Behavioral changes correlated with TIR mean change index (MCI)
- r = 0.31, P < .05
Original publication
Temporal Changes in Continuous Glucose Monitoring Profiles in Health Care Workers Participating in a Digitally Delivered Metabolic Wellness Program. J Diabetes Sci Technol. Published 13 July 2026. doi:10.
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