Introduction & Objective: Continuous glucose monitoring (CGM) has been historically used by endocrinologists to assess glycemic trends and guide therapeutic changes for people with diabetes. We increased access to this tool by equipping primary care physicians (PCPs) to integrate CGM into their practice via a multidisciplinary team approach.
Methods: 18 PCPs were offered a one-hour video training by endocrinology on CGM interpretation. Referred patients were >18yo with A1c > 8% without past CGM use or an endocrinology visit in the past year. Patients saw a Diabetes Care and Education Specialist (DCES) and/or a pharmacist (PharmD) for diagnostic CGM placement and education on nutrition, medication administration, and physical activity goals. DCES or PharmD reviewed the data with patients and sent recommendations to the PCP. Individuals with data post-intervention for A1c and time in range (TIR) were included.
Results: CGM users (n=41) were [mean (SD)] 62.05 (14.54) years of age and 26.83% female. TIR increased by 29.13% from 42.31% (33.25) at baseline to 71.44% (25.79) at 3 months (p <0.001), due to reduced hyperglycemia (Table 1). The proportion of CGM users meeting the consensus target of TIR ≥70% increased from 21.95% to 58.54% (p<0.001). Post-intervention, A1c decreased 2.45% from 9.62 (1.65) to 7.17 (1.08) (p<0.001).
Conclusion: Integration of CGM into primary care clinics is feasible and effective using a multidisciplinary approach.
A. Zadel: None. K. Chiampas: None. K. Maktaz: None. M.J. Eimer: Stock/Shareholder; Agitated Solutions. J.G. Keller: None. E. Szmuilowicz: None. K.W. O'Gara: None.
Northwestern Medicine North Region Quality and Innovation Funds Award
