Persistent Performance Improvement Using Team Resources and Continuous Glucose Monitoring in Patients With Poorly Controlled Type 2 Diabetes.

Q3 Medicine

Diabetes Spectrum Pub Date : 2025-06-13 eCollection Date: 2025-01-01 DOI:10.2337/ds24-0085

Andrew Behnke, Kara S Lucas, Christopher G Parkin, Varsha Reddy, Michele Orlowski, Ailene Edwards

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Abstract

Objective: The purpose of this study was to assess the impact of an interdisciplinary diabetes care team approach using continuous glucose monitoring (CGM) on glycemic outcomes in a population of adults with type 2 diabetes with suboptimal glycemic control.

Research design and methods: This 6-month, longitudinal observational study was conducted at the outpatient endocrinology clinic of Carilion Clinic in Roanoke, VA. The intervention included use of CGM and weekly interactions either virtually or by telephone by one of the team members. The primary outcomes were changes in A1C, average glucose, and glycemic time in range (TIR; 70-180 mg/dL) over the 6-month observation period. Changes in diabetes medications were also assessed.

Results: Twenty-one adults with type 2 diabetes and a baseline A1C >9% were included in the analysis. At 6 months, A1C levels decreased from 11.3 to 7.6%, average glucose decreased from 212.8 to 159.5 mg/dL, and TIR increased from 44.5 to 67.7%.

Conclusion: These results suggest that an interdisciplinary team approach in combination with CGM and frequent interaction is effective in improving glycemic outcomes in a high-risk population. Studies of longer duration are needed to further elucidate the efficacy of this intervention.

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利用团队资源和持续血糖监测持续改善控制不良的2型糖尿病患者的表现。

目的：本研究的目的是评估跨学科糖尿病护理团队方法使用连续血糖监测（CGM）对血糖控制不理想的成人2型糖尿病患者的血糖结局的影响。研究设计和方法：这项为期6个月的纵向观察研究是在弗吉尼亚州Roanoke Carilion诊所的门诊内分泌科进行的。干预包括使用CGM和每周由一名团队成员通过虚拟或电话进行互动。主要结果是在6个月的观察期内A1C、平均血糖和升糖时间范围（TIR; 70-180 mg/dL）的变化。糖尿病药物的变化也被评估。结果：21名成人2型糖尿病患者纳入分析，基线A1C为0.9%。6个月时，A1C水平从11.3降至7.6%，平均血糖从212.8降至159.5 mg/dL， TIR从44.5上升至67.7%。结论：这些结果表明，跨学科的团队方法结合CGM和频繁的互动对改善高危人群的血糖结局是有效的。需要更长时间的研究来进一步阐明这种干预的有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetes Spectrum Medicine-Internal Medicine

CiteScore

2.70

自引率

0.00%

发文量

期刊介绍： The mission of Diabetes Spectrum: From Research to Practice is to assist health care professionals in the development of strategies to individualize treatment and diabetes self-management education for improved quality of life and diabetes control. These goals are achieved by presenting review as well as original, peer-reviewed articles on topics in clinical diabetes management, professional and patient education, nutrition, behavioral science and counseling, educational program development, and advocacy. In each issue, the FROM RESEARCH TO PRACTICE section explores, in depth, a diabetes care topic and provides practical application of current research findings.