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Impact of Continuous Glucose Monitoring Sourcing on Real-World Adherence and Health Care Costs: A Comparative Analysis by Insurance Type. 连续血糖监测来源对现实世界依从性和医疗保健成本的影响：保险类型的比较分析。
Clinical Diabetes Pub Date : 2025-03-24 eCollection Date: 2025-01-01 DOI: 10.2337/cd24-0108
Jason C Allaire, Consuela Dennis, Eugene E Wright, Steven V Edelman, Arti Masturzo
{"title":"Impact of Continuous Glucose Monitoring Sourcing on Real-World Adherence and Health Care Costs: A Comparative Analysis by Insurance Type.","authors":"Jason C Allaire, Consuela Dennis, Eugene E Wright, Steven V Edelman, Arti Masturzo","doi":"10.2337/cd24-0108","DOIUrl":"10.2337/cd24-0108","url":null,"abstract":"<p><p>This real-world analysis compared adherence rates, total health care costs, and health care resource utilization of individuals receiving continuous glucose monitoring (CGM) supplies through durable medical equipment (DME) providers versus through pharmacies, according to insurance type. Patients in the DME cohort had higher adherence rates than those in the pharmacy cohort. Total costs were lower for Medicare/Medicare Advantage patients getting supplies from a DME than for patients getting supplies from a pharmacy. Among those with commercial insurance, health care utilization was lower in the DME cohort than in the pharmacy cohort. Sourcing CGM supplies from DME providers versus pharmacies may yield benefits on adherence, health care costs, and resource utilization.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 3","pages":"399-408"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12304568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Safe and Effective Use of U-200 Insulin With Automated Insulin Delivery Systems. 安全有效地使用U-200胰岛素与自动胰岛素输送系统。
Clinical Diabetes Pub Date : 2025-03-12 eCollection Date: 2025-01-01 DOI: 10.2337/cd24-0110
Tugce Akcan, Leor Needleman, Marina Basina
{"title":"Safe and Effective Use of U-200 Insulin With Automated Insulin Delivery Systems.","authors":"Tugce Akcan, Leor Needleman, Marina Basina","doi":"10.2337/cd24-0110","DOIUrl":"10.2337/cd24-0110","url":null,"abstract":"","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 3","pages":"449-452"},"PeriodicalIF":0.0,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12304551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Differentiating Diabetic Gastroparesis and Cannabis Hyperemesis Syndrome in People With Type 1 Diabetes. 1型糖尿病胃轻瘫与大麻呕吐综合征的鉴别
Clinical Diabetes Pub Date : 2025-03-07 eCollection Date: 2025-01-01 DOI: 10.2337/cd24-0096
Halis Kaan Akturk, Emma Mason, Janet Snell-Bergeon, Viral N Shah, Kagan Ege Karakus
{"title":"Differentiating Diabetic Gastroparesis and Cannabis Hyperemesis Syndrome in People With Type 1 Diabetes.","authors":"Halis Kaan Akturk, Emma Mason, Janet Snell-Bergeon, Viral N Shah, Kagan Ege Karakus","doi":"10.2337/cd24-0096","DOIUrl":"10.2337/cd24-0096","url":null,"abstract":"<p><p>Cannabinoid hyperemesis syndrome (CHS) is recurrent nausea, vomiting, and abdominal pain due to prolonged cannabis use. This study aimed to differentiate the significant overlap in presentations of diabetic gastroparesis (DG) and CHS in people with type 1 diabetes. It found that older age, longer diabetes duration, female sex, lower A1C, and presence of diabetic neuropathy are indicators favoring a diagnosis of DG over CHS in people with type 1 diabetes.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 3","pages":"416-419"},"PeriodicalIF":0.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12304556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of Endocrinologists on Clinical Care Team With Sodium-Glucose Cotransporter 2 Inhibitor Prescription for People With Type 2 Diabetes After Coronary Artery Bypass Grafting: A Two-Center Study. 2型糖尿病患者冠状动脉搭桥术后钠-葡萄糖共转运蛋白2抑制剂处方与内分泌学家临床护理团队的关联：一项双中心研究
Clinical Diabetes Pub Date : 2025-03-06 eCollection Date: 2025-01-01 DOI: 10.2337/cd24-0107
Yangtian Yi, Nicolas Kumar, Matthew R Smith, Ariel Mueller, Timothy Houle, Arminder Jassar, Lauren J Cornella, Robert B Schonberger, Amit Bardia
{"title":"Association of Endocrinologists on Clinical Care Team With Sodium-Glucose Cotransporter 2 Inhibitor Prescription for People With Type 2 Diabetes After Coronary Artery Bypass Grafting: A Two-Center Study.","authors":"Yangtian Yi, Nicolas Kumar, Matthew R Smith, Ariel Mueller, Timothy Houle, Arminder Jassar, Lauren J Cornella, Robert B Schonberger, Amit Bardia","doi":"10.2337/cd24-0107","DOIUrl":"10.2337/cd24-0107","url":null,"abstract":"<p><p>Sodium-glucose cotransporter 2 (SGLT2) inhibitors are underutilized in people with type 2 diabetes after coronary artery bypass grafting (CABG). This study investigated the association of the presence of an endocrinologist on treatment teams with SGLT2 inhibitor prescription in patients with type 2 diabetes after CABG. The presence of an endocrinologist was associated with a more than twofold increase in the odds of obtaining an SGLT2 inhibitor prescription. This finding suggests that involving endocrinologists in these patients' postoperative care may improve prescription and use of SGLT2 inhibitors after CABG.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 3","pages":"409-415"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12304554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Triple Agonist Therapy: A New Frontier in Treating Type 2 Diabetes and Obesity. 三联激动剂治疗：治疗2型糖尿病和肥胖的新前沿。
Clinical Diabetes Pub Date : 2025-02-28 eCollection Date: 2025-01-01 DOI: 10.2337/cd25-0018
Heather P Whitley
{"title":"Triple Agonist Therapy: A New Frontier in Treating Type 2 Diabetes and Obesity.","authors":"Heather P Whitley","doi":"10.2337/cd25-0018","DOIUrl":"10.2337/cd25-0018","url":null,"abstract":"","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 3","pages":"439-441"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12304557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing the iLet Bionic Pancreas Deployed in Primary Care and via Telehealth: A Randomized Clinical Trial. 评估iLet仿生胰腺在初级保健和远程医疗中的应用：一项随机临床试验。
Clinical Diabetes Pub Date : 2025-02-24 eCollection Date: 2025-01-01 DOI: 10.2337/cd24-0104
Sean M Oser, Melissa S Putman, Steven J Russell, Elizabeth B Westfeldt, Kelsey B Huss, Britney K Prince, Jessica A Parascando, Mollie Y O'Connor, Amy Sabean, Annabelle L Ashley, Evelyn G Greaux, Rachel J Bartholomew, Sarah Gaston, Nillani Anandakugan, Hui Zheng, Courtney A Balliro, Mallory A Hillard, Edward R Damiano, Tamara K Oser
{"title":"Assessing the iLet Bionic Pancreas Deployed in Primary Care and via Telehealth: A Randomized Clinical Trial.","authors":"Sean M Oser, Melissa S Putman, Steven J Russell, Elizabeth B Westfeldt, Kelsey B Huss, Britney K Prince, Jessica A Parascando, Mollie Y O'Connor, Amy Sabean, Annabelle L Ashley, Evelyn G Greaux, Rachel J Bartholomew, Sarah Gaston, Nillani Anandakugan, Hui Zheng, Courtney A Balliro, Mallory A Hillard, Edward R Damiano, Tamara K Oser","doi":"10.2337/cd24-0104","DOIUrl":"10.2337/cd24-0104","url":null,"abstract":"<p><p>The iLet Bionic Pancreas system can improve glycemia in individuals with type 1 diabetes with its simple interface, setup, and maintenance, making it practical for use in the primary care setting and via telehealth (TH). This multisite, random-order crossover trial included 40 adults with type 1 diabetes who received care either from an endocrinology or a primary care clinic and were seen either in person or via TH. Of these 40 participants, 97% achieved an average glucose (AG) <183 mg/dL, and 64% achieved an AG <154 mg/dL. These results suggest that the system can be initiated effectively by primary care providers and via TH, potentially expanding access to this technology to a broad population, including individuals who cannot easily access subspecialty diabetes care.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 3","pages":"388-398"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12304562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Improving Prescribing Rates of Glucagon-Like Peptide 1 Receptor Agonists in Youth With Type 2 Diabetes. 提高青年2型糖尿病患者胰高血糖素样肽1受体激动剂的处方率。
Clinical Diabetes Pub Date : 2025-02-13 eCollection Date: 2025-01-01 DOI: 10.2337/cd24-0070
Alyssa Huang, Alissa Roberts, Yasi Mohsenian, Grace Kim
{"title":"Improving Prescribing Rates of Glucagon-Like Peptide 1 Receptor Agonists in Youth With Type 2 Diabetes.","authors":"Alyssa Huang, Alissa Roberts, Yasi Mohsenian, Grace Kim","doi":"10.2337/cd24-0070","DOIUrl":"10.2337/cd24-0070","url":null,"abstract":"<p><p>Quality Improvement Success Stories are published by the American Diabetes Association in collaboration with the American College of Physicians and the National Diabetes Education Program. This series is intended to highlight best practices and strategies from programs and clinics that have successfully improved the quality of care for people with diabetes or related conditions. Each article in the series is reviewed and follows a standard format developed by the editors of <i>Clinical Diabetes</i>. The following article describes a quality improvement project to improve outcomes by increasing the prescribing rates of GLP-1 receptor agonists in pediatric patients with type 2 diabetes in the pediatric endocrinology clinics of a Seattle, WA-based health care system.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 3","pages":"429-434"},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12304563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Random Blood Glucose: Episode 1. 随机血糖：第1集。
Clinical Diabetes Pub Date : 2025-02-12 eCollection Date: 2025-01-01 DOI: 10.2337/cd25-0016
Nay Linn Aung
{"title":"Random Blood Glucose: Episode 1.","authors":"Nay Linn Aung","doi":"10.2337/cd25-0016","DOIUrl":"10.2337/cd25-0016","url":null,"abstract":"","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 2","pages":"317-321"},"PeriodicalIF":0.0,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
ROCKET T1D Remote Patient Monitoring Program: Launching Diabetes Management Habits in New-Onset Diabetes. ROCKET T1D远程患者监测项目：在新发糖尿病中启动糖尿病管理习惯。
Clinical Diabetes Pub Date : 2025-02-11 eCollection Date: 2025-01-01 DOI: 10.2337/cd24-0065
Guido Alarcon, Sarah K Lyons, Don Buckingham, Madhav Erraguntla, Rona Sonabend, Daniel J DeSalvo
{"title":"ROCKET T1D Remote Patient Monitoring Program: Launching Diabetes Management Habits in New-Onset Diabetes.","authors":"Guido Alarcon, Sarah K Lyons, Don Buckingham, Madhav Erraguntla, Rona Sonabend, Daniel J DeSalvo","doi":"10.2337/cd24-0065","DOIUrl":"10.2337/cd24-0065","url":null,"abstract":"<p><p>ROCKET T1D (Remote Outreach and Care for Kids' Empowerment and Technology Use in Type 1 Diabetes) is a remote patient monitoring program created to empower youth with new-onset type 1 diabetes to leverage emerging diabetes technology, improve diabetes self-management habits, and achieve their self-care goals. Youth with new-onset type 1 diabetes in the ROCKET T1D program improved key diabetes self-management habits (e.g., premeal bolusing, diabetes device use, data review, and dose adjustments) and achieved improvements in glycemic outcomes over the course of the program's 3-month Launch phase.</p>","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 3","pages":"371-377"},"PeriodicalIF":0.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12304569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Update on the Status of Glucose-Responsive Insulins. 葡萄糖反应性胰岛素的最新进展。
Clinical Diabetes Pub Date : 2025-01-30 eCollection Date: 2025-01-01 DOI: 10.2337/cd25-0007
Jason E Brouillard
{"title":"Update on the Status of Glucose-Responsive Insulins.","authors":"Jason E Brouillard","doi":"10.2337/cd25-0007","DOIUrl":"10.2337/cd25-0007","url":null,"abstract":"","PeriodicalId":39894,"journal":{"name":"Clinical Diabetes","volume":"43 2","pages":"322-323"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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