Continuous Glucose Monitors and Programmed Shared Medical Appointments in Managing Type 2 Diabetes Mellitus Among First Nation Women in Australia: A Co-Designed Feasibility Study
- John Stevens 1, Willow Firth 2, Lynne Dooley 2, Hayley Longbottom 2, Kalinda Wills 2, Garry Egger 1, Bob Morgan 3
- John Stevens 1, Willow Firth 2, Lynne Dooley 2
- 1Australasian Society of Lifestyle Medicine (ASLM) and Discipline Lead Lifestyle Medicine, Southern Cross University (SCU), Lismore, NSW, Australia.
- 2Waminda, South Coast Women's Aboriginal Health and Well-Being Organisation, Nowra, NSW, Australia.
- 3Australasian Society of Lifestyle Medicine (ASLM), University of Newcastle, Newcastle, NSW, Australia.
- 0Australasian Society of Lifestyle Medicine (ASLM) and Discipline Lead Lifestyle Medicine, Southern Cross University (SCU), Lismore, NSW, Australia.
Related Experiment Videos
Contact us if these videos are not relevant.
Contact us if these videos are not relevant.
View abstract on PubMed
Summary
This summary is machine-generated.Culturally tailored shared medical appointments improved type 2 diabetes management for First Nations women in Australia. The program, using continuous glucose monitoring (CGM), significantly reduced HbA1c and improved metabolic health markers.
Area Of Science
- Indigenous Health
- Endocrinology
- Diabetes Management
Background
- Type 2 diabetes disproportionately affects First Nations women in Australia.
- Existing diabetes management programs may not adequately address cultural needs.
- Improved glycaemic control and metabolic health are crucial for this population.
Purpose Of The Study
- To assess the feasibility and effectiveness of co-designed programmed shared medical appointments for First Nations women with type 2 diabetes.
- To evaluate the impact of continuous glucose monitoring (CGM) and culturally responsive food activities on glycaemic control.
- To measure improvements in metabolic health, patient activation, and diabetes self-management.
Main Methods
- A single-site, longitudinal, mixed-methods feasibility study.
- Eight weekly programmed shared medical appointments incorporating CGM and culturally tailored food appreciation.
- Primary outcome: HbA1c; Secondary outcomes: weight, metabolic markers, CGM time-in-range, PAM, PAID, client satisfaction, and interviews.
Main Results
- A 0.7 percentage point reduction in mean HbA1c (P = .013) among completers.
- 75% of participants maintained reduced HbA1c at 12 months; 28% achieved remission (<6.4%).
- Significant improvements observed in weight, blood pressure, liver enzymes, CGM time-in-range, PAM, and PAID scores.
Conclusions
- Programmed shared medical appointments integrating CGM are feasible for improving glycaemic control in First Nations women with type 2 diabetes.
- The intervention demonstrates potential for enhancing broader metabolic health and self-management.
- Culturally responsive approaches are vital for effective diabetes care in Indigenous Australian communities.
Related Experiment Videos
Contact us if these videos are not relevant.
Contact us if these videos are not relevant.