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Persistent Performance Improvement Using Team Resources and Continuous Glucose Monitoring in Patients With Poorly
Andrew Behnke1, Kara S Lucas2, Christopher G Parkin3
1Carilion Clinic, Roanoke, VA.
Summary
An interdisciplinary team using continuous glucose monitoring (CGM) significantly improved glycemic control in adults with type 2 diabetes. This approach effectively lowered A1C and average glucose levels, enhancing time in range.
Area of Science:
- Endocrinology
- Metabolic Diseases
- Clinical Research
Background:
- Suboptimal glycemic control in type 2 diabetes (T2D) poses significant health risks.
- Continuous Glucose Monitoring (CGM) offers real-time insights into glucose fluctuations.
- Interdisciplinary care models are emerging as effective strategies for chronic disease management.
Purpose of the Study:
- To evaluate the impact of an interdisciplinary diabetes care team utilizing CGM on glycemic outcomes.
- To assess improvements in A1C, average glucose, and Time in Range (TIR) in adults with T2D and poor glycemic control.
Main Methods:
- A 6-month longitudinal observational study involving 21 adults with T2D and baseline A1C >9%.
- Intervention included CGM use and weekly virtual or telephone interactions with a care team.
- Primary outcomes: changes in A1C, average glucose, and TIR (70-180 mg/dL).
Main Results:
- Significant reduction in A1C from 11.3% to 7.6% over 6 months.
- Average glucose levels decreased from 212.8 mg/dL to 159.5 mg/dL.
- Glycemic Time in Range (TIR) increased substantially from 44.5% to 67.7%.
Conclusions:
- An interdisciplinary team approach combined with CGM and frequent patient interaction effectively improves glycemic control in high-risk T2D patients.
- This intervention demonstrates promise for managing type 2 diabetes in clinical settings.
- Further research with longer study durations is recommended to confirm long-term efficacy.
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