Related Experiment Video
Updated: Jul 13, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Continuous glucose monitoring in spanish primary care: Current situation and Delphi consensus to inform clinical
Ana María Cebrián Cuenca1, Alberto de la Cuadra-Grande2, Ezequiel Arranz Martínez3
1Family Medicine, Centro de Salud Casco Antiguo Cartagena, Murcia, Spain; Primary Care Research Group, Instituto de Investigación Biomédica de Murcia (IMIB), Cartagena, Murcia, Spain; Sociedad Española de Medicina de Familia y Comunitaria (semFYC), Barcelona, Spain.
Objective:
To assess the current situation of continuous glucose monitoring (CGM) use in Spanish primary care (PC) and to agree on CGM-related aspects that should be addressed in future clinical practice recommendations.
Methods:
This cross-sectional study combined a 29-item survey with a Delphi consensus. The survey explored professional characteristics, regional access, use of CGM, coordination between care levels, training, barriers, and perceived impact on clinical management. The Delphi panel evaluated 131 criteria, assessing consensus via RAND/UCLA method.
Results:
58 PC healthcare professionals participated (40 physicians, 18 nurses). Participants reported low CGM prescription uptake among eligible people with type 2 diabetes, and identified barriers to broader implementation, particularly lack of CGM integration into electronic medical records (EMRs), limited consultation time, training needs, and suboptimal coordination between primary and hospital care. The main changes perceived as necessary were continuing education, integration of CGM data into EMRs, development of national protocols, and more time per consultation. The Delphi process supported the inclusion of 129 criteria in future recommendations.
Conclusions:
Spanish PC professionals perceive CGM as a useful tool, but its implementation remains limited by organizational, training, and access-related barriers. Recommendations on CGM use in Spanish PC should be based on this Delphi consensus.
Related Concept Videos
Diabetes: Management and Pharmacotherapy
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Type II Diabetes Mellitus III: Clinical Manifestations and Diagnosis
Hypoglycemia and Glucagon
SBAR II: Application of SBAR
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
Glucose Homeostasis: Regulation of Blood Glucose
During fasting, when blood glucose levels are low, the pancreas secretes glucagon. it...
Diabetes: Symptoms, Diagnosis, and Complications