Fasina Ife, Agyei Obed, Kim Jennifer, Montgomery Ellen, Powers Sharon, Plyler Donna
University of North Carolina Eshelman School of Pharmacy.
Cone Health Internal Medicine Center, North Carolina.
Innov Pharm. 2021 Sep 22;12(4). doi: 10.24926/iip.v12i4.3997. eCollection 2021.
Literature describing continuous glucose monitoring for underserved patients, including those with type 2 diabetes or at risk for hypoglycemia, is lacking. : An interprofessional internal medicine residency team implemented a blinded CGM service for underserved adults with type 2 diabetes with at-goal glycated hemoglobin (A1C) taking insulin or secretagogues. : The 2-week blinded CGM service (N=44) significantly reduced time in hypoglycemia (<70 mg/dL) by 4.1% (P=0.0038). Time-in-target-range increased significantly (4.31%, P=0.025). Body weight, number of medications, and daily insulin dose decreased significantly. Overall, A1C remained stable, indicating no worsening of diabetes control associated with the service. : The interprofessional blinded CGM service influenced improved glycemic control in this vulnerable population.
缺乏关于为服务不足的患者（包括2型糖尿病患者或有低血糖风险的患者）进行连续血糖监测的文献。一个跨专业的内科住院医师团队为糖化血红蛋白（A1C）达标的、正在使用胰岛素或促分泌剂的服务不足的2型糖尿病成年人实施了一项盲法连续血糖监测服务。为期2周的盲法连续血糖监测服务（N = 44）使低血糖时间（<70mg/dL）显著减少了4.1%（P = 0.0038）。目标范围内时间显著增加（4.31%，P = 0.025）。体重、药物数量和每日胰岛素剂量显著下降。总体而言，A1C保持稳定，表明该服务未导致糖尿病控制恶化。跨专业的盲法连续血糖监测服务对改善这一弱势群体的血糖控制产生了影响。
