Hall Tristen L, Dickinson L Miriam, Warman Meredith K, Oser Tamara K, Oser Sean M
Department of Family Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
J Am Assoc Nurse Pract. 2025 Apr 1;37(4):207-216. doi: 10.1097/JXX.0000000000001060.
Continuous glucose monitoring (CGM) can improve health for people with diabetes but is limited in primary care (PC). Nurse Practitioners (NPs) in PC can improve diabetes management through CGM, but NPs' interest in CGM and support needed are unclear.
We describe behaviors and attitudes related to CGM for diabetes management among NPs in PC.
This cross-sectional web-based survey of NPs practicing in PC settings used descriptive statistics to describe CGM experience and identify resources to support prescribing. We used multivariable regression to explore characteristics predicting prescribing and confidence using CGM for diabetes.
Nurse practitioners in hospital-owned settings were twice as likely to have prescribed CGM (odds ratio [OR] = 2.320, 95% CI [1.097, 4.903]; p = .002) than private practice; those in academic medical centers were less likely (OR = 0.098, 95% CI [0.012, 0.799]; p = .002). Past prescribing was associated with favorability toward future prescribing (coef. = 0.7284, SE = 0.1255, p < .001) and confidence using CGM to manage diabetes (type 1: coef. = 3.57, SE = 0.51, p < .001; type 2: coef. = 3.49, SE = 0.51, p < .001). Resources to prescribe CGM included consultation with an endocrinologist (62%), educational website (61%), and endocrinological e-consultations (59%).
Nurse practitioners are open to prescribing CGM and can improve diabetes management and health outcomes for PC patients.
Research should explore mechanisms behind associations with CGM experience and attitudes. Efforts to advance CGM should include educational websites and endocrinology consultations for NPs in PC.
持续葡萄糖监测（CGM）可改善糖尿病患者的健康状况，但在初级保健（PC）中应用有限。初级保健中的执业护士（NPs）可通过CGM改善糖尿病管理，但NPs对CGM的兴趣及所需支持尚不清楚。
我们描述了初级保健中NPs与使用CGM进行糖尿病管理相关的行为和态度。
这项针对在初级保健机构执业的NPs的基于网络的横断面调查，使用描述性统计来描述CGM经验，并确定支持处方开具的资源。我们使用多变量回归来探索预测使用CGM进行糖尿病处方开具和信心的特征。
医院所属机构的执业护士开具CGM处方的可能性是私人诊所的两倍（优势比[OR]= 2.320，95%置信区间[1.097, 4.903]；p = 0.002）；学术医疗中心的执业护士开具处方的可能性较小（OR = 0.098，95%置信区间[0.012, 0.799]；p = 0.002）。过去的处方开具与未来开具处方的意愿相关（系数 = 0.7284，标准误 = 0.1255，p < 0.001），以及使用CGM管理糖尿病的信心（1型糖尿病：系数 = 3.57，标准误 = 0.51，p < 0.001；2型糖尿病：系数 = 3.49，标准误 = 0.51，p < 0.001）。开具CGM处方的资源包括咨询内分泌科医生（62%）、教育网站（61%）和内分泌科电子会诊（59%）。
执业护士愿意开具CGM处方，并可改善初级保健患者的糖尿病管理和健康结局。
研究应探索与CGM经验和态度相关的关联背后的机制。推进CGM的努力应包括为初级保健中的NPs提供教育网站和内分泌科会诊。
