scholarly journals Population‐level management of Type 1 diabetes via continuous glucose monitoring and algorithm‐enabled patient prioritization: Precision health meets population health

2021 ◽  
Author(s):  
Johannes O. Ferstad ◽  
Jacqueline J. Vallon ◽  
Daniel Jun ◽  
Angela Gu ◽  
Anastasiya Vitko ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Population Health ◽  
Continuous Glucose Monitoring ◽  
Glucose Monitoring ◽  
Population Level ◽  
Patient Prioritization ◽  
Precision Health

scholarly journals Population-level management of Type 1 diabetes via continuous glucose monitoring and algorithm-enabled patient prioritization: Precision health meets population health

2021 ◽  
Author(s):  
Johannes O Ferstad ◽  
Jacqueline Jil Vallon ◽  
Daniel Jun ◽  
Angela Gu ◽  
Anastasiya Vitko ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Glucose Monitoring ◽  
Population Level ◽  
Continuous Glucose Monitor ◽  
Team Members ◽  
Clinical Criteria ◽  
Number Of Patients ◽  
Patient Prioritization ◽  
Time In Range

Objective: To develop and scale algorithm-enabled patient prioritization to improve population-level management of type 1 diabetes (T1D) in a pediatric clinic with fixed resources, using telemedicine and remote monitoring of patients via continuous glucose monitor (CGM) data review. Research Design and Methods: We adapted consensus glucose targets for T1D patients using CGM to identify interpretable clinical criteria to prioritize patients for weekly provider review. The criteria were constructed to manage the number of patients reviewed weekly and identify patients who most needed provider contact. We developed an interactive dashboard to display CGM data relevant for the patients prioritized for review. Results: The introduction of the new criteria and interactive dashboard was associated with a 60% reduction in the mean time spent by diabetes team members who remotely and asynchronously reviewed patient data and contacted patients, from 3.2 +/- 0.20 to 1.3 +/- 0.24 minutes per patient per week. Given fixed resources for review, this corresponded to an estimated 147% increase in weekly clinic capacity. Patients who qualified for and received remote review (n=58) have associated 8.8 percentage points (pp) (95% CI = 0.6-16.9pp) greater time-in-range (70-180 mg/dL) glucoses compared to 25 control patients who did not qualify at twelve months after T1D onset. Conclusions: An algorithm-enabled prioritization of T1D patients with CGM for asynchronous remote review reduced provider time spent per patient and was associated with improved time-in-range.

Evaluation of the results obtained with flash continuous glucose monitoring in patients with type 1 diabetes after a structured training program

2020 ◽  
Author(s):  
Peris Begoña Pla ◽  
Leví Ana M Ramos ◽  
Vargas Marcos Lahera ◽  
Casieri Raffaele Carraro ◽  
Moreno Nerea Aguirre ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Training Program ◽  
Continuous Glucose Monitoring ◽  
Glucose Monitoring

The impact of real-time continuous glucose monitoring on metabolic control in children with type 1 diabetes

2020 ◽  
Author(s):  
Ruxandra Calapod Ioana ◽  
Irina Bojoga ◽  
Duta Simona Gabriela ◽  
Ana-Maria Stancu ◽  
Amalia Arhire ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Real Time ◽  
Metabolic Control ◽  
Continuous Glucose Monitoring ◽  
Glucose Monitoring ◽  
The Impact

Increased Time-in-Range with Sotagliflozin as Adjunct Therapy to Insulin in Adults with Type 1 Diabetes as Demonstrated by 24-Week Continuous Glucose Monitoring (inTandem1, inTandem2)

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 1179-P ◽  
Author(s):  
THOMAS DANNE ◽  
BERTRAND CARIOU ◽  
JOHN B. BUSE ◽  
SATISH K. GARG ◽  
JULIO ROSENSTOCK ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Continuous Glucose Monitoring ◽  
Glucose Monitoring ◽  
Adjunct Therapy ◽  
Time In Range

Adults with Type 1 Diabetes (T1D) Using Continuous Glucose Monitoring (CGM) Report Disease Has Little Impact on Daily Functioning—T1D Exchange

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 932-P
Author(s):  
LUDI FAN ◽  
COLLEEN GAREY ◽  
JINGWEN LIU ◽  
BETH MITCHELL ◽  
JEOFFREY BISPHAM ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Continuous Glucose Monitoring ◽  
Glucose Monitoring ◽  
Daily Functioning

955-P: Evaluating Early Initiation of Continuous Glucose Monitoring (CGM) among Youth Diagnosed with Type 1 Diabetes (T1D)

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 955-P
Author(s):  
JESSIE J. WONG ◽  
SUSAN MICHELLE CLAY ◽  
GREGORY P. FORLENZA ◽  
SARAH HANES ◽  
R. PAUL WADWA ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Continuous Glucose Monitoring ◽  
Glucose Monitoring ◽  
Early Initiation
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