Intensive Management of Poorly Controlled Type 2 Diabetes Using a Multidisciplinary Approach and Continuous Glucose Monitoring

Background: The purpose of this study was to examine the effects of a weekly monitoring interaction using continuous glucose monitoring (CGM) in a population of poorly controlled type 2 diabetes patients.

Methods: This study was conducted in the outpatient clinical setting and examined levels of hemoglobin A1c (HbA1c) and time in range (TIR) glucose levels for 16 patients with poorly controlled type 2 diabetes as indicated by an HbA1c level of greater than 10%. The intervention included use of a continuous glucose monitor and weekly interactions either virtually or by telephone by one of the team members.

Results: After a 3-month period, HbA1c levels reduced from 11.79% to 7.88% (P < 0.01) with 100% of the subjects achieving HbA1c of less than 10%. There were no significant changes in the amount of additional diabetes medication or insulin dose.

Conclusions: The combination of CGM and frequent interaction in a brief (3 months) time frame may be a significant tool to improve glucose control in this high-risk population.