1004-P: Remote Initiation of Continuous Glucose Monitoring in Older Adults Using Insulin

IF 6.2 1区医学 Q1 ENDOCRINOLOGY & METABOLISM Diabetes Pub Date : 2024-07-19 DOI:10.2337/db24-1004-p

CATHERINE MAHONEY, CHRISTINE SLYNE, MEDHA MUNSHI, COLIN D. CONERY, HALEY BRABANT, NOA KRAKOFF, JANE D. BULGER, RUTH S. WEINSTOCK, ELENA TOSCHI

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Abstract

Background & Objective: Initiation of continuous glucose monitoring (CGM) remotely in adults with diabetes (DM) has been shown beneficial. However, this model has not been evaluated in older adults. The objective of this study was to assess the benefit and challenges encountered by older patients on multiple daily insulin injections (MDI) initiating CGM using a virtual platform. Methods: Older adults with DM who are participating in an ongoing study on initiation CGM remotely between January-December 2023 were interviewed. Interviews were transcribed, de-identified, coded, and qualitatively analyzed. Baseline demographic characteristics were collected. Results: Interim analysis of 24 interviews was conducted: age 72 ± 4 years, duration of diabetes 30 ± 15 years, 52% female, 76% white, 52% having type 1 diabetes (T1DM), 72% CGM naïve, HbA1C 8.1 ± 1.6, 92% on MDI, and 84% utilizing Medicare as primary insurance. Overarching themes were the use of remote education, initiation of CGM remotely, and ongoing use of CGM. All 100% surveyed participants favorably rated the remote education and its ease of scheduling as well as the overall value of CGM. All participants were able to initiate and maintained CGM use successfully with remote education assistance, with 95% of participants planning to continue to use CGM after study completion. The challenges reported with the CGM use included difficulty with mobile application (33%), annoyance with alarms (50%), and concerns for Medicare coverage (42%). Conclusions: The results of this qualitative analysis show that in our cohort, remote initiation of CGM in older adults was perceived positively, despite some challenges. Disclosure C. Mahoney: None. C. Slyne: None. M. Munshi: Consultant; Sanofi. C.D. Conery: None. H. Brabant: None. N. Krakoff: None. J.D. Bulger: None. R.S. Weinstock: Research Support; Eli Lilly and Company, Tandem Diabetes Care, Inc., Diasome, Amgen Inc., MannKind Corporation, Insulet Corporation, Novo Nordisk. Other Relationship; Dexcom, Inc. E. Toschi: Consultant; Vertex Pharmaceuticals Incorporated, Sanofi. Funding The Leona M. and Harry B. Helmsley Charitable Trust

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1004-P：对使用胰岛素的老年人进行远程连续血糖监测

背景 & 目的：对成人糖尿病患者进行远程连续血糖监测（CGM）已被证明是有益的。然而，这种模式尚未在老年人中进行评估。本研究旨在评估每日多次胰岛素注射（MDI）的老年患者使用虚拟平台启动 CGM 的益处和遇到的挑战。方法：对 2023 年 1 月至 12 月期间参与正在进行的远程启动 CGM 研究的 DM 老年患者进行访谈。对访谈内容进行转录、去标识、编码和定性分析。同时还收集了基线人口特征。结果对 24 个访谈进行了中期分析：年龄 72 ± 4 岁，糖尿病病程 30 ± 15 年，52% 女性，76% 白人，52% 患有 1 型糖尿病 (T1DM)，72% 未使用 CGM，HbA1C 8.1 ± 1.6，92% 使用 MDI，84% 使用医疗保险作为主要保险。首要主题是使用远程教育、远程启动 CGM 和持续使用 CGM。所有接受调查的 100％参与者都对远程教育及其时间安排的便捷性以及 CGM 的整体价值给予了好评。所有参与者都能在远程教育的帮助下成功启动并坚持使用 CGM，95% 的参与者计划在研究完成后继续使用 CGM。据报告，使用 CGM 所面临的挑战包括手机应用困难（33%）、警报烦人（50%）以及对医疗保险覆盖范围的担忧（42%）。结论：这项定性分析的结果表明，在我们的队列中，尽管存在一些挑战，但老年人对远程启动 CGM 的看法是积极的。披露 C. Mahoney：无。C. Slyne：无。M. Munshi：赛诺菲顾问。C.D. Conery：无：无。H. Brabant：无。N. Krakoff：无。J.D. Bulger：无。R.S. Weinstock：研究支持；礼来公司、Tandem 糖尿病护理公司、Diasome、安进公司、MannKind 公司、Insulet 公司、诺和诺德公司。其他关系；Dexcom，Inc.E. Toschi：顾问；Vertex 制药公司、赛诺菲。资金来源 Leona M. and Harry B. Helmsley 慈善信托基金

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来源期刊

Diabetes 医学-内分泌学与代谢

CiteScore

12.50

自引率

2.60%

发文量

1968

审稿时长

1 months

期刊介绍： Diabetes is a scientific journal that publishes original research exploring the physiological and pathophysiological aspects of diabetes mellitus. We encourage submissions of manuscripts pertaining to laboratory, animal, or human research, covering a wide range of topics. Our primary focus is on investigative reports investigating various aspects such as the development and progression of diabetes, along with its associated complications. We also welcome studies delving into normal and pathological pancreatic islet function and intermediary metabolism, as well as exploring the mechanisms of drug and hormone action from a pharmacological perspective. Additionally, we encourage submissions that delve into the biochemical and molecular aspects of both normal and abnormal biological processes. However, it is important to note that we do not publish studies relating to diabetes education or the application of accepted therapeutic and diagnostic approaches to patients with diabetes mellitus. Our aim is to provide a platform for research that contributes to advancing our understanding of the underlying mechanisms and processes of diabetes.