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Continuous glucose monitoring in primary care practice: Beside numbers

We involved 20 primary care physitians (PCP) who recruited 100 patients with type 2 diabetes. Beside analysing the benefit of tracking patterns of glucose values we evaluated observations and opinions of both patients and physicians regarding use of this device. Patients mainly reportedfear (88%), disturbance (80%) and discomfort (68%) in everyday routine. We found no significance among patients’ answers regarding their indication for continuous glucose monitoring (CGM) (all p’s > 0.05). Physicians reported that the selection of patients was very challenging or challenging in 60%of cases and the education was very challenging or challenging in70% of cases while in only 20% of cases they found data transfer very challenging or challenging. However, in only 10% of cases they believed that CMG was associated with better health care, i.e. in15% of cases with better control of diabetes. Analysis of physician’s answers regarding their age, working experience and total number of patients in care revealed no significant difference (all p’s > 0.05). In short, PCP generally do not have the time to familiarize themselves with methods serving just a minority of patients. Introduction of any new modality of therapy requires time, energy, effort, judgement and initiative. We propose structured education regarding use of CGM for the PCP within a small or focus group by educators with previous experience with CGM.

continuous glucose monitoring ; diabetes ; primary care

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