Mixed methods study on the feasibility of implementing periodic continuous glucose monitoring among individuals with type 2 diabetes mellitus in a primary care setting

• Published in: Heliyon 2024-04, Vol.10 (8), p.e29498-e29498, Article e29498
• Main Authors: Johansson, Unn-Britt, Andreassen Gleissman, Sissel, Korkeila Liden, Maarit, Wickman, Marie, Gustafsson, Berit, Sjöberg, Stefan
• Format: Article
• Language: English
• Subjects: Continuous glucose monitoring; Feasibility: focus group interview: person-centered care; Medicin och hälsovetenskap; Type 2 diabetes
• ISSN: 2405-8440; 2405-8440
• DOI: 10.1016/j.heliyon.2024.e29498

Health care professionals (HCPs) play a central role in leveraging technologies to support individuals with diabetes. This mixed-method study was completed to determine the feasibility of implementing periodic continuous glucose monitoring (CGM) in a primary care setting. This study aimed to evaluate and describe the experiences of using periodic CGM with data visualization tools in patients with type 2 diabetes to foster a person-centered approach in a primary care setting. Fifty outpatients aged ≥18 years, diagnosed with type 2 diabetes, and with a disease duration of at least 2 years were included in this study. Data were collected from April 2021 to January 2022. Patients completed a single period of sensor measurements for 28 days and a diabetes questionnaire about feelings and experiences of health care. HbA1c was also measured. A focus group interview was conducted to evaluate and describe the HCPs experiences of using periodic CGM. Patients reported to HCPs that the CGM device was comfortable to wear and noted that LibreView was easy to use when scanning the sensor to obtain and visualize the glucose levels and trends. Data availability of CGM data was >70 %. Clinical observations revealed a mean reduction in HbA1c, mmol/mol from 60.06 [7.65 %] at baseline to 55.42 [7.20 %] after 4 weeks (p