Multi-Clinic Quality Improvement Initiative Increases Continuous Glucose Monitoring Use Among Adolescents and Young Adults With Type 1 Diabetes

Continuous glucose monitoring (CGM) use is associated with improved A1C outcomes and quality of life in adolescents and young adults with diabetes; however, CGM uptake is low. This article reports on a quality improvement (QI) initiative of the T1D Exchange Quality Improvement Collaborative to incre...

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Bibliographic Details
Published in:Clinical diabetes 2021-07, Vol.39 (3), p.264-271
Main Authors: Prahalad, Priya, Ebekozien, Osagie, Alonso, G Todd, Clements, Mark, Corathers, Sarah, DeSalvo, Daniel, Desimone, Marisa, Lee, Joyce M, Lorincz, Ilona, McDonough, Ryan, Majidi, Shideh, Odugbesan, Ori, Obrynba, Kathryn, Rioles, Nicole, Kamboj, Manmohan, Jones, Nana-Hawa Yayah, Maahs, David M
Format: Article
Language:English
Subjects:
Diabetes
Disease management
Glucose
Glucose monitoring
Quality control
Quality improvement
Studies
Teenagers
Young adults
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Summary:Continuous glucose monitoring (CGM) use is associated with improved A1C outcomes and quality of life in adolescents and young adults with diabetes; however, CGM uptake is low. This article reports on a quality improvement (QI) initiative of the T1D Exchange Quality Improvement Collaborative to increase CGM use among patients in this age-group. Ten centers participated in developing a key driver diagram and center-specific interventions that resulted in an increase in CGM use from 34 to 55% in adolescents and young adults over 19-22 months. Sites that performed QI tests of change and documented their interventions had the highest increases in CGM uptake, demonstrating that QI methodology and sharing of learnings can increase CGM uptake.
ISSN:0891-8929
1945-4953
DOI:10.2337/cd21-0026