636-P: Diabetes Providers Value CGM Data Despite Challenges in Data Review Process

2021 
People with diabetes (PWD) benefit from continuous glucose monitoring (CGM), yet CGM uptake in the US remains low. While diabetes care providers are key facilitators of CGM provision, data on provider behavior related to CGM use and CGM generated data is limited. In March 2020, we conducted a national survey of providers caring for PWD on CGM-related opinions, facilitators and barriers to CGM prescription, data review practices, and reimbursement. Descriptive statistics were used to report prevalence of Likert scale answers to a 55-question survey. Of 182 survey respondents caring for PWD using CGM, 75% were at academic medical centers, 66% were endocrinologists, and 70% practiced in urban settings. Nearly 70% of providers reported CGM use in a majority of their patients with type 1 diabetes. CGM use in patients with type 2 diabetes was low, with half the providers reporting Despite uniform support for CGM by providers, inadequate time and inefficient data review processes are ongoing challenges. Improvements in data access and integration, supportive clinical infrastructure, and decreased administrative burden to obtain CGM, are facilitators of effective use of CGM-data by providers and necessitate ongoing attention. Disclosure T. Kompala: Consultant; Self; Eli Lilly and Company, Employee; Self; Livongo. J. C. Wong: Advisory Panel; Self; Provention Bio, Inc., Research Support; Self; Dexcom, Inc., Tandem Diabetes Care. A. B. Neinstein: Consultant; Self; Eli Lilly and Company, Intuity Medical , Medtronic, Roche Diabetes Care, Steady Health.
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