Late Career Tenured Researcher, University of Massachusetts Medical School
1 active project
Ambulatory Continuous Glucose Monitoring in Diabetes Care
Scientific Questions Being Studied
Ambulatory continuous glucose monitoring (CGM) has been increasing in use in both type 1 and type 2 diabetes. However, there have been notable disparities in diabetes technology use generally, which may reflect differences in various demographic or socioeconomic factors, provider behaviors, insurance or healthcare access, and other factors. This study will describe the population with CGM use and compare with others with diabetes who have shared electronic health record data but without CGM.
- Disease Focused Research (diabetes mellitus)
- Population Health
- Social / Behavioral
We will include all individuals who have electronic health record data available, and designate those with ambulatory continuous glucose monitoring (CGM) medical concepts as having prior CGM use. Additional data will include health record domains (labs and measurements, such as hemoglobin A1c) and survey questions (e.g., demographic and healthcare access and utilization). Methods will include description and graphic visualization of those with and without prior CGM experience. Statistical testing will be performed in evaluated differences with correction for multiple comparisons. Regression or other complex models may be considered if appropriate. All analyses will be performed in R.
We anticipate there will be differences between those with and without CGM experience based on the electronic health record. Identifying factors that may be related to or associated with CGM use may further inform future provider or health organization strategies to expand CGM more broadly for clinical use. In addition, it may contribute to evidence considered in insurance coverage requirements for CGM.
Demographic Categories of Interest
- Race / Ethnicity
- Access to Care
- Education Level
- Income Level
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