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Issues for the Coming Age of Continuous Glucose Monitoring

Vanderbilt University Diabetes Research and Training Center, 315 Medical Arts Building, 1211 21st Avenue South, Nashville, TN 37212 Jim.Pichert{at}mcmail.vanderbilt.edu

Keith Campbell, RPh, MBA, FASHP, CDE

Washington State University, Pullman, Washington

Daniel J. Cox, PhD, ABPP

University of Virginia, Charlottesville, Virginia

Jay J. D'Lugin, MS, MD

WebMD, Atlanta, Georgia

James W. Moffat, MD

AvMed, Gainsville, Florida

William H. Polonsky, PhD, CDE

Department of Psychiatry, University of California, San Diego

The Psychology of Glucose Data Proliferation Symposium Group

PURPOSE

this article reports the results of a symposium in which diabetes educators considered and discussed issues that are likely to arise when continuous glucose monitoring (CGM) becomes available and readily accessible.

METHODS

Fifteen certified diabetes educators and 5 others with complementary expertise participated in a discussion based on their responses to 11 questions designed to elicit perspectives on issues related to CGM. Issues for discussion and debate include those related to patient acceptance and lifestyle, implications for professional practice and reimbursement, concerns about professional liability, use of CGM data by insurers and payers, and CGM data transfer.

RESULTS

Educators offered varied and sometimes conflicting responses to CGM-related issues.

CONCLUSIONS

Awareness of CGM-related issues will likely become an important part of diabetes professional development and perspectives in practice. Identifying and framing the issues before the new technologies become available allow diabetes educators to participate proactively in structuring the emerging policies, procedures, and standards of care.

The Diabetes Educator, Vol. 26, No. 6, 969-980 (2000)
DOI: 10.1177/014572170002600609


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