Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
Research ArticleOriginal Research

Clinician-Reported Barriers and Needs for Implementation of Continuous Glucose Monitoring

Tristen Hall, Meredith K. Warman, Tamara Oser, Melissa K. Filippi, Brian Manning, Jennifer K. Carroll, Donald E. Nease, Elizabeth W. Staton and Sean Oser
The Journal of the American Board of Family Medicine July 2024, 37 (4) 671-679; DOI: https://doi.org/10.3122/jabfm.2024.240049R1
Tristen Hall
From the Department of Family Medicine, University of Colorado Anschutz Medical Campus Aurora, CO; American Academy of Family Physicians National Research Network, Leawood, KS.
PhD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Meredith K. Warman
From the Department of Family Medicine, University of Colorado Anschutz Medical Campus Aurora, CO; American Academy of Family Physicians National Research Network, Leawood, KS.
MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Tamara Oser
From the Department of Family Medicine, University of Colorado Anschutz Medical Campus Aurora, CO; American Academy of Family Physicians National Research Network, Leawood, KS.
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Melissa K. Filippi
From the Department of Family Medicine, University of Colorado Anschutz Medical Campus Aurora, CO; American Academy of Family Physicians National Research Network, Leawood, KS.
PhD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Brian Manning
From the Department of Family Medicine, University of Colorado Anschutz Medical Campus Aurora, CO; American Academy of Family Physicians National Research Network, Leawood, KS.
MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jennifer K. Carroll
From the Department of Family Medicine, University of Colorado Anschutz Medical Campus Aurora, CO; American Academy of Family Physicians National Research Network, Leawood, KS.
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Donald E. Nease Jr
From the Department of Family Medicine, University of Colorado Anschutz Medical Campus Aurora, CO; American Academy of Family Physicians National Research Network, Leawood, KS.
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Elizabeth W. Staton
From the Department of Family Medicine, University of Colorado Anschutz Medical Campus Aurora, CO; American Academy of Family Physicians National Research Network, Leawood, KS.
MSTC
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sean Oser
From the Department of Family Medicine, University of Colorado Anschutz Medical Campus Aurora, CO; American Academy of Family Physicians National Research Network, Leawood, KS.
MD, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

References

  1. 1.↵
    American Diabetes Association. National Diabetes Statistics Report, 2020. Available at: https://www.cdc.gov/diabetes/php/data-research/index.html#:~:text=Among%20US%20adults%20aged%2020,see%20U.S.%20Diabetes%20Surveillance%20System).
  2. 2.↵
    1. Carls G,
    2. Huynh J,
    3. Tuttle E,
    4. Yee J,
    5. Edelman SV
    . Achievement of glycated hemoglobin goals in the US remains unchanged through 2014. Diabetes Ther 2017;8:863–73.
    OpenUrlCrossRefPubMed
  3. 3.↵
    1. Khunti K,
    2. Ceriello A,
    3. Cos X,
    4. De Block C
    . Achievement of guideline targets for blood pressure, lipid, and glycaemic control in type 2 diabetes: a meta-analysis. Diabetes Res Clin Pract 2018;137:137–48.
    OpenUrlCrossRefPubMed
  4. 4.↵
    1. Beck RW,
    2. Riddlesworth T,
    3. Ruedy K
    , DIAMOND Study Groupet al. Effect of continuous glucose monitoring on glycemic control in adults with type 1 diabetes using insulin injections: the DIAMOND randomized clinical trial. JAMA 2017;317:371–8.
    OpenUrlCrossRefPubMed
  5. 5.↵
    1. Evans M,
    2. Welsh Z,
    3. Ells S,
    4. Seibold A
    . The impact of flash glucose monitoring on glycaemic control as measured by HbA1c: a meta-analysis of clinical trials and real-world observational studies. Diabetes Ther 2020;11:83–95.
    OpenUrlCrossRefPubMed
  6. 6.↵
    1. Gilbert TR,
    2. Noar A,
    3. Blalock O,
    4. Polonsky WH
    . Change in hemoglobin A1c and quality of life with real-time continuous glucose monitoring use by people with insulin-treated diabetes in the landmark study. Diabetes Technol Ther 2021;23:S35–S39.
    OpenUrlPubMed
  7. 7.↵
    1. Ida S,
    2. Kaneko R,
    3. Murata K
    . Utility of real-time and retrospective continuous glucose monitoring in patients with type 2 diabetes mellitus: a meta-analysis of randomized controlled trials. J Diabetes Res 2019;2019:4684815.
    OpenUrlPubMed
  8. 8.↵
    1. Kieu A,
    2. King J,
    3. Govender RD,
    4. Östlundh L
    . The benefits of utilizing continuous glucose monitoring of diabetes mellitus in primary care: a systematic review. J Diabetes Sci Technol 2023;17:762–74.
    OpenUrlPubMed
  9. 9.↵
    1. Martens T,
    2. Beck RW,
    3. Bailey R
    , MOBILE Study Groupet al. Effect of continuous glucose monitoring on glycemic control in patients with type 2 diabetes treated with basal insulin: a randomized clinical trial. JAMA 2021;325:2262–72.
    OpenUrlCrossRefPubMed
  10. 10.↵
    American Diabetes Association. CGM & time in range. 2024; Available at: https://www.diabetes.org/healthy-living/devices-technology/cgm-time-in-range. Accessed January 8, 2024.
  11. 11.↵
    American Diabetes Association Professional Practice Committee. Diabetes technology: standards of care in diabetes—2024. Diabetes Care 2024;47(S1):S126–S144.
    OpenUrlCrossRefPubMed
  12. 12.↵
    1. Oser SM,
    2. Oser TK
    . Diabetes technologies: we are all in this together. Clin Diabetes 2020;38:188–9.
    OpenUrlFREE Full Text
  13. 13.↵
    1. Grant RW,
    2. Buse JB,
    3. Meigs JB
    , University HealthSystem Consortium Diabetes Benchmarking Project T. Quality of diabetes care in U.S. academic medical centers: low rates of medical regimen change. Diabetes Care 2005;28:337–442.
    OpenUrlAbstract/FREE Full Text
  14. 14.↵
    1. Unger J,
    2. Kushner P,
    3. Anderson JE
    . Practical guidance for using the FreeStyle Libre flash continuous glucose monitoring in primary care. Postgrad Med 2020;132:305–13.
    OpenUrlCrossRef
  15. 15.↵
    1. Mayberry LS,
    2. Guy C,
    3. Hendrickson CD,
    4. McCoy AB,
    5. Elasy T
    . Rates and correlates of uptake of continuous glucose monitors among adults with type 2 diabetes in primary care and endocrinology settings. J Gen Intern Med 2023;38:2546–52.
    OpenUrlPubMed
  16. 16.↵
    Certification Board for Diabetes Care and Education. 2024; Available at: https://www.cbdce.org/.
  17. 17.↵
    1. Bhide M,
    2. Grey JM,
    3. Moser EG,
    4. Garg SK
    . A primary care perspective on the use of continuous glucose monitoring in clinical practice. Diabetes Technol Ther 2013;15:533-7.
  18. 18.↵
    1. Mahoney D,
    2. Salama L
    . Enhancing patient-centered care through firsthand experience with continuous glucose monitoring in rural Wyoming. Ann Fam Med 2024;22:69.
    OpenUrlFREE Full Text
  19. 19.↵
    1. Martens TW
    . Continuous glucose monitoring in primary care–are we there? Current Opinion in Endocrinology & Diabetes and Obesity 2022;29:10–6.
    OpenUrl
  20. 20.↵
    1. Rodbard D
    . Continuous glucose monitoring: a review of successes, challenges, and opportunities. Diabetes Technol Ther 2016;18:S2–3-S2-13.
    OpenUrlPubMed
  21. 21.↵
    1. Wood A,
    2. O'Neal D,
    3. Furler J,
    4. Ekinci EI
    . Continuous glucose monitoring: a review of the evidence, opportunities for future use and ongoing challenges. Intern Med J 2018;48:499–508.
    OpenUrlCrossRefPubMed
  22. 22.↵
    1. Aleppo G,
    2. Webb K
    . Continuous glucose monitoring integration in clinical practice: a stepped guide to data review and interpretation. J Diabetes Sci Technol 2019;13:664–73.
    OpenUrlPubMed
  23. 23.↵
    1. Oser TK,
    2. Hall TL,
    3. Dickinson LM,
    4. et al
    . Continuous glucose monitoring in primary care: understanding and supporting clinicians’ use to enhance diabetes care. Ann Fam Med 2022;20:541–7.
    OpenUrlAbstract/FREE Full Text
  24. 24.↵
    1. Onwuegbuzie AJ,
    2. Collins KM
    . A typology of mixed methods sampling designs in social science research. Qualitative Report 2007;12:281–316.
    OpenUrl
  25. 25.↵
    1. Hamilton A
    . Qualitative methods in rapid turn-around health services research. Health Services Research & Development Cyberseminar 2013; Available at: https://www.hsrd.research.va.gov/for_researchers/cyber_seminars/archives/video_archive.cfm?SessionID=780. Accessed February 26, 2024.
  26. 26.↵
    1. Palinkas LA,
    2. Mendon SJ,
    3. Hamilton AB
    . Innovations in mixed methods evaluations. Annu Rev Public Health 2019;40:423–42.
    OpenUrlCrossRefPubMed
  27. 27.↵
    1. Zehra A,
    2. Brown EA,
    3. Wolf RM
    . Providing point-of-care sample CGM increases uptake of personal CGM. J Diabetes Sci Technol 2023;17:598–9.
    OpenUrlPubMed
  28. 28.↵
    Centers for Medicare and Medicaid Services. Medicare coverage database. 2024.
  29. 29.↵
    1. Tanenbaum ML,
    2. Adams RN,
    3. Lanning MS,
    4. et al
    . Using cluster analysis to understand clinician readiness to promote continuous glucose monitoring adoption. J Diabetes Sci Technol 2018;12:1108–15.
    OpenUrlPubMed
  30. 30.↵
    1. Pickup JC,
    2. Ford Holloway M,
    3. Samsi K
    . Real-time continuous glucose monitoring in type 1 diabetes: a qualitative framework analysis of patient narratives. Diabetes care 2015;38:544–50.
    OpenUrlAbstract/FREE Full Text
  31. 31.↵
    1. Filippi MK,
    2. Lanigan AM,
    3. Oser SM,
    4. Alai J,
    5. Brooks-Greisen A,
    6. Oser TK
    . A team-based training for continuous glucose monitoring in diabetes care: mixed methods pilot implementation study in primary care practices. JMIR Form Res 2023;7:e45189.
    OpenUrl
PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 37 (4)
The Journal of the American Board of Family Medicine
Vol. 37, Issue 4
July-August 2024
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Clinician-Reported Barriers and Needs for Implementation of Continuous Glucose Monitoring
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
7 + 11 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Clinician-Reported Barriers and Needs for Implementation of Continuous Glucose Monitoring
Tristen Hall, Meredith K. Warman, Tamara Oser, Melissa K. Filippi, Brian Manning, Jennifer K. Carroll, Donald E. Nease, Elizabeth W. Staton, Sean Oser
The Journal of the American Board of Family Medicine Jul 2024, 37 (4) 671-679; DOI: 10.3122/jabfm.2024.240049R1

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Clinician-Reported Barriers and Needs for Implementation of Continuous Glucose Monitoring
Tristen Hall, Meredith K. Warman, Tamara Oser, Melissa K. Filippi, Brian Manning, Jennifer K. Carroll, Donald E. Nease, Elizabeth W. Staton, Sean Oser
The Journal of the American Board of Family Medicine Jul 2024, 37 (4) 671-679; DOI: 10.3122/jabfm.2024.240049R1
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Introduction
    • Methods
    • Results
    • Discussion
    • Conclusion
    • Acknowledgments
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Artificial Intelligence and Family Medicine
  • Google Scholar

More in this TOC Section

  • Identifying and Addressing Social Determinants of Health with an Electronic Health Record
  • Integrating Adverse Childhood Experiences and Social Risks Screening in Adult Primary Care
  • A Pilot Comparison of Clinical Data Collection Methods Using Paper, Electronic Health Record Prompt, and a Smartphone Application
Show more Original Research

Similar Articles

Keywords

  • Continuous Glucose Monitoring
  • Primary Care Physicians
  • Primary Health Care
  • Qualitative Research
  • Type 1 Diabetes Mellitus
  • Type 2 Diabetes Mellitus
  • Wearable Technology

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2025 American Board of Family Medicine

Powered by HighWire