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Remote CGM monitoring may improve glycemic outcomes

April 29, 2026 By Henry Thomas 2 min read
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Clinical Scorecard: Remote monitoring with CGM may improve glycemic outcomes in urban, underserved diabetic population

At a Glance

CategoryDetail
ConditionType 2 Diabetes Mellitus (T2DM)
Key MechanismsRemote patient monitoring (RPM) using continuous glucose monitoring (CGM)
Target PopulationAdults with type 2 diabetes and HbA1c > 8.5%
Care SettingSafety-net hospital

Key Highlights

  • RPM participants had a greater reduction in HbA1c (3.0% vs. 2.1%) compared to controls.
  • 60% of RPM participants achieved HbA1c < 7.5% versus 36% of controls.
  • Adjusted odds ratio for achieving glycemic targets in RPM group was 2.53.
  • Study highlights effectiveness of RPM and CGM in urban, under-resourced settings.
  • Further studies needed for larger scale implementation.

Guideline-Based Recommendations

Diagnosis

  • Evaluate HbA1c levels in adults with type 2 diabetes.

Management

  • Consider RPM with CGM for patients with HbA1c > 8.5%.

Monitoring & Follow-up

  • Conduct monthly telemedicine visits with endocrinology specialists.

Risks

  • Potential need for medication adjustments, including insulin and GLP-1 receptor agonists.

Patient & Prescribing Data

Adults with type 2 diabetes receiving care at a safety-net hospital.

Medication adjustments commonly involved insulin and GLP-1 receptor agonists.

Clinical Best Practices

  • Implement RPM programs in urban, underserved populations to improve glycemic control.
  • Utilize CGM for continuous monitoring of glucose levels.

References

AACE Endocrine AI is published by Conexiant under a license arrangement with the American Association of Clinical Endocrinology, Inc. (AACE®). The ideas and opinions expressed in AACE Endocrine AI do not necessarily reflect those of Conexiant or AACE. For more information, see Policies.

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