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. 2023 Jan 25;14:1083145.
doi: 10.3389/fendo.2023.1083145.
eCollection 2023.
Affiliations
Affiliations
- 1 Institute of Health System Science, Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, United States.
- 2 Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United States.
- 3 Fleischer Institute for Diabetes and Metabolism, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, United States.
- 4 Department of Medicine, North Shore University Hospital, Manhasset, NY, United States.
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Elizabeth A Vrany et al.
Front Endocrinol (Lausanne).
.
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. 2023 Jan 25;14:1083145.
doi: 10.3389/fendo.2023.1083145.
eCollection 2023.
Affiliations
- 1 Institute of Health System Science, Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, United States.
- 2 Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United States.
- 3 Fleischer Institute for Diabetes and Metabolism, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, United States.
- 4 Department of Medicine, North Shore University Hospital, Manhasset, NY, United States.
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Abstract
Continuous glucose monitors (CGMs) have become an important tool to aid self-management of blood glucose for many patients with diabetes in the U.S., and the benefits of CGM use are well-documented. However, disparities in CGM use exist, with lower use in certain marginalized racial and ethnic groups. CGM may be an important and underutilized tool to help reduce inequities. Evidence supporting the use of CGMs as a part of virtual care is discussed, with an emphasis on designing virtual diabetes care programs to promote health equity. Recommendations for clinical practice and research are presented. In clinical practice, CGM should be an option for all people with diabetes who qualify based on clinical practice guidelines, regardless of race, ethnicity, or other individual characteristics. Future research should characterize the use of, benefit from, and preferences for CGM among individuals from racial and ethnic groups to guide interventions at the health system, clinic, provider, and patient levels to promote equitable, evidence-based, and guideline-directed CGM use in marginalized racial and ethnic groups with diabetes.
Keywords:
continuous glucose monitor (CGM); diabetes; disparities; race & ethnicity; virtual care.
Copyright © 2023 Vrany, Hill-Briggs, Ephraim, Myers, Garnica and Fitzpatrick.
Conflict of interest statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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