Evidence map›Paper›PMID 36480729›Full record

ArticleDiabetes care2023

Effect of CGM Access Expansion on Uptake Among Patients on Medicaid With Diabetes.

Kevin Ni, Carolyn A Tampe, Kayce Sol, Douglas B Richardson, Rocio I Pereira

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Diabetes care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06638099 (Increasing Use of Continuous Glucose Monitors Among Patients With Type 2 Diabetes), which is not on this map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06638099 nacompletednot on this mapstarted 2024, after this paper: background citation

Increasing Use of Continuous Glucose Monitors Among Patients With Type 2 Diabetes

TypeinterventionalSponsorSan Diego State UniversityRan2024 to 2026Enrolled195ConditionsDiabetes, Diabetes Mellitus, Diabetes Mellitus Type 2, Diabetes Mellitus Type 2 (T2DM)ArmsCGM Toolkit Prescriber Training
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
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  10. Expanding Access to Continuous Glucose Monitoring in Medicare Patients Receiving Specialty Diabetes Care: A Quality Improvement Project.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Kevin NiMedicine Service-Endocrinology, Denver Health, Denver, CO.
Carolyn A TampeMedicine Service-Endocrinology, Denver Health, Denver, CO.
Kayce SolMedicine Service-Endocrinology, Denver Health, Denver, CO.
Douglas B RichardsonMedicine Service-Endocrinology, Denver Health, Denver, CO.
Rocio I PereiraMedicine Service-Endocrinology, Denver Health, Denver, CO.ORCID 0000-0003-3471-0820
Denver Health Medical Center · US

Funding

Role of TSG-6 mediated hyaluronic acid cross-linking in acute lung injuryF30HL136169 · NHLBI · NATIONAL JEWISH HEALTH · PI NI, KEVIN · 2018 to 2020
$129k
NHLBI NIH HHS F30 HL136169
6 · The paper itself

Abstract

objectiveCurrent studies on continuous glucose monitor (CGM) uptake are revealing for significant barriers and inequities for CGM use among patients from socially underprivileged communities. This study explores the effect of full subsidies regardless of diabetes type on CGM uptake and HbA1c outcomes in a U.S. adult patient population on Medicaid. RESEARCH DESIGN AND

methodsThis retrospective cohort study examined 3,036 adults with diabetes enrolled in a U.S. Medicaid program that fully subsidized CGM. CGM uptake and adherence were assessed by CGM prescription and dispense data, including more than one fill and adherence by medication possession ratio (MPR). Multivariate logistic regression evaluated predictors of CGM uptake. Pre- and post-CGM use HbA1c were compared.

resultsCGM were very well received by both individuals with type 1 diabetes and individuals with type 2 diabetes with similar high fill adherence levels (mean MPR 0.78 vs. 0.72; P = 0.06). No significant difference in CGM uptake outcomes were noted among major racial/ethnic groups. CGM use was associated with improved HbA1c among those with type 2 diabetes (-1.2% [13.1 mmol/mol]; P < 0.001) that was comparable between major racial/ethnic groups and those with higher fill adherence achieved greater HbA1c reduction (-1.4% [15.3 mmol/mol]; P < 0.001) compared with those with lower adherence (-1.0% [10.9 mmol/mol]; P < 0.001).

conclusionsCGM uptake disparities can largely be overcome by eliminating CGM cost barriers. CGM use was associated with improved HbA1c across all major racial/ethnic groups, highlighting broad CGM appeal, utilization, and effectiveness across an underprivileged patient population.

Indexed as

Diabetes Mellitus, Type 2AdultBlood GlucoseBlood Glucose Self-MonitoringGlycated HemoglobinHumansMedicaidRetrospective StudiesBlood GlucoseGlycated Hemoglobin

Identifiers

PMID36480729
PMCPMC9887615
OpenAlexW4310965135

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.