Evidence map›Paper›PMID 40057678›Full record

ArticleBMC primary care2025

Determinants of implementation of continuous glucose monitoring for patients with Insulin-Treated type 2 diabetes: a national survey of primary care providers.

Varsha G Vimalananda, Ben Kragen, Alison J Leibowitz, Shirley Qian, Jolie Wormwood, Amy M Linsky, Patricia Underwood, Paul R Conlin, Bo Kim

Abstract read
In one paragraph

Article in BMC primary care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Beyond Coverage Expansion: Exploring Persistent Barriers to CGM Utilization in the Clinical Environment.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026
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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

9 authors.

Varsha G VimalanandaCenter for Health Optimization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, USA. Varsha.vimalananda@va.gov.
Ben KragenCenter for Health Optimization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, USA.
Alison J LeibowitzCenter for Health Optimization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, USA.
Shirley QianCenter for Health Optimization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, USA.
Jolie WormwoodCenter for Health Optimization and Implementation Research, VA Bedford Healthcare System, Bedford, MA, USA.
Amy M LinskyCenter for Health Optimization and Implementation Research, VA Boston Healthcare System, Boston, MA, USA.
Patricia UnderwoodVeteran Affairs Boston Healthcare System, Boston, MA, USA.
Paul R ConlinCenter for Health Optimization and Implementation Research, VA Boston Healthcare System, Boston, MA, USA.
Bo KimCenter for Health Optimization and Implementation Research, VA Boston Healthcare System, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo identify determinants of continuous glucose monitoring (CGM) implementation from primary care providers' (PCPs') perspectives and examine the associations of these determinants with both PCP intent to discuss CGM with eligible patients and facility-level uptake of CGM. STUDY

designCross-sectional survey.

methodsA survey about CGM implementation for patients with type 2 diabetes on insulin was distributed to all PCPs in the Department of Veterans Affairs (VA) health system from October 2023-April 2024. Multi-item scales measured perceived clinical benefits of CGM, workload capacity, knowledge about CGM, access to CGM resources, and support from leadership and other services. Responses were on a 5-point Likert scale from "Strongly Disagree" to "Strongly Agree". An item asked about likelihood of initiating discussions about starting CGM. Facility-level uptake was measured using VA administrative data. Multivariable regression models assessed the relationship between determinants of CGM implementation and both PCP intent to discuss CGM and facility-level uptake.

resultsOf 1373 respondents, most perceived clinical benefits of CGM (79% "Agree" + "Strongly Agree"). Very few indicated sufficient access to resources (8%) and support from leadership & other services (5%). After adjustment for respondent characteristics, the scale most strongly associated with PCP intent to discuss CGM was PCP Knowledge About CGM (B = 0.54, P <.001). Facility uptake of CGM was associated with Clinical Benefits of CGM (B = 0.10, P =.026) and Support from Leadership & Other Services (B = 0.18, P <.001).

conclusionsPCPs perceive benefits to CGM but lack sufficient knowledge, resources, and workload capacity to manage it alone. PCP education about CGM use and interprofessional support for uptake may increase the likelihood that eligible patients use CGM.

Indexed as

Blood Glucose Self-MonitoringDiabetes Mellitus, Type 2Hypoglycemic AgentsInsulinPrimary Health CareAdultAgedAttitude of Health PersonnelBlood GlucoseContinuous Glucose MonitoringCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesBlood GlucoseHypoglycemic AgentsInsulinContinuous glucose monitoringDiabetes mellitus, Type 2Implementation sciencePrimary health careSurveys

Identifiers

PMID40057678
PMCPMC11889852

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.