Evidence map›Paper›PMID 42803468›Full record

ArticleJournal of diabetes science and technology2026

Diabetes Technology in the Primary Care Setting: An American Diabetes Association Scientific Statement.

Osagie Ebekozien, Halis K Akturk, Joseph A Aloi, Natalie Bellini, Benjamin M Bluml, Veronica J Brady, Doreen Cassarino, Stephen C Clement, Carla Demeterco-Berggren, Katherine Claire D'Onfro and 22 more

Abstract read
In one paragraph

Article in Journal of diabetes science and technology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

32 authors.

Osagie EbekozienAmerican Diabetes Association, Arlington, VA, USA.
Halis K AkturkBarbara Davis Center for Diabetes, Aurora, CO, USA.ORCID 0000-0003-4518-5179
Joseph A AloiWake Forest University School of Medicine, Winston-Salem, NC, USA.
Natalie BelliniCase Western Reserve University, University Hospitals, Cleveland, OH, USA.
Benjamin M BlumlAmerican Pharmacists Association, Washington, DC, USA.
Veronica J BradyCizik School of Nursing, UTHealth Houston, TX, USA.
Doreen CassarinoAmerican Association of Nurse Practitioners, Austin, TX, USA.
Stephen C ClementInova Health, Falls Church, VA, USA.
Carla Demeterco-BerggrenUniversity of California, San Diego, USA.ORCID 0000-0002-1140-644X
Katherine Claire D'OnfroAmerican Diabetes Association, Arlington, VA, USA.ORCID 0009-0001-6487-2372
Dianna IsaacsCleveland Clinic, OH, USA.
Christopher W JonesIntermountain Health, Murray, UT, USA.
Paige JohnsonAtrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
Zachary JohnsonAmerican Diabetes Association, Arlington, VA, USA.
David KerrSutter Health Research Institute, Santa Barbara, CA, USA.ORCID 0000-0003-1335-1857
Collin KruczekAtrium Health, Charlotte, NC, USA.
Sandra LealCase Western Reserve University, Cleveland, OH, USA.
Janice MacLeodJanice MacLeod Consulting, Baltimore, MD, USA.ORCID 0000-0001-8689-4938
Thomas W MartensInternational Diabetes Center, HealthPartners Institute, Minneapolis, MN, USA.ORCID 0000-0002-9858-2138
Eden MillerAmerican College of Osteopathic Family Physicians, Chicago, IL, USA.
Medha N MunshiJoslin Diabetes Center, Boston, MA, USA.ORCID 0000-0001-6917-4197
Cara E OrrAmerican Academy of Physician Associates, Alexandria, VA, USA.
Sean M OserUniversity of Colorado Anschutz, Aurora, CO, USA.ORCID 0000-0002-9640-3087
Francisco PrietoSutter Health Research Institute, Santa Barbara, CA, USA.
Viral N ShahIndiana University School of Medicine, Indianapolis, USA.ORCID 0000-0002-3827-7107
Jay ShubrookAmerican College of Diabetology, Fayetteville, NC, USA.
Elias S SirajAmerican Association of Clinical Endocrinology, Jacksonville, FL, USA.
Ryan SmithAmerican College of Osteopathic Family Physicians, Chicago, IL, USA.
Pamela L StammAmerican Society of Health-System Pharmacists, Bethesda, MD, USA.
Sean SullivanThe Leona M. and Harry B. Helmsley Charitable Trust, New York, NY, USA.
Cyril UbiemHarvard Street Neighborhood Health Center, Dorchester, MA, USA.
Eugene WrightPiedmont Area Health Education Center, Greensboro, NC, USA.ORCID 0000-0003-0796-0496

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Most diabetes care is delivered in primary care, yet diabetes technologies remain inconsistently integrated. Workforce, training, time, data infrastructure, and insurance barriers contribute to inequitable access and adoption. This scientific statement provides evidence-informed recommendations for integrating diabetes technology into primary care practices. The American Diabetes Association (ADA) convened an interdisciplinary panel that met in person at the Diabetes Technology Meeting in October 2025. Panelists reviewed available evidence, published between 2020 and 2025, on diabetes technology implementation in primary care, with a focus on clear statements and recommendations addressing technology access and adoption, team-based workflows, continuous glucose monitoring, connected insulin delivery, and implementation barriers and opportunities. Virtual meetings were convened over the next 2 months to further develop and finalize statements and recommendations. Together, the ADA and interdisciplinary panel developed 16 consensus statements and 10 key recommendations. Diabetes technologies can be safely and effectively integrated into primary care practices when supported by standardized workflows, appropriate training, defined team roles, and access to specialty expertise. Equitable implementation also requires addressing coverage, affordability, digital literacy, broadband access, interoperability, and workforce development. Integrating diabetes technology into primary care is feasible and necessary to advance equitable, person-centered, data-informed care. Health systems, practices, payors, professional organizations, manufacturers, and policymakers should align resources, training, workflows, payment, and infrastructure to support sustainable implementation and improve outcomes for people with diabetes.

Indexed as

automated insulin deliverycontinuous glucose monitoringhealth equityinsulin penprimary caretechnology and diabetes

Identifiers

PMID42803468
PMCPMC13619969

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.