597-P: Long-Term A1C Outcomes with and without Intermittent CGM Use in Adults with T2D Participating in the Onduo Program
The Onduo Virtual Diabetes Clinic (VDC) for people with T2D combines a mobile app, remote lifestyle coaching and video consultations with endocrinologists for medication management and prescription of RT-CGM devices for intermittent use in high risk participants. This analysis examined change in A1c...
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Published in | Diabetes (New York, N.Y.) Vol. 70; no. Supplement_1 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
New York
American Diabetes Association
01.06.2021
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Subjects | |
Online Access | Get full text |
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Summary: | The Onduo Virtual Diabetes Clinic (VDC) for people with T2D combines a mobile app, remote lifestyle coaching and video consultations with endocrinologists for medication management and prescription of RT-CGM devices for intermittent use in high risk participants. This analysis examined change in A1c at 1-yr in VDC participants with and without CGM use. Subgroup analysis was performed for participants with 6-mo and 1-yr data. Of the cohort (n=772), 45.9% (n=354) used CGM and 54.1% (n=418) did not use CGM. At baseline the CGM group was significantly younger (mean±SD): 53.3±8.6 vs. 55.1±9.4 yr, had higher A1c: 7.9%±1.8 vs. 7.6%±1.7, and greater insulin use: 36.2% vs. 28.5%. Change in A1c at 1-yr is presented in the Table. The increase in participants meeting the HEDIS target of A1c <8.0% was greater in the CGM group, 55.1% to 78.3%, vs. no CGM, 60.8% to 74.0% (p=0.002). Subgroup analysis (n=468, 60.6%) revealed significant improvement in A1c at 6-mo and 1-yr for both CGM and no CGM groups with a baseline A1c >8.0% (p<0.001). On average participants meeting the ADA treatment target at baseline remained at target at 6-mo and 1-yr. In conclusion, participation in the Onduo VDC was associated with a significant reduction in A1c at 1-yr in those not meeting treatment targets, with approximately 2-fold greater improvement with CGM use. These results suggest that improvement in A1c observed at 6-mo was maintained at 1-yr. |
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ISSN: | 0012-1797 1939-327X |
DOI: | 10.2337/db21-597-P |