Continuous Glucose Monitoring Following Hospital Discharge
Study Details
Study Description
Brief Summary
In this 12-week prospective observational cohort study, hospitalized insulin-requiring patients with T2D will receive a Dexcom continuous glucose monitor (CGM) to wear post-hospital discharge. Patients will complete surveys assessing patient-reported outcomes prior to CGM use and following completion of the study. CGM data will be captured by the patient smartphone app and analyzed. Patients will receive personalized CGM targets and alerts for hyperglycemia and hypoglycemia. Customized reports/ decision support will be sent to the usual diabetes provider. The initial observational cohort study design will be followed by an extension phase of 12 weeks in which data on continuation of use and glucose control will be collected but no further reports will be communicated to providers.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Dexcom CGM
|
Device: DexCom G6
Wearable continuous glucose monitor
|
Outcome Measures
Primary Outcome Measures
- Percent change in TIR 70-180 mg/dl [12 weeks]
- The proportion of patients with % wear time >70% will be reported. [12 weeks]
The proportion of patients with % wear time >70% will be reported.
- Change in DTSQc scores [12 weeks]
The Diabetes Treatment Satisfaction Questionnaire (change) will be administered at enrollment and at 12 weeks. Total scores will be compared. The DTSQc compares the experience of the current treatment with the experience of the treatment before initiation of the study. Scores range from +3 ("much more satisfied now") to -3 ("much less satisfied now"), with 0 (midpoint) representing no change. Higher scores on the DTSQ total score indicate higher treatment satisfaction, and lower scores indicate lower treatment satisfaction.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Type 2 Diabetes
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Basal insulin use >10 units per day
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Hemoglobin A1c >8.0%
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Smartphone compatible with Clarity App
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Age ≥18 years
Exclusion Criteria:
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Type 1 DM
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Inability to consent
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Pregnancy
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Prisoners
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Discharge to skilled nursing facility
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | The Ohio State University Medical Center - Outpatient Care East | Columbus | Ohio | United States | 43203 |
Sponsors and Collaborators
- Kathleen Dungan
- DexCom, Inc.
Investigators
- Principal Investigator: Kathleen Dungan, MD, OSU Medical Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2021H0426