DCMPDiabetes Management Program with CGM and Remote Monitoring in Underserved Clinics

This study aims to develop a program to better manage diabetes in underserved communities by using technology, specifically continuous glucose monitors (CGM) and remote patient monitoring (RPM). These tools help provide a clearer picture of blood sugar levels, which is crucial for adjusting treatment plans. The study focuses on people visiting safety net clinics, often experiencing higher rates of diabetes complications. The goal is to improve glucose control and reduce stress related to diabetes, ultimately enhancing both patient and healthcare provider satisfaction. With more clinics offering telehealth services, this program has the potential to be used more widely, benefiting many people who might otherwise struggle to manage their diabetes effectively. Participants in the study will use CGMs to track their blood sugar continuously. They will also take part in experiments to see how food and exercise affect their glucose levels. Follow-ups with their healthcare team are scheduled to review this data and adjust treatments if necessary. Those needing insulin will wear the CGM throughout the study, while others will use it for the first 12 weeks and then intermittently. The study includes weekly monitoring of the RPM dashboard to ensure participants maintain their glucose levels within a healthy range. Educational support for both patients and healthcare providers is part of the program, with ongoing advice from endocrinology experts available to assist the primary care providers. This integrated approach aims to empower patients and healthcare providers, making diabetes management more effective and less stressful.