Professional continuous glucose monitoring Effectiveness of CGM-enhanced eConsults should be further explored. Conclusions: CGM-enhanced eConsult resulted in more timely access to endocrinology expertise, was acceptable to patients, and resulted in similar short-term glycemic outcomes compared to in-person consultation. Time to an initial diabetes visit with a pharmacist was significantly shorter than with endocrinology, 20 days (IQR 26) for pharmacy vs. Three-month glycemic outcomes were comparable, with HbA1c reduction 1% + 2% in endocrinology, 1.5% + 1.1% with CGM-enhanced eConsult, and 1.6% + 1.8% in clinical pharmacy (p = 0.19). At baseline, all patients referred for eConsult were prescribed insulin. Results: There were no differences in patient acceptability of the CGM-enhanced eConsult as compared to endocrinology referral or pharmacy care. Clinical outcomes included time to first specialty appointment, baseline and 3-month follow-up HbA1c, and antihyperglycemic medication use. Acceptability was assessed with pre/post clinician acceptability questionnaires and patient assessment of perceived burden. Thirteen patients were referred for CGM-enhanced eConsult. Twenty-nine were seen in-person by endocrinology and 45 were seen by pharmacists in primary care. Methods: Seventy-four adult patients with established T2DM (age 18–65) were included. We implemented a pilot program for patients with type 2 diabetes (T2DM) managed by primary care clinical pharmacists using CGM-enhanced eConsult and evaluated the acceptability and clinical outcomes in comparison to routine in-person endocrinology consultation. Endocrinology eConsult that integrates professional continuous glucose monitoring (CGM-enhanced eConsult) may improve healthcare delivery, but has yet to be evaluated. Walkey Boston University School of Medicine, Department of Medicine, Evans Center for Implementation and Improvement Sciences, United States Boston University School of Public Health, Department of Health Law, Policy & Management, United States Boston University School of Medicine, Department of Medicine, The Pulmonary Center, United States Megan Bergstrom Boston Medical Center, Department of Pharmacy, Section of General Internal Medicine, United States Katelyn O'Brien Boston Medical Center, Department of Pharmacy, Section of General Internal Medicine, United States Devin Steenkamp Boston University School of Medicine, Department of Medicine, Section of Endocrinology, Diabetes, Nutrition and Weight Management, United States Journal volume & issueīackground: Limitations in access to specialty diabetes care exist. Crable Boston University School of Medicine, Department of Medicine, Evans Center for Implementation and Improvement Sciences, United States Boston University School of Public Health, Department of Health Law, Policy & Management, United States Mari-Lynn Drainoni Boston University School of Medicine, Department of Medicine, Evans Center for Implementation and Improvement Sciences, United States Boston University School of Medicine, Department of Medicine, Section of Infectious Diseases, United States Boston University School of Public Health, Department of Health Law, Policy & Management, United States Allan J. Mary-Catherine Stockman Boston University School of Medicine, Department of Medicine, Section of Endocrinology, Diabetes, Nutrition and Weight Management, United States Zhihui Ju Boston University School of Medicine, Department of Medicine, Section of Endocrinology, Diabetes, Nutrition and Weight Management, United States Paola Ortega Boston University School of Medicine, Department of Medicine, Section of Endocrinology, Diabetes, Nutrition and Weight Management, United States Erika L. Fantasia Boston University School of Medicine, Department of Medicine, Section of Endocrinology, Diabetes, Nutrition and Weight Management, United States Corresponding author at: 720 Harrison Avenue, Suite 8100, Boston, MA 02118, United States.
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