Date of this Version

2025

Document Type

DNP Project

Abstract

In rural communities, primary care providers often serve as the front line in managing Type 2 diabetes due to limited specialist access, such as endocrinologists. In rural primary care, where resources are limited, tools such as continuous glucose monitoring (CGM) devices can help educate patients on their lifestyle choices and their impact on blood glucose levels. This knowledge can lead to better lifestyle choices, including a balanced diet, regular exercise, and medication adherence, ultimately improving health outcomes and reducing complications and comorbid conditions. The purpose of this doctoral project is to assess CGM use in a rural primary care clinic located in Kingsland, TX, and its associated outcomes in Type 2 diabetic patients. The intervention consists of a retrospective chart review of type 2 diabetic patients who have been prescribed a CGM. A report from Athena Electronic Health Record consisting of patients with a diagnosis of type 2 diabetes that have been prescribed a CGM, along with data points collected pre and post CGM use consisting of: patient age, gender, HbA1C, lipid panel, and weight and BMI. The data collected will be analyzed utilizing SPSS statistical software. Anticipated outcomes include improved HgbA1C, BMI, weight, and lipids post-CGM use compared to pre-CGM use. CGM use offers real-time feedback that can guide behavior and improve glycemic control. CGM use in rural settings could inform policy changes, such as the early utilization of CGM after diagnosis of Type 2 diabetes or improve resource allocation, including insurance coverage for CGM usage for all Type 2 diabetic patients, regardless of insulin use or hypoglycemic events.

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