Diabetes Device Access Gaps Common, Affect Management

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Diabetes Device Access Gaps Common, Affect Management
Diabetes Mellitus Type IType 1 DiabetesType 1 DM
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Early device failures, prior authorizations, and not receiving 90-days’ worth of supplies contribute to the problem.

Gaps in access to prescribed diabetes technology are common, often arise from early device failure, and lead to disruptions in diabetes management, new research found.

“There's a group of people who don't report any problems with this, and then there's a group who has so many problems that it can take over the whole clinical picture of that person's diabetes care,” Welch said. The respondents had a mean age of 48.8 years, diabetes duration 27.9 years, and mean A1c of 6.6%. Three quarters were female, 78% were college graduates, and only one quarter had annual incomes below $50,000. Two thirds had private insurance. Nearly all used CGMs and 80% used insulin pumps.While 57% of CGM users reported having no CGM supply access gaps in the past year, 18% reported one gap, 12% two, and 7% three. Of those reporting gaps, the average CGM user reported 2.6 access gaps per year.

While 87.3% of insulin users reported no gaps, 6.2% reported one gap, 3.3% two, and 3.3% three in the past year. The average was 2.2 gaps per year. The survey found that CGM sensor failure is very common, Welch said. Over half of respondents reported that their devices failed early or fell off 1%-10% of the time, another 21% reported early failures 11%-20% of the time, and only 7.3% reported zero failures.

For insulin pumps, 16.5% of 109 respondents reported at least one gap in the past month, with an average duration of 19.2 days.

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Diabetes Mellitus Type I Type 1 Diabetes Type 1 DM T1DM T1D Type 1 Diabetes Mellitus Type 1 Diabetes Mellitus (T1DM) Type 1 Diabetes (T1D) Diabetes Mellitus Continuous Glucose Monitoring Continuous Glucose Monitoring (CGM) CGM Continuous Glucose Monitor Insulin Therapy Hemoglobin A1c Hemoglobin A1c Test Glycated Hemoglobin Glycosylated Hemoglobin Hba1c

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