Remote Application and Use of Real-Time Continuous Glucose Monitoring by Adults with Type 2 Diabetes in a Virtual Diabetes Clinic.

The Onduo Virtual Diabetes Clinic (VDC) for people with T2D combines a mobile app, remote lifestyle coaching, connected devices and live video consultations with board-certified endocrinologists Adults with T2D (n=594) who were evaluated by a VDC endocrinologist, remotely prescribed and mailed a rtCGM device, and used 1 sensor completed a CGM satisfaction questionnaire. The CGM satisfaction score was 4.50.8 out of 5. Most respondents (94.7%) agreed/strongly agreed that they were comfortable inserting the sensor remotely and that rtCGM use: improved understanding of the impact of eating (97.0%); increased diabetes knowledge (95.7%); and helped improve diabetes control when not wearing the sensor (79.4%). HbA1c (n=372) decreased from 7.7%1.6 to 7.1%1.2 (p<0.001; 10.2 months). These data suggest that it is feasible to provide rtCGM directly to individuals with T2D through a VDC without in-office training. Intermittent use of rtCGM was well-received by adults with T2D and was associated with improvement in HbA1c.