Health Care : Current Reviews

Improvement of glucose control after successful introduction of continuous glucose monitoring (CGM) in internal medicine residency continuity community clinic retrospective, longitudinal one group study

8^th Global Conference on Nursing and Healthcare & 5^th Annual Conference on Diabetes and Endocrinology

JUNE 28, 2022 | WEBINAR

Andre Emanuilov Manov*, E Benge, S Baig, S Chauhan and A Dougherty

Sunrise Health GME Consortium, USA

Scientific Tracks Abstracts: Health Care Curr Rev

Abstract:

In our study we retrospectively looked at patients in which as a standard of care Continuous Glucose Monitoring (CGM) with Dexcom G6 Device was started in Internal Medicine Residency Continuity Community clinic in Mountain View Hospital, Las Vegas, Nevada in 10-patients with Type-II diabetes mellitus uncontrolled on 3-4 injections of Insulin per day-Multiple Injections of Insulin per day (MDI) who were Self- monitoring their blood glucose four times a day (SMBG). The CGM was initiated by Internal Medicine Residents; adjustment of the Insulin dose was done by them under the supervision of Board-Certified Endocrinologist. The goal was to show improvement of patients HbA1c measured by glucose management Indicator. The HbA1c was reduced in three months after introduction of the CGM from 10.0% to 7.87%. Time in range we achieved was 65% with the goal based on patient’s age and comorbid conditions between 50 and 70%. Based on the average age of the patient of 51- years this is compatible with the goals using CGM. The main objective of our study was that it was possible to show improvement of glucose control measured by changes in HbA1c after introduction of CGM in most difficult to treat patients with Type-II Diabetes Mellitus by Internal Medicine Residents under the supervision of Endocrine specialist. This can be adopted by other Internal Medicine Residency Programs in USA. Key Words: Diabetes mellitus type- II, Continuous glucose monitoring (CGM), HbA1C, Glucose management indicator (GMI), Internal Medicine Residents, Board Certified Endocrinologist.

Biography :

Andre Emanuilov Manov graduated from the Medical University Sofia Faculty of Medicine in 1984. He works in Fort Worth, TX and two other locations and specializes in Endocrinology, Diabetes and Metabolism, Internal Medicine and Other Specialty. He is affiliated with John Peter Smith Health Network and he is ABIM Board Certified in Internal Medicine, Endocrinology. He was 50 publications Peer reviewed Journals in Area of Endocrinology and Internal medicine in the USA, England, France and Bulgaria. He worked as Assistant, Associate and Full Professor to the students from University of North Texas Health Science Center/UNTHSC/ from 2011-2018 in John Peter Smith Hospital, Fort Worth, TX.