Hands On Webinar | Over the Counter CGM Use in the Primary Care Setting | Recording (Helmsley)-Over the Counter CGM Use in the Primary Care Setting

Video Transcription

Video Summary

The ADA Hands-on webinar titled "Over-the-Counter CGM Use in Primary Care Setting" featured experts Paige Johnson, a diabetes educator, and Dr. Andrew Welsh, an endocrinologist with type 1 diabetes. They discussed continuous glucose monitors (CGMs), differentiating FDA-approved CGMs designed for insulin users from biosensors or over-the-counter (OTC) CGMs intended for those without diabetes or not on insulin. OTC devices like Dexcom Stelo and Abbott Lingo provide glucose data but lack real-time alarms and full clinical approval for diabetes management. These devices update glucose readings at different intervals and offer educational tools to help users understand glucose patterns and lifestyle impacts. Clinical cases highlighted how OTC CGMs empower motivated patients, particularly those not qualifying for insurance-covered devices, by offering insight into diet, medication effects, and glucose trends, enhancing communication between patients and providers. However, challenges include data interpretation, potential user anxiety, and lack of standard care guidelines for prediabetes. Studies suggest CGMs may aid in modest weight loss and lifestyle modification, but randomized evidence on preventing diabetes progression is lacking. Providers were advised to guide patients by emphasizing education, interpreting data cautiously, and referring to nutrition counseling when necessary. The session underscored the evolving landscape of glucose monitoring beyond diabetes care and the importance of patient-centered approaches in primary care. The webinar concluded with practical tips for incorporating OTC CGMs in clinical practice and highlighted upcoming ADA educational events.

Keywords

Over-the-Counter CGM

Continuous Glucose Monitor

Primary Care

Diabetes Management

Dexcom Stelo

Abbott Lingo

FDA Approval

Prediabetes

Patient Education

Lifestyle Modification