Pharmacy-Led Implementation of Continuous Glucose Monitors (CGMs) in Transitions of Care: A Pilot Program

Document Type

Poster Presentation

Publication Date

4-17-2026

Keywords

fsc2026

Abstract

Abstract:

Continuous glucose monitoring (CGM) is recognized as an effective tool for improving glycemic control and reducing hypoglycemic events in patients with diabetes. Despite these benefits, patients admitted for glycemic-related events at our institution are rarely initiated on CGM technology at hospital discharge. This program seeks to evaluate the continuation of CGM use when started at discharge and to assess the role of pharmacy-led interventions in outpatient transitions of care. By identifying patient, health system, and social determinant barriers to continued CGM access, this program aims to inform strategies for improving transitions of care and optimizing glycemic management following hospitalization.

Methods: This is an IRB approved single-centered, pharmacy-led, prospective pilot program. Adult patients with type 1 or type 2 diabetes admitted to a small community hospital for a glycemic-related event who are prescribed insulin and initiated on a continuous glucose monitor (CGM) at discharge will be included. Exclusion criteria will be patients with cognitive impairment, pregnancy, discharge to hospice, rehabilitation, or long-term care facilities, or prior CGM therapy. Patients will be offered a free CGM device on discharge with follow up prescriptions for continued use. Pharmacy interns will provide CGM-related education prior to discharge and conduct follow up phone calls to aid in transition of care. The primary endpoint is continuation of CGM at 10 days post discharge. Secondary endpoints include describing social determinants of health related barriers for continuation, 30-day hospital readmission and CGM data assessing glycemic control. Data will be collected through electronic medical records and structured patient follow-up calls, and analyzed using descriptive statistics.

Comments

Poster presented at the 2026 Fisher Showcase, St. John Fisher University, April 17, 2026.

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