{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T02:28:28Z","timestamp":1770690508130,"version":"3.49.0"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T00:00:00Z","timestamp":1768176000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T00:00:00Z","timestamp":1768176000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100020391","name":"State of Rhode Island Department of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100020391","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["accpjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Am Coll Clin Pharm"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Professional continuous glucose monitoring (proCGM) can improve glycemic control and support medication and lifestyle adjustments in people with diabetes. In 2022, the Care Transformation Collaborative of Rhode Island launched a quality improvement initiative to implement pharmacist\u2010led proCGM services in primary care practices. This project aimed to determine the effects of a pharmacist\u2010led proCGM service on glycemic control, overall and by practice site, compared to baseline hemoglobin A1C (A1C) level. A secondary aim was to assess care team members'\u00a0views of the program impact on patients and the practice environment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A pre\u2010post design was employed to assess reduction in A1C level 6\u2009months following the implementation of pharmacist\u2010led proCGM at six primary care sites. Pharmacists placed sensors, interpreted CGM data, and initiated diabetes medication changes. Eligible adult patients had either suboptimal glycemic control, discordant A1C and self\u2010monitoring data, high hypoglycemia risk, or were referred by a provider. Changes in A1C were assessed 3\u20136\u2009months after proCGM use. Care team surveys captured perceptions of the program's impact and sustainability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 396 patients, mean A1C decreased from 9.36% to 8.25% (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001). A\u2009\u2265\u20091% point A1C reduction was achieved in 45.2% of patients. In multivariable analysis, baseline A1C was the strongest predictor of A1C improvement. Patients not using insulin and those who adopted personal CGM after the intervention were also more likely to improve. The majority of 51 care team members who completed the survey strongly agreed the service had positive impacts on patients and staff, and a majority believed the service could be sustainable.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Pharmacist\u2010led proCGM services were associated with meaningful short\u2010term A1C reductions, especially in patients with high baseline A1C not using insulin. The model was well\u2010received by care teams and may help expand access to effective diabetes management in primary care settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jac5.70171","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T08:25:48Z","timestamp":1768292748000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Pre\u2010Post Assessment of Blood Glucose Control Following Pharmacist\u2010Led Professional Continuous Glucose Monitoring in Rhode Island Primary Care Practices"],"prefix":"10.1002","volume":"9","author":[{"given":"Kelley Doherty","family":"Sanzen","sequence":"first","affiliation":[{"name":"Care Transformation Collaborative of RI  Providence Rhode Island USA"},{"name":"Division of Kidney Disease and Hypertension Brown Medicine  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalya S.","family":"Salganik","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice and Clinical Research College of Pharmacy, University of Rhode Island  Kingston Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susanne M.","family":"Campbell","sequence":"additional","affiliation":[{"name":"Care Transformation Collaborative of RI  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn A.","family":"Karner","sequence":"additional","affiliation":[{"name":"Care Transformation Collaborative of RI  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4017-3171","authenticated-orcid":false,"given":"Pano M.","family":"Yeracaris","sequence":"additional","affiliation":[{"name":"Care Transformation Collaborative of RI  Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8298-6245","authenticated-orcid":false,"given":"Stephen J.","family":"Kogut","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice and Clinical Research College of Pharmacy, University of Rhode Island  Kingston Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,12]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc25\u2010S007"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/dom.14981"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/13696998.2017.1390474"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000388"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcte.2021.100254"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.18553\/jmcp.2020.26.5.600"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/jac5.1392"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2024.240049R1"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2876"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13300\u2010023\u201001413\u20105"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.18553\/jmcp.2019.18429"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.3803\/EnM.2024.2142"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.321.7258.405"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.10.3.324"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/jac5.1088"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc18\u20100116"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.2337\/ds18\u20100093"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.2337\/cd23-0051"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010023\u201008222\u20103"},{"key":"e_1_2_11_21_1","unstructured":"American Pharmacists Association \u201cMost Patients See Pharmacists as Crucial Part of Their Health Care Team \u201dAPhA Press Release. January 21 2022 accessed December 21 2025 https:\/\/www.pharmacist.com\/APhA\u2010Press\u2010Releases\/most\u2010patients\u2010see\u2010pharmacists\u2010as\u2010crucial\u2010part\u2010of\u2010their\u2010health\u2010care\u2010team."},{"key":"e_1_2_11_22_1","unstructured":"ADA 2022 \u201cHealth Equity and Diabetes Technology: A Study of Access to Continuous Glucose Monitors by Payer Geography and Race Executive Summary \u201d(2022) https:\/\/diabetes.org\/sites\/default\/files\/2023\u201009\/ADA\u2010CGM\u2010Utilization\u2010White\u2010Paper\u2010Oct\u20102022.pdf."},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.2337\/cd20\u20100033"}],"container-title":["JACCP:  JOURNAL OF THE AMERICAN COLLEGE OF CLINICAL PHARMACY"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/accpjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jac5.70171","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/accpjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jac5.70171","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/accpjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jac5.70171","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T08:48:05Z","timestamp":1770626885000},"score":1,"resource":{"primary":{"URL":"https:\/\/accpjournals.onlinelibrary.wiley.com\/doi\/10.1002\/jac5.70171"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,12]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1002\/jac5.70171"],"URL":"https:\/\/doi.org\/10.1002\/jac5.70171","archive":["Portico"],"relation":{},"ISSN":["2574-9870","2574-9870"],"issn-type":[{"value":"2574-9870","type":"print"},{"value":"2574-9870","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,12]]},"assertion":[{"value":"2025-07-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70171"}}