{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T20:45:44Z","timestamp":1785703544205,"version":"3.56.0"},"reference-count":15,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Pharmacother"],"abstract":"\n Background:<\/jats:title>\n Continuous glucose monitoring (CGM) reinforces positive nonpharmacologic behaviors and optimizes pharmacotherapy. Long-term CGM may be financially unsustainable in vulnerable populations, but data on durability of benefits after short-term use are limited.<\/jats:p>\n <\/jats:sec>\n \n Objective:<\/jats:title>\n Building upon a prior study of a 3-month pharmacist-led CGM program, this study compared 1-year changes in glycemic management (glycated hemoglobin [A1c]) between patients who continued vs discontinued CGM.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n This single-center pilot study, approved by University of Houston Institutional Review Board, was conducted at a federally qualified health center (FQHC). Patients in the initial program continued CGM if they were able to pay for CGM supplies via insurance or self-pay. All patients were followed for 12 months to assess changes in mean A1c and the proportion meeting A1c goals after 3 to 6 (early) and 9 to 12 (late) months.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Fifty-two patients were analyzed (continued CGM: n = 15; discontinued CGM: n = 37). Baseline A1c was similar between the groups. At early follow-up, mean A1c decreased slightly in the continued CGM group (\u22120.18 \u00b1 1.0;\n P<\/jats:italic>\n = .523) but increased significantly in the discontinued group (1.3 \u00b1 1.6;\n P<\/jats:italic>\n = .002). At late follow-up, A1c increased nonsignificantly with continued CGM (0.7 \u00b1 1.4;\n P<\/jats:italic>\n < .12) but significantly worsened with discontinuation (2.6 \u00b1 1.9;\n P<\/jats:italic>\n < .001). The proportion meeting A1c goals also significantly worsened in the discontinuation group.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion and Relevance:<\/jats:title>\n Although differences existed between groups, this study supports uninterrupted access to CGM for patients with diabetes. Despite initial 3-month use, discontinuation was associated with significant A1c worsening within 1 year. Large-scale, randomized studies are needed to identify whether an optimal timing of personal CGM use exists to sustain glycemic management when consistent use is not feasible.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/10600280261470410","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T06:20:40Z","timestamp":1785306040000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact on Vulnerable Populations After Discontinuation of Continuous Glucose Monitoring in Patients With Type 2 Diabetes"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6655-1353","authenticated-orcid":false,"given":"Bernadette","family":"Asias-Dinh","sequence":"first","affiliation":[{"name":"Department of Pharmacy Practice and Translational Research, University of Houston College of Pharmacy, TX, USA"},{"name":"Vecino\u2019s Denver Harbor Family Health Center, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Rosario","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice and Translational Research, University of Houston College of Pharmacy, TX, USA"},{"name":"Vecino\u2019s Denver Harbor Family Health Center, Houston, TX, USA"},{"name":"Division of Pharmacy Practice, The University of Texas at Austin College of Pharmacy, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2063-7503","authenticated-orcid":false,"given":"Kevin","family":"Garey","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice and Translational Research, University of Houston College of Pharmacy, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aya","family":"Hussein","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice and Translational Research, University of Houston College of Pharmacy, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minoo","family":"Madi","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice and Translational Research, University of Houston College of Pharmacy, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3684-2455","authenticated-orcid":false,"given":"Jodie","family":"Gee","sequence":"additional","affiliation":[{"name":"Department of Pharmacy Practice and Translational Research, University of Houston College of Pharmacy, TX, USA"},{"name":"Vecino\u2019s Denver Harbor Family Health Center, Houston, TX, 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