{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T04:13:26Z","timestamp":1785816806352,"version":"3.56.0"},"reference-count":31,"publisher":"American Diabetes Association","issue":"3","license":[{"start":{"date-parts":[[2023,3,15]],"date-time":"2023-03-15T00:00:00Z","timestamp":1678838400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.diabetesjournals.org\/journals\/pages\/license"}],"funder":[{"DOI":"10.13039\/100007028","name":"Leona M. and Harry B. Helmsley Charitable Trust","doi-asserted-by":"publisher","award":["Grant ID: G-2206-05306"],"award-info":[{"award-number":["Grant ID: G-2206-05306"]}],"id":[{"id":"10.13039\/100007028","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7,1]]},"abstract":"<jats:p>Despite evidence of improved diabetes outcomes with diabetes technology such as continuous glucose monitoring (CGM) systems, insulin pumps, and hybrid closed-loop (HCL) insulin delivery systems, these devices are underutilized in clinical practice for the management of insulin-requiring diabetes. This low uptake may be the result of health care providers\u2019 (HCPs\u2019) lack of confidence or time to prescribe and manage devices for people with diabetes. We administered a survey to HCPs in primary care, pediatric endocrinology, and adult endocrinology practices in the United States. Responding HCPs expressed a need for device-related insurance coverage tools and online data platforms with integration to electronic health record systems to improve diabetes technology uptake in these practice settings across the United States.<\/jats:p>","DOI":"10.2337\/cd22-0092","type":"journal-article","created":{"date-parts":[[2023,3,15]],"date-time":"2023-03-15T12:14:19Z","timestamp":1678882459000},"page":"386-398","update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":10,"title":["Increasing Use of Diabetes Devices: What Do Health Care Professionals Need?"],"prefix":"10.2337","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7493-0989","authenticated-orcid":false,"given":"Laurel H.","family":"Messer","sequence":"first","affiliation":[{"name":"1University of Colorado School of Medicine, Barbara Davis Center for Diabetes, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Vigers","sequence":"additional","affiliation":[{"name":"2University of Colorado School of Public Health, Department of Biostatistics and Informatics, Aurora, CO"},{"name":"3University of Colorado School of Medicine, Department of Pediatrics, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4518-5179","authenticated-orcid":false,"given":"Halis K.","family":"Akturk","sequence":"additional","affiliation":[{"name":"1University of Colorado School of Medicine, Barbara Davis Center for Diabetes, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory P.","family":"Forlenza","sequence":"additional","affiliation":[{"name":"1University of Colorado School of Medicine, Barbara Davis Center for Diabetes, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelsey B.","family":"Huss","sequence":"additional","affiliation":[{"name":"4University of Colorado School of Medicine, Department of Family Medicine, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela J.","family":"Karami","sequence":"additional","affiliation":[{"name":"1University of Colorado School of Medicine, Barbara Davis Center for Diabetes, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Malecha","sequence":"additional","affiliation":[{"name":"1University of Colorado School of Medicine, Barbara Davis Center for Diabetes, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9640-3087","authenticated-orcid":false,"given":"Sean M.","family":"Oser","sequence":"additional","affiliation":[{"name":"4University of Colorado School of Medicine, Department of Family Medicine, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7602-0396","authenticated-orcid":false,"given":"Sarit","family":"Polsky","sequence":"additional","affiliation":[{"name":"1University of Colorado School of Medicine, Barbara Davis Center for Diabetes, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Pyle","sequence":"additional","affiliation":[{"name":"2University of Colorado School of Public Health, Department of Biostatistics and Informatics, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3827-7107","authenticated-orcid":false,"given":"Viral N.","family":"Shah","sequence":"additional","affiliation":[{"name":"1University of Colorado School of Medicine, Barbara Davis Center for Diabetes, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Paul","family":"Wadwa","sequence":"additional","affiliation":[{"name":"1University of Colorado School of Medicine, Barbara Davis Center for Diabetes, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamara K.","family":"Oser","sequence":"additional","affiliation":[{"name":"4University of Colorado School of Medicine, Department of Family Medicine, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","published-online":{"date-parts":[[2023,3,15]]},"reference":[{"key":"2023071418591315900_B1","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1007\/s00125-021-05648-4","article-title":"Effectiveness of continuous glucose monitoring in maintaining glycaemic control among people with type 1 diabetes mellitus: a systematic review of randomised controlled trials and meta-analysis","volume":"65","author":"Teo","year":"2022","journal-title":"Diabetologia"},{"key":"2023071418591315900_B2","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1089\/dia.2018.0177","article-title":"The effectiveness of continuous glucose monitoring in patients with type 2 diabetes: a systematic review of literature and meta-analysis","volume":"20","author":"Park","year":"2018","journal-title":"Diabetes Technol Ther"},{"key":"2023071418591315900_B3","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1177\/1932296820983863","article-title":"Digital diabetes management: a literature review of smart insulin pens","volume":"16","author":"Heinemann","year":"2022","journal-title":"J Diabetes Sci Technol"},{"key":"2023071418591315900_B4","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1089\/dia.2019.0411","article-title":"Increased time in range and fewer missed bolus injections after introduction of a smart connected insulin pen","volume":"22","author":"Adolfsson","year":"2020","journal-title":"Diabetes Technol Ther"},{"key":"2023071418591315900_B5","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1007\/s13300-020-00980-1","article-title":"Smart insulin pens are associated with improved clinical outcomes at lower cost versus standard-of-care treatment of type 1 diabetes in Sweden: a cost-effectiveness analysis","volume":"12","author":"Jendle","year":"2021","journal-title":"Diabetes Ther"},{"key":"2023071418591315900_B6","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1007\/s00592-019-01326-5","article-title":"Continuous subcutaneous insulin infusion vs modern multiple injection regimens in type 1 diabetes: an updated meta-analysis of randomized clinical trials","volume":"56","author":"Pala","year":"2019","journal-title":"Acta Diabetol"},{"key":"2023071418591315900_B7","doi-asserted-by":"crossref","first-page":"e002633","DOI":"10.1136\/bmjdrc-2021-002633","article-title":"Better TIR, HbA1c, and less hypoglycemia in closed-loop insulin system in patients with type 1 diabetes: a meta-analysis","volume":"10","author":"Jiao","year":"2022","journal-title":"BMJ Open Diabetes Res Care"},{"key":"2023071418591315900_B8","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1089\/dia.2018.0384","article-title":"State of type 1 diabetes management and outcomes from the T1D Exchange in 2016\u20132018","volume":"21","author":"Foster","year":"2019","journal-title":"Diabetes Technol Ther"},{"key":"2023071418591315900_B9","doi-asserted-by":"crossref","first-page":"971","DOI":"10.2337\/dc15-0078","article-title":"Current state of type 1 diabetes treatment in the U.S.: updated data from the T1D Exchange clinic registry","volume":"38","author":"Miller","year":"2015","journal-title":"Diabetes Care"},{"key":"2023071418591315900_B10","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1089\/dia.2019.0097","article-title":"Continuous subcutaneous insulin infusion in adult type 1 diabetes mellitus patients: results from a public health system","volume":"21","author":"Moreno-Fernandez","year":"2019","journal-title":"Diabetes Technol Ther"},{"key":"2023071418591315900_B11","unstructured":"Sikes\n              K\n            , WeymanK. 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