Author Block: RISA WOLF, SUSAN THAPA, FRANZISKA K. BISHOP, NESTORAS MATHIOUDAKIS, NICOLE RIOLES, ELIZABETH A. BROWN, DAVID MAAHS, Baltimore, MD, Boston, MA, Steamboat Springs, CO, Stanford, CA
Introduction and Objective: Early CGM initiation is associated with improved HbA1c and patient satisfaction. We describe practice patterns of CGM initiation and remote-patient monitoring (RPM) across the T1D Exchange QI (T1DX-QI) consortium.
Methods: The annual T1DX-QI survey was administered from August to October 2025 to collect data on frequency of communication with new onset patients, who performed the follow-up and state of RPM using CGM data.
Results: Most centers (63/64, 98%) responded (67% pediatric, 33% adult centers). Follow-up was primarily managed by RN/CDCES in pediatric and by physicians in adult practices during the first month post diagnosis and by RNs in months 2-3 in both settings. Most (55%) pediatric practices started CGM within 3 days of diagnosis, compared to 29% of adult practices. Most practices (pediatrics 76% and adult 67%) connected PwT1D to the clinic CGM portals and were performing RPM. While most practices were billing for CGM interpretation at clinic visits (57% adult, 69% pediatric), few were billing for RPM between clinic visits (29% adult, 21% pediatric), despite frequent contact with PwT1D between visits. Standard protocols for RPM between visits were rare (5% adult, 17% pediatric).
Conclusion: Despite widespread CGM portal connectivity and frequent between-visit contact, standardized RPM protocols and billing for between-visit care remain uncommon, highlighting opportunities to optimize care.
