Diabetes Education With Real-time Continuous Glucose Monitoring

The prevalence of type 2 diabetes is increasing especially in the Latinx community and in family members of those already living with diabetes. Diabetes education is a cornerstone of treatment but is often not culturally tailored and there is limited data on benefit of virtual delivery of sessions. Real Time Continuous glucose monitoring is a tool to improve diabetes but is not readily available to those living with type 2 diabetes not on multiple doses of insulin. Furthermore here is little to no data on RT-CGM use in different minority populations. Data is also lacking on if diabetes education for an individual affects the family unit. We hypothesize that culturally tailored Diabetes self-management education using and support (DSMES) using a team approach of health educators and Community health workers will improve glycemic indices. We further hypothesis that RT-CGM coupled to DSMES will enhances glycemic benefit and change nutrition and activity behaviors. This will be a randomized control trial of 100 Latinx participants who will all receive culturally tailored DSMES with or without cycle RT-CGM over 12 weeks. Primary outcome will be mean A1C improvement at 12 and 24 weeks based on attendance of sessions and RT-CGM use. Secondary outcomes will be satisfaction with education and CGM, changes in weight, blood pressure and self-reported nutrition and exercise changes. This study will be the first study to examine how DSMES with and without RT-CGM use improves health outcomes in the Latinx population and their families

Inclusion criteria

• Participants adults 18-60 years old
• Self-identify as Latinx
• Have had a clinical diagnosis of T2D within the last 15 years with or without medication use
• Have an A1C ≥8.0% at screening
• Own or have routine access to a personal device that allows attending educational sessions virtually
• Be physically and cognitively able to use the home CGM monitoring device
• Be willing and able to follow all other study procedures

Exclusion criteria

• Exclusion Criteria.

• Duration of diabetes >15 years
• Type 1 diabetes or latent autoimmune diabetes
• Current use of prandial insulin
• Any condition that prevents walking at least 1 city block
• History of serious mental illness other than adequately treated depression
• History of bariatric surgery or current participation in a weight management program
• Current diagnosis of cancer or other serious or systemic medical condition
• Significant active cardio- or cerebrovascular disease after review by PI
• Pregnancy
• know history x of of hypoglycemia unawareness
• Unable to read, understand, and sign the Informed Consent Form (ICF) and if applicable, an Authorization to Use and Disclose Protected Health Information form (consistent with Health Insurance Portability and Accountability Act of 1996 [HIPAA] legislation), communicate with the investigator, and understand and comply with protocol requirements