Issues for the coming age of continuous glucose monitoring.
This article reports the results of a symposium in which diabetes educators considered and discussed issues that are likely to arise when continuous glucose monitoring (CGM) becomes available and readily accessible.



Fifteen certified diabetes educators and 5 others with complementary expertise participated in a discussion based on their responses to 11 questions designed to elicit perspectives on issues related to CGM. Issues for discussion and debate include those related to patient acceptance and lifestyle, implications for professional practice and reimbursement, concerns about professional liability, use of CGM data by insurers and payers, and CGM data transfer.



Educators offered varied and sometimes conflicting responses to CGM-related issues.



Awareness of CGM-related issues will likely become an important part of diabetes professional development and perspectives in practice. Identifying and framing the issues before the new technologies become available allow diabetes educators to participate proactively in structuring the emerging policies, procedures, and standards of care.
Pichert
J W
JW
The Vanderbilt University Diabetes Research and Training Center, Nashville, Tennessee (Dr Pichert)
Campbell
K
K
Washington State University, Pullman, Washington (Mr Campbell)
Cox
D J
DJ
University of Virginia, Char­lottesville, Virginia (Dr Cox)
D'Lugin
J J
JJ
WebMD, Atlanta, Georgia (Dr D'Lugin)
Moffat
J W
JW
AvMed, Gainsville, Florida (Dr Moffat)
Polonsky
W H
WH
The Department of Psychiatry, University of California, San Diego (Dr Polonsky)
D001291:Attitude of Health Personnel; D015190:Blood Glucose Self-Monitoring / Q000191:economics / Q000523:psychology / Q000592:standards* / Q000639:trends; D003219:Confidentiality / Q000331:legislation & jurisprudence; D003920:Diabetes Mellitus / Q000378:metabolism* / Q000534:rehabilitation*; D004046:Dietetics; D006801:Humans; D016365:Liability, Legal; D008019:Life Style; D009720:Nurse Clinicians / Q000523:psychology; D010342:Patient Acceptance of Health Care / Q000523:psychology; D010353:Patient Education as Topic / Q000592:standards*; D011364:Professional Practice / Q000592:standards*; D012051:Reimbursement Mechanisms; D011795:Surveys and Questionnaires