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Journal article
Continuous Glucose Monitors and Programmed Shared Medical Appointments in Managing Type 2 Diabetes Mellitus Among First Nation Women in Australia: A Co-Designed Feasibility Study
American Journal of Lifestyle Medicine, Vol.First online
08/01/2025
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Abstract
First Nations women in Australia diagnosed with type 2 diabetes, co-designed and attended a programmed shared medical appointment that included continuous glucose monitors and culturally responsive food appreciation activities over 8 weekly sessions to improve glycaemic control. The project was a single site, longitudinal change from baseline, mixed methods, feasibility study using HbA1c as the primary outcome measure. Secondary outcome measures included, weight, metabolic health-related blood panels, CGM, Blood Glucose Levels (BGL) time-in-range percentage, Patient Activation Measure (PAM) and Problem Areas In Diabetes (PAID) tools and client satisfaction survey and semi focussed interviews. Forty participants commenced and twenty-five participants completed the program (62,5%). Of the completing participants the mean HbA1c had an absolute reduction of 0.7 percentage points ( from baseline to program completion, P = .013). Eighteen (75%) reduced HbA1c and maintained some reduction for 12 months. Seven (28%) achieved remission, HbA1c <6.4% (46 mmol/l) maintained for 12 months. There were statistically significant improvements in weight, systolic blood pressure, liver enzymes, BGL time-in-range, PAM and PAID scores. It is feasible to use programmed shared medical appointments incorporating CGM aiming to improve glycaemic control and other metabolic measures of health among First Nations women in Australia.
Details
- Title
- Continuous Glucose Monitors and Programmed Shared Medical Appointments in Managing Type 2 Diabetes Mellitus Among First Nation Women in Australia: A Co-Designed Feasibility Study
- Creators
- John Stevens - Southern Cross UniversityWillow Firth - South Coast Women’s Aboriginal Health and Well-Being Organisation (Australia)Lynne Dooley - South Coast Women’s Aboriginal Health and Well-Being Organisation (Australia)Hayley Longbottom - South Coast Women’s Aboriginal Health and Well-Being Organisation (Australia)Kalinda Wills - South Coast Women’s Aboriginal Health and Well-Being Organisation (Australia)Garry Egger - Southern Cross UniversityBob Morgan - University of Newcastle
- Publication Details
- American Journal of Lifestyle Medicine, Vol.First online
- Publisher
- Sage; THOUSAND OAKS
- Grant note
- This work was supported by the Commonwealth Government of Australia; GO-4300 - 4-G1A1Z8O.
- Identifiers
- 991013357809802368
- Copyright
- © 2025 The Author(s).
- Academic Unit
- National Centre for Naturopathic Medicine
- Language
- English
- Resource Type
- Journal article