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Eastern States Conference for Pharmacy Residents and Preceptors
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Improving concordance of continuous glucose monitor protocols through clinical pharmacy practitioner outreach
Thursday May 14, 2026 3:00pm - 4:00pm EDT
Conference Hall
  • Title: Improving concordance of continuous glucose monitor protocols through clinical pharmacy practitioner outreach
  • Authors: Rebecca Sicat, PharmD; Rita Bodine, PharmD, DPLA; Karen Park, PharmD, BCACP; Rosa Bates, PharmD, BCACP
  • Objective: Identify patients utilizing continuous glucose monitors who require evaluation according to facility protocols.
  • Self Assessment Question: What is the primary goal of identifying veterans using continuous glucose monitors (CGMs) in this project?
    A. To transition all patients to glucometers
    B. To ensure periodic CGM data evaluations are completed for veterans not receiving endocrinology or pharmacy follow‑up
    C. To discontinue CGM use for nonadherent patients
    D. To replace endocrinology follow-up
  • Background: This study aims to improve adherence to VA facility protocols for continuous glucose monitor (CGM) data review through targeted Patient-Aligned-Care-Team (PACT) pharmacy clinic outreach and enrollment.
  • Methods: This prospective project identified veterans at the Veterans Affairs Hudson Valley Health Care System (VAHVHCS) using continuous glucose monitors (CGMs) to determine whether periodic data reviews were completed per facility protocols. Patients with active outpatient prescriptions for CGM sensors were identified on January 1, 2026. Clinic data were collected from February 19 to May 4, 2026. Veterans not followed by an endocrinologist or clinical pharmacy practitioner at VAHVHCS were assessed for outreach. Exclusion criteria included utilization of insulin pumps or active participation in the Patient-Aligned-Care-Team (PACT) pharmacy clinic or endocrinology clinic. Eligible patients were offered enrollment in the PACT pharmacy clinic for CGM data evaluation. Data collection included demographics, device type, indication, adherence to device use and clinic visits, treatment recommendations, and available glycemic outcomes such as hemoglobin A1c and ambulatory glucose profile metrics.
  • Results: A total of 527 veterans with active prescriptions for continuous glucose monitor (CGM) sensors were identified. Seventy-five veterans were eligible for outreach, and contact was attempted for 57. Twenty-one veterans were scheduled with the clinical pharmacy practitioner (CPP), however, two did not show. Majority of veterans were Caucasian males with type 2 diabetes mellitus using a Dexcom device. Veterans showed high adherence to CPP visits (85%) and diabetes medications (81%). CGM data was unavailable for 5 veterans. About 38% of veterans were below their 30-day Time-In-Range (TIR) goal at initial CPP visit, indicating opportunities for improvement. Follow-up visits were limited, with only slight improvements seen in hemoglobin A1c.
  • Conclusion: Overall, clinical pharmacy practitioner outreach facilitated identification of veterans not adherent to CGM facility protocols. Enrollment into the PACT pharmacy clinic provided an opportunity for further glycemic optimization as some veterans were not at target TIR. Future steps include extending follow-up intervals to every 3-6 months for well-controlled patients in the clinic while continuing outreach and enrollment.
Moderators
avatar for Siu Yan Amy Yeung

Siu Yan Amy Yeung

Clinical Pharmacy Specialist/PGY1 Residency Program Director, University of Maryland Medical Center

Presenters
avatar for Rebecca Sicat

Rebecca Sicat

PGY-2 Ambulatory Care Pharmacy Resident, VA Hudson Valley Health Care System
Hello everyone! My name is Rebecca Sicat. I received my PharmD from the University at Buffalo School of Pharmacy and Pharmaceutical Sciences. I completed my PGY-1 pharmacy residency at the James J. Peters VA Medical Center in the Bronx, NY, and I am currently a PGY-2 ambulatory care... Read More →
Evaluators
avatar for Merid Belayneh

Merid Belayneh

Ambulatory Care Clinical Pharmacist Practitioner, VA Maryland Heath Care System
Received a B.A. in Chemistry from Georgia State University in 2007 and a Doctor of Pharmacy from the Virginia Commonwealth University in 2013. He completed a PGY-1 Pharmacy Practice Residency and PGY-2 Ambulatory Care Residency at the VAMHCS from 2013 -2015. Upon completion of his... Read More →
avatar for Sara Gaines

Sara Gaines

Clinical Pharmacist/RPD, Geisinger Health System - Danville, PA
Dr Gaines is a graduate of Ohio Northern University Raabe College of Pharmacy. After graduation, she completed a PGY1 pharmacy practice residency at Conemaugh Memorial Medical Center in Johnstown, PA.  She currently works at Geisinger Medical Center in the Hepatology clinic as an... Read More →
Thursday May 14, 2026 3:00pm - 4:00pm EDT
Conference Hall

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