Issues for the coming age of continuous glucose monitoring

PURPOSE This article reports the results of a symposium in which diabetes educators considered and discussed issues that are likely to arise when continuous g lucose monitoring (CGM) becomes available and readily accessible. METHODS Fifteen certified diabetes educators and 5 others with complementary expert ise participated in a discussion based on their responses to 11 questions d esigned to elicit perspectives on issues related to CGM. Issues for discuss ion and debate include those related to patient acceptance and lifestyle, i mplications for professional practice and reimbursement, concerns about pro fessional liability, use of CGM data by insurers and payers, and CGM data t ransfer. RESULTS Educators offered varied and sometimes conflicting responses to CGM-related issues. CONCLUSIONS Awareness of CGM-related issues will likely become an important part of dia betes professional development and perspectives br practice. Identifying an d framing the issues before the new technologies become available allow dia betes educators to participate proactively in structuring the emerging poli cies, procedures, and standards of care.