Baseline and intervention periods
T1D, diabetes
HYPERGLYCEMIA, DIABETES
During the one-month baseline period after enrollment, the research team tracked remote data-sharing by each participant and contacted individuals whose data was not transmitting consistently in order to identify and assist with any connectivity or software issues they encountered. Feasibility of remote glucose monitoring was defined by the proportion of enrolled participants who successfully established data-sharing by the conclusion of the baseline period. Participants who established remote data-sharing during this period advanced to the six-month intervention period.During the six-month intervention period, the research team generated population analytic reports for the study cohort every month to identify participants with high frequencies of hypo- or hyperglycemia. The Recommendations provided by the investigator during RPM outreach were analogous to the care that would be offered if patients noticed their own concerning glucose trends and contacted the endocrinology team for assistance, except in this case the interaction was clinician-initiated. Advice was personalized and could include changes to insulin doses or pump settings, review of recommended self-care skills and routines for T1D, education about optimal use of diabetes technology, and/or emotional support for stressors related to T1D care if these were disclosed by the participant. Outreach took place either 