Social Determinants of Health and Continuous Glucose Monitoring Metrics in Type 1 or Type 2 Diabetes - Report - MDSpire

Social Determinants of Health and Continuous Glucose Monitoring Metrics in Type 1 or Type 2 Diabetes

  • By

  • Walter T. Williamson

  • Neo Kok

  • Joyce M. Lee

  • Jenna Wiens

  • Irina Gaynanova

  • July 1, 2026

  • 0 min

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Impact of Social Determinants on Continuous Glucose Monitoring Outcomes

Overview

This study investigates the influence of social determinants of health (SDOH) on glycemic management outcomes in individuals with type 1 and type 2 diabetes using continuous glucose monitoring (CGM). It highlights disparities in HbA1c levels associated with race, ethnicity, and socioeconomic factors.

Background

Diabetes management outcomes, particularly HbA1c levels, are significantly affected by social determinants of health, including race, ethnicity, and socioeconomic status. Disparities in diabetes technology adoption, such as CGM, can lead to varied glycemic control outcomes.

Data Highlights

No specific numerical data or trial data was provided in the source material.

Key Findings

  • Higher HbA1c levels are associated with lower rates of CGM adoption.
  • Public health insurance correlates with poorer glycemic metrics across demographics.
  • Being Black and living in disadvantaged neighborhoods are linked to higher HbA1c levels.
  • CGM-derived metrics provide insights into glycemic variability, complementing HbA1c measurements.
  • Socioeconomic status impacts diabetes management outcomes.

Clinical Implications

Healthcare providers should consider the impact of social determinants of health when evaluating diabetes management strategies. Addressing disparities in CGM access and utilization may improve glycemic outcomes for marginalized populations.

Conclusion

The study underscores the importance of integrating social determinants into diabetes management to enhance glycemic control and reduce health disparities.

Related Resources & Content

  1. Williamson et al, JAMA Network Open, 2026 -- Closing Diabetes Disparities—Is Technology Access Enough?
  2. Frontiers in Endocrinology, 2026 -- Impact of continuous glucose monitoring on patient-reported outcomes in adults with type 2 diabetes: a Systematic Review and meta-analysis
  3. American Diabetes Association, 2026 -- The American Diabetes Association Releases “Standards of Care in Diabetes—2026”
  4. Journal of Medical Internet Research (JMIR) — A Digital Diabetes Self-Management Education and Support Program Integrated With Continuous Glucose Monitoring for Type 2 Diabetes: Randomized Controlled Trial
  5. Journal of Medical Internet Research (JMIR) — Clinical Effects of a Digital Health Intervention for Adults With Type 2 Diabetes in the United States: Retrospective Cohort Study
  6. The American Diabetes Association Releases “Standards of Care in Diabetes—2026” | American Diabetes Association
  7. Continuous Glucose Monitoring in Type 1 Diabetes, Type 2 Diabetes, and Diabetes During Pregnancy: A Systematic Review with Meta-Analysis of Randomized Controlled Trials - Evangelos C. Rizos, Georgios Markozannes, Nikolaos Charitakis, Panagiotis Filis, Anastasia E. Stoimeni, Kirsten Nørgaard, Evangelia E. Ntzani, Konstantinos K. Tsilidis, 2025
  8. Disparities in Continuous Glucose Monitoring Among Patients Receiving Care in Federally Qualified Health Centers | Diabetes and Endocrinology | JAMA Network Open | JAMA Network

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