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Publications

Journal Article Ahead of print

PubMed: 42803468 DOI: 10.1177/19322968261489568

Diabetes Technology in the Primary Care Setting: An American Diabetes Association Scientific Statement.

J Diabetes Sci Technol

Authors: Osagie Ebekozien, Halis K Akturk, Joseph A Aloi, Natalie Bellini, Benjamin M Bluml, Veronica J Brady, Doreen Cassarino, Stephen C Clement, Carla Demeterco-Berggren, Katherine Claire D'Onfro, Dianna Isaacs, Christopher W Jones, Paige Johnson, Zachary Johnson, David Kerr, Collin Kruczek, Sandra Leal, Janice MacLeod, Thomas W Martens, Eden Miller, Medha N Munshi, Cara E Orr, Sean M Oser, Francisco Prieto, Viral N Shah, Jay Shubrook, Elias S Siraj, Ryan Smith, Pamela L Stamm, Sean Sullivan, Cyril Ubiem, Eugene Wright

Affiliations

  • American Diabetes Association, Arlington, VA, USA.
  • Barbara Davis Center for Diabetes, Aurora, CO, USA.
  • Wake Forest University School of Medicine, Winston-Salem, NC, USA.
  • Case Western Reserve University, University Hospitals, Cleveland, OH, USA.
  • Case Western Reserve University, Cleveland, OH, USA.
  • American Pharmacists Association, Washington, DC, USA.
  • Cizik School of Nursing, UTHealth Houston, TX, USA.
  • American Association of Nurse Practitioners, Austin, TX, USA.
  • Inova Health, Falls Church, VA, USA.
  • University of California, San Diego, USA.
  • Rady Children's Hospital, San Diego, CA, USA.
  • Cleveland Clinic, OH, USA.
  • Intermountain Health, Murray, UT, USA.
  • Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
  • Sutter Health Research Institute, Santa Barbara, CA, USA.
  • Atrium Health, Charlotte, NC, USA.
  • Janice MacLeod Consulting, Baltimore, MD, USA.
  • International Diabetes Center, HealthPartners Institute, Minneapolis, MN, USA.
  • American College of Osteopathic Family Physicians, Chicago, IL, USA.
  • Joslin Diabetes Center, Boston, MA, USA.
  • American Academy of Physician Associates, Alexandria, VA, USA.
  • Salus at Drexel University Physician Assistant Program, Elkins Park, PA, USA.
  • University of Colorado Anschutz, Aurora, CO, USA.
  • Indiana University School of Medicine, Indianapolis, USA.
  • American College of Diabetology, Fayetteville, NC, USA.
  • Touro University California, Vallejo, USA.
  • American Association of Clinical Endocrinology, Jacksonville, FL, USA.
  • Eastern Virginia Medical School, Old Dominion University, Norfolk, USA.
  • American Society of Health-System Pharmacists, Bethesda, MD, USA.
  • Auburn University Harrison College of Pharmacy, Auburn, AL, USA.
  • The Leona M. and Harry B. Helmsley Charitable Trust, New York, NY, USA.
  • Harvard Street Neighborhood Health Center, Dorchester, MA, USA.
  • Piedmont Area Health Education Center, Greensboro, NC, USA.

Abstract

Most diabetes care is delivered in primary care, yet diabetes technologies remain inconsistently integrated. Workforce, training, time, data infrastructure, and insurance barriers contribute to inequitable access and adoption. This scientific statement provides evidence-informed recommendations for integrating diabetes technology into primary care practices. The American Diabetes Association (ADA) convened an interdisciplinary panel that met in person at the Diabetes Technology Meeting in October 2025. Panelists reviewed available evidence, published between 2020 and 2025, on diabetes technology implementation in primary care, with a focus on clear statements and recommendations addressing technology access and adoption, team-based workflows, continuous glucose monitoring, connected insulin delivery, and implementation barriers and opportunities. Virtual meetings were convened over the next 2 months to further develop and finalize statements and recommendations. Together, the ADA and interdisciplinary panel developed 16 consensus statements and 10 key recommendations. Diabetes technologies can be safely and effectively integrated into primary care practices when supported by standardized workflows, appropriate training, defined team roles, and access to specialty expertise. Equitable implementation also requires addressing coverage, affordability, digital literacy, broadband access, interoperability, and workforce development. Integrating diabetes technology into primary care is feasible and necessary to advance equitable, person-centered, data-informed care. Health systems, practices, payors, professional organizations, manufacturers, and policymakers should align resources, training, workflows, payment, and infrastructure to support sustainable implementation and improve outcomes for people with diabetes.

MeSH

Diabetes Mellitus, Workflow, Continuous Glucose Monitoring