ArticleJournal of diabetes science and technology2026
Temporal Changes in Continuous Glucose Monitoring Profiles in Health Care Workers Participating in a Digitally Delivered Metabolic Wellness Program.
Article in Journal of diabetes science and technology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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10 authors.
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Abstract
backgroundHealth care workers face elevated cardiometabolic risks due to irregular hours and chronic stress, yet targeted interventions are limited. This study evaluated an 8-week digital Metabolic Wellness Program (MWP), combining lifestyle education with real-time continuous glucose monitoring (CGM).
methodsOne hundred health care workers and dependents within a California health care system completed the MWP and were stratified by baseline time in tight range (TITR) 70 to 140 mg/dL. Continuous glucose monitoring (CGM)-derived metrics (average glucose [AG], glycemia risk index [GRI], time in range [TIR] 70-180 mg/dL, TITR, coefficient of variation [CV]) were evaluated via static pre-post comparison. These were supplemented by novel temporal change metrics: mean change index (MCI, average daily change relative to baseline) and improvement consistency index (ICI, % days with improvement). Engagement and behavioral changes were also assessed.
resultsStatic pre-post comparisons of CGM-derived metrics showed no significant glycemic changes cohort-wide or within TITR strata. However, temporal change metrics revealed improvements across participants. The low TITR (<70%) Group showed comprehensive improvements: AG (MCI -17.2 mg/dL), GRI (MCI -15.3), CV (MCI -3.2%), TIR (MCI 8.5%), and TITR (MCI 8.8%), with consistent improvements in GRI (ICI 72.1%), TIR (ICI 70.5%), and CV (ICI 73.3%), all
conclusionsWhile static CGM metrics remained unchanged, MWP participation was associated with significant behavioral and temporal glycemic improvements, particularly among those with lower baseline TITR. Long-term sustainability warrants further investigation.
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