Cost / benefit of finger prick monitoring for Type 2's

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Amity Island

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Relationship to Diabetes
Type 1
PHTI's assessment concentrated on noncontinuous digitally enabled diabetes management solutions for adults with T2D, including remote patient monitoring, behavior, and lifestyle modification support, and connected noncontinuous glucose monitors for HbA1c measurement. The evaluation aimed to determine their clinical benefits, economic impact, and effects on health equity and access.
The evaluation's findings indicate that the digital diabetes management technologies examined do not deliver clinically meaningful benefits compared to usual care for adult patients with T2D. The evidence reveals that these solutions' glycemic control improvements were minimal and short-term. The assessment also highlights that the average price of these solutions outweighs the savings achieved from marginal clinical benefits, leading to increased net spending over three years in commercial insurance, Medicare, and Medicaid (Figure 1).

While the general findings suggest limited clinical benefits, exceptions exist. The evaluation highlights that people with higher starting HbA1c who are newly starting insulin, as well as individuals seeking diabetes remission through nutritional ketosis, may experience clinically meaningful results. Nutritional ketosis programs show potential for producing long-term savings for patients who can complete them.

 
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