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To use an enhanced continuous glucose monitor (CGM) experience, including an automated CGM-electronic health record (EHR) data integration system, proactive interventions, and gamification techniques, to increase CGM use among publicly-insured youth with type 1 diabetes (T1D).
The investigators will use an automated data integration system to monitor hours per week the CGM is worn and target interventions/troubleshooting techniques as needed. The investigators will use gamification techniques (i.e. ability to gain points and achieve small rewards) to help encourage CGM use and potentially improve glycemic control in this at-risk population.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Gamification | Experimental | Use of continuous glucose monitor (Dexcom G5) with proactive intervention and incentives for time in use. |
|
| Standard care | Active Comparator | Use of continuous glucose monitor (Dexcom G5) per usual care. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| gamification | Behavioral | incentives/rewards and contact between standard visits |
| |
| Measure | Description | Time Frame |
|---|---|---|
| CGM use | amount of time per week CGM is used | baseline to 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Hgb A1c | glycemic control as measured by Hgb A1c | baseline to 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Maria Chang, MD | Stanford University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Stanford Children's | Stanford | California | 94305 | United States |
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| Use of Dexcom G5 |
| Behavioral |
Dexcom G5 continuous glucose monitor |
|