Publications by authors named "Poorva Nemlekar"

Objective: To examine the real-world impact of continuous glucose monitoring (CGM) use on glycemic management and health care resource utilization (HCRU) in people with diabetes in a large US-insured population.

Methods: This retrospective observational study used Aetna administrative claims data from a cohort of fully insured commercial and Medicare Advantage beneficiaries with diabetes and with coverage for medical and pharmacy benefits. The index date was the first CGM pharmacy or medical claim observed between January 1, 2019, and December 31, 2021.

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Aims: In 2022, the Centers for Medicare & Medicaid Services released proposed changes to Medicare's continuous glucose monitoring (CGM) coverage policy, making individuals with a history of problematic hypoglycaemia eligible for CGM coverage, irrespective of insulin use. This study estimated the burden of hypoglycaemia in Medicare Advantage beneficiaries with noninsulin-treated type 2 diabetes (T2D).

Materials And Methods: We retrospectively analysed US healthcare claims data using Optum's deidentified Clinformatics® database.

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Introduction: Some people with type 2 diabetes (T2D) require intensive insulin therapy to manage their diabetes. This can increase the risk of diabetes-related hospitalizations. We hypothesize that initiation of real-time continuous glucose monitoring (RT-CGM), which continuously measures a user's glucose values and provides threshold- and trend-based alerts, will reduce diabetes-related emergency department (ED) and inpatient hospitalizations and concomitant costs.

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Article Synopsis
  • Patients with diabetes and chronic kidney disease (CKD) are at increased risk for fluctuating blood sugar levels, which can lead to serious health issues requiring hospitalization.
  • A study analyzed data on insulin-dependent type 2 diabetes patients with stage 3-5 CKD who began using continuous glucose monitoring (CGM) to manage their condition.
  • Results indicated that after starting CGM, hospitalization rates linked to extreme blood sugar levels significantly decreased, showing the potential benefits of CGM for this patient demographic.
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  • Continuous glucose monitoring (CGM) improves glycemic outcomes for diabetes patients, but adherence levels and their impact on outcomes are not fully understood.
  • A study analyzed data from 7,669 individuals with type 1 or type 2 diabetes who started using either intermittent scanned (isCGM) or real-time CGM (rtCGM) over 12 months.
  • Results showed that rtCGM users had significantly higher adherence rates and better A1C reductions compared to isCGM users, indicating that commitment to CGM usage is crucial for managing blood sugar levels effectively.
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  • The study looked at the impact of professional continuous glucose monitoring (p-CGM) on A1C levels in patients with type 2 diabetes who weren’t using insulin.
  • It included data from 15,481 patients, finding that those using p-CGM experienced a greater decrease in A1C levels compared to those who didn’t use it, regardless of any insulin use later on.
  • The results suggest that p-CGM can be beneficial for improving glycemic control in type 2 diabetes patients using multiple noninsulin treatments over a 6-month period.
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  • * Results showed a significant rise in perceived stress and maladaptive coping behaviors, coupled with a decline in mental health-related quality of life during this period.
  • * First- and second-year students showed a moderate to strong correlation between stress and maladaptive coping strategies, highlighting a concerning trend of increasing stress and poor mental health among pharmacy students over time.
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Background: Promotion of prescription drug coupons and vouchers by pharmaceutical manufacturers has increased in recent years. These coupons and vouchers usually subsidize patients' cost-sharing obligations. In other words, drug companies pay for a patient's portion of the drug cost, and the remaining cost is paid by the patient and the patient's health plan.

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Objectives: To assess community pharmacists' perceptions of new or transferred prescription incentives on quality of care, pharmacy practice (e.g., workload), and patient base.

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