Continuous glucose monitoring in spanish primary care: Current situation and Delphi consensus to inform clinical practice recommendations.

Abstract

To assess the current situation of continuous glucose monitoring (CGM) use in Spanish primary care (PC) and to agree on CGM-related aspects that should be addressed in future clinical practice recommendations. This cross-sectional study combined a 29-item survey with a Delphi consensus. The survey explored professional characteristics, regional access, use of CGM, coordination between care levels, training, barriers, and perceived impact on clinical management. The Delphi panel evaluated 131 criteria, assessing consensus via RAND/UCLA method. 58 PC healthcare professionals participated (40 physicians, 18 nurses). Participants reported low CGM prescription uptake among eligible people with type 2 diabetes, and identified barriers to broader implementation, particularly lack of CGM integration into electronic medical records (EMRs), limited consultation time, training needs, and suboptimal coordination between primary and hospital care. The main changes perceived as necessary were continuing education, integration of CGM data into EMRs, development of national protocols, and more time per consultation. The Delphi process supported the inclusion of 129 criteria in future recommendations. Spanish PC professionals perceive CGM as a useful tool, but its implementation remains limited by organizational, training, and access-related barriers. Recommendations on CGM use in Spanish PC should be based on this Delphi consensus.