Limited Time and Resources Hinder Patient Counseling on Continuous Glucose Monitors

Research has shown that community pharmacists face challenges in providing effective patient education on continuous glucose monitors (CGMs), which are crucial for diabetes management. According to a recent study, limited time and resources may result in inadequate or absent counseling, potentially impacting the accuracy and accessibility of CGM use.

Key Takeaways:

  • 125 community pharmacies in Austin, TX were visited in person to assess CGM counseling offered by pharmacists.
  • Trained auditors simulated a patient requesting pharmacist counseling on a CGM device, using Freestyle Libre 3 and Dexcom G7 devices in two phases.
  • Competency outcomes measured included glycemic targets, device components, placement technique, and glucose checking/assessing.
  • 114 (91.2%) community pharmacies participated in both phases, with counseling provided more often for Freestyle Libre (88.6%) compared to Dexcom (71.1%).
  • Barriers to effective counseling include low pharmacist comfort with CGMs and potential lack of familiarity with device types.
  • Additional research found that community pharmacists are often dispensing CGMs in community pharmacies, placing a growing responsibility on pharmacists to provide patient education.

Statistics:

  • 91.2% of community pharmacies participated in both phases of the study.
  • Counseling was provided 88.6% of the time for Freestyle Libre and 71.1% of the time for Dexcom devices.
  • The study assessed 125 community pharmacies in Austin, TX.

Sources:

  • NewsRx. Reports Outline Education Findings from University of Texas Austin (Assessing the Accessibility and Accuracy of Pharmacist Counseling for Continuous Glucose Monitoring: a Secret Shopper Study of Community Pharmacies). Diabetes Week. November 3, 2025; p 323.
  • "Assessing the Accessibility and Accuracy of Pharmacist Counseling for Continuous Glucose Monitoring: a Secret Shopper Study of Community Pharmacies," Journal of the American Pharmacists Association, 2025;65(6).