Diabetes Technology in the Primary Care Setting: An American Diabetes Association Scientific Statement

Most diabetes care is delivered in primary care, yet diabetes technologies remain inconsistently integrated. Workforce, training, time, data infrastructure, and insurance barriers contribute to inequitable access and adoption. This scientific statement provides evidence-informed recommendations for integrating diabetes technology into primary care practices. The American Diabetes Association (ADA) convened an interdisciplinary panel that met in person at the Diabetes Technology Meeting in October 2025. Panelists reviewed available evidence, published between 2020 and 2025, on diabetes technology implementation in primary care, with a focus on clear statements and recommendations addressing technology access and adoption, team-based workflows, continuous glucose monitoring, connected insulin delivery, and implementation barriers and opportunities. Virtual meetings were convened over the next 2 months to further develop and finalize statements and recommendations. Together, the ADA and interdisciplinary panel developed 16 consensus statements and 10 key recommendations. Diabetes technologies can be safely and effectively integrated into primary care practices when supported by standardized workflows, appropriate training, defined team roles, and access to specialty expertise. Equitable implementation also requires addressing coverage, affordability, digital literacy, broadband access, interoperability, and workforce development. Integrating diabetes technology into primary care is feasible and necessary to advance equitable, person-centered, data-informed care. Health systems, practices, payors, professional organizations, manufacturers, and policymakers should align resources, training, workflows, payment, and infrastructure to support sustainable implementation and improve outcomes for people with diabetes.

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Publication Details

Journal
Diabetes Obesity and Cardiometabolic CARE
Published
2026-09-28
DOI
https://doi.org/10.2337/doci26-0005
Primary Topic
Diabetes Management and Education
Type
article
Field-Weighted Citation Impact
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article

Diabetes Technology in the Primary Care Setting: An American Diabetes Association Scientific Statement

Doreen Cassarino, Halis Kaan Aktürk, Benjamin M. Bluml, Diana M. Isaacs et al.
Diabetes Obesity and Cardiometabolic CARE
Diabetes Management and Education
article

Diabetes Technology in the Primary Care Setting: An American Diabetes Association Scientific Statement

Doreen Cassarino, Halis Kaan Aktürk, Benjamin M. Bluml, Diana M. Isaacs, Viral N. Shah, Jay H. Shubrook, Cyril Ubiem, David Kerr, Pamela L. Stamm, Natalie J. Bellini, Sean M. Oser, Eugene E. Wright, Eden M Miller, Thomas W. Martens, Veronica Joyce Brady, Sandra Leal, Carla Demeterco‐Berggren, Joseph Aloi, Janice MacLeod, Medha N. Munshi, Osagie A. Ebekozien, C. J. JONES, Stephen C. Clement, Elias S. Siraj, Katherine Claire D’Onfro, Collin Kruczek, Cara E Orr, Paige Johnson, Zachary Johnson, Francisco Prieto, Ryan Smith, Sean Sullivan
article en

Abstract

Most diabetes care is delivered in primary care, yet diabetes technologies remain inconsistently integrated. Workforce, training, time, data infrastructure, and insurance barriers contribute to inequitable access and adoption. This scientific statement provides evidence-informed recommendations for integrating diabetes technology into primary care practices. The American Diabetes Association (ADA) convened an interdisciplinary panel that met in person at the Diabetes Technology Meeting in October 2025. Panelists reviewed available evidence, published between 2020 and 2025, on diabetes technology implementation in primary care, with a focus on clear statements and recommendations addressing technology access and adoption, team-based workflows, continuous glucose monitoring, connected insulin delivery, and implementation barriers and opportunities. Virtual meetings were convened over the next 2 months to further develop and finalize statements and recommendations. Together, the ADA and interdisciplinary panel developed 16 consensus statements and 10 key recommendations. Diabetes technologies can be safely and effectively integrated into primary care practices when supported by standardized workflows, appropriate training, defined team roles, and access to specialty expertise. Equitable implementation also requires addressing coverage, affordability, digital literacy, broadband access, interoperability, and workforce development. Integrating diabetes technology into primary care is feasible and necessary to advance equitable, person-centered, data-informed care. Health systems, practices, payors, professional organizations, manufacturers, and policymakers should align resources, training, workflows, payment, and infrastructure to support sustainable implementation and improve outcomes for people with diabetes.

Diabetes Obesity and Cardiometabolic CARE
Drexel University Elkins Park Campus (US), Atrium Health Wake Forest Baptist (US), Joslin Diabetes Center (US), American Diabetes Association (US), Cleveland Clinic (US), Touro University California (US), American Pharmacists Association (US), University Hospitals of Cleveland (US), Leona M. and Harry B. Helmsley Charitable Trust (US), American Society of Health-System Pharmacists (US), American Osteopathic Association (US), University of California San Diego (US), Rady Children's Hospital-San Diego (US), Capital Meeting Planning (US), Cottage Health (US), Indiana University School of Medicine, Wake Forest University Health Sciences (US), Wake Forest University (US), University of Colorado Anschutz Medical Campus (US), HealthPartners (US), Case Western Reserve University (US), Old Dominion University (US), Auburn University (US), American Association of Nurse Practitioners (US), The University of Texas Health Science Center at Houston (US)
Quality Education
Openalex Percentile: Top 12%
Diabetes Management and Education
DOISourceOpenAlex
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