A cross-sectional survey (29 items) combined with a Delphi consensus (131 criteria, RAND/UCLA method) assessed the current state of CGM use in Spanish primary care and identified priorities for future clinical practice recommendations, with 58 PC professionals (40 physicians, 18 nurses) participating.
CGM prescription uptake among eligible type 2 diabetes patients was reported as low; 129 of 131 Delphi criteria reached consensus for inclusion in future recommendations. Key barriers were lack of CGM integration into electronic medical records (EMRs), limited consultation time, insufficient training, and poor coordination between primary and hospital care.
Small, self-selected sample (n=58) limits generalizability; survey and Delphi responses reflect perceived rather than objectively measured practice; findings are specific to the Spanish primary care context and may not transfer to other health systems.
Primary care clinicians using CGM should advocate for EMR integration of CGM data and structured training programs, as these are the top barriers slowing uptake. National protocols and dedicated consultation time for CGM review are seen as the most needed systemic changes.
