The AFP podcast is sponsored by the American Academy of Family Physicians, and by One Medical,

a primary care practice committed to advancing quality of care nationwide while improving

the experiences of clinicians and patients. More details about their philosophy of care, as well

as current opportunities for primary care providers across 13 U.S. cities, are at Onemedical.com slash careers slash clinical. Welcome to the American Family Physician Podcast for the June 1st, 2021 issue.

I'm Jake.

I'm Keanu and I'm Genevieve.

And we are residents and faculty, mostly residents of the University of Arizona College of Medicine

Phoenix Family Medicine residency. Today on the podcast, we'll talk about continuous glucose

monitoring, polycythemia vera, pre-operative A1C thresholds, pesteries for managing pelvic organ

prolapse, tinnitus, and eggs and cardiovascular disease.

The opinions expressed in the podcast are our own and do not represent the opinions of the American Academy of Family Physicians, the editor of American Family Physician or Banner Health.

Do not use this podcast for medical advice. Instead, see your own family doctor for medical care. First up, we have a poem. And this one comes to us from EBM pharmacist guru, Dr. Alan

Chonnessy. Starting off strong with a poem.

Woo!

This one is looking at continuous glucose monitoring and asking if it improves glucose control.

They identified 15 RCTs with 2,400 patients followed for 3 to 9 months. Important to note here, only three

of the studies included patients with type 2 diabetes, 19% of included patients. All of those patients

were taking multiple doses of insulin. On average, A1C decreased by approximately 0.5 with continuous glucose monitoring,

but this difference went away when excluding children and pregnant women from the studies.

Time spent in appropriate glucose range per day increased an average of 70 minutes per day,

and time spent in severe hypoglycemia, defined as less than 54, was shorter with

continuous monitoring. Also important to note, the included studies had high heterogeneity in patient

...