935-P: Impact of Social Determinants of Health (SDoH) on Participation in a Remote Monitoring Diabetes Program (RDMP) to Improve Glycemic Control

Abstract

Introduction: Socioeconomic and educational status impact diabetes self-management and are believed to affect utilization of digital health programs, which could widen healthcare disparities. The objective of this study was to examine SDoH within members of Livongo for Diabetes, a RDMP, and impact on program engagement and glycemic control. Methods: Members enrolled in the RDMP for 12-18 months were surveyed to capture education level, income, and member characteristics. Zip code was used to identify area deprivation index. Program engagement assessed by self-monitoring blood glucose values (SMBG) , application access, and coaching was evaluated during 12-months prior to survey, and glycemic control was defined as an estimated A1c < 7% based on mean SMBG values within 90-days of survey. Multivariable logistic regression models were used to evaluate the impact of SDoH variables on high program engagement and glycemic control. Results: Of 1,3respondents, mean (SD) age was 51 (11) , 54% female, 13% Black, 5% Asian, 12% Hispanic, and 84% type 2 diabetes. SDoH variables (see table) were not associated with either outcome. Conclusions: Evaluated SDoH do not appear to impact high RMDP utilization known to improve A1c by addressing individualized needs through education and coaching designed to address health literacy levels. Disclosure T.Kompala: Consultant; Eli Lilly and Company, Employee; Teladoc Health. W.Lu: Employee; Teladoc Health. S.L.Painter: Employee; Livongo, Teladoc Health. R.James: Employee; Livongo, Teladoc Health. A.Salehi: Employee; Livongo. H.Liu: Employee; Teladoc Health, Stock/Shareholder; Teladoc Health.