Continuous glucose monitoring (CGM) usage has been shown to improve disease outcomes in people living with diabetes by facilitating better glycemic management. However, previous research has suggested that access to these devices can be influenced by nonmedical factors such as socioeconomic status and ethnicity. It is critical that equitable access to CGM devices is ensured as people from those groups experience poorer diabetes-related health outcomes. In this narrative review, we provide an overview of the various healthcare systems worldwide and how socioeconomic status, social context, and ethnicity shape device usage and the associated health outcomes. In general, we found that having a lower socioeconomic status and belonging to an ethnic minority group negatively impact CGM usage. While financial means proved to be an important mediator in this process, it was not the sole driver as disparities persisted even after adjustment for factors such as income and insurance status. Recommendations to increase CGM usage for people of a lower socioeconomic status and ethnic minorities include increasing the availability of financial, administrative, and educational support, for both patients and healthcare providers. However, recommendations will vary due to local country-specific circumstances, such as reimbursement criteria and healthcare ecosystems.

中文翻译：

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社会经济因素、社会决定因素和种族对糖尿病患者使用葡萄糖传感器技术的影响：叙述性回顾

连续血糖监测 (CGM) 的使用已被证明可以通过促进更好的血糖管理来改善糖尿病患者的疾病结果。然而，之前的研究表明，使用这些设备可能会受到社会经济地位和种族等非医疗因素的影响。确保公平地获得 CGM 设备至关重要，因为这些群体的人与糖尿病相关的健康状况较差。在这篇叙述性评论中，我们概述了世界各地的各种医疗保健系统，以及社会经济地位、社会背景和种族如何影响设备的使用和相关的健康结果。总的来说，我们发现社会经济地位较低且属于少数族裔群体会对 CGM 的使用产生负面影响。虽然金融手段被证明是这一过程中的重要中介因素，但它并不是唯一的驱动因素，因为即使在调整收入和保险状况等因素后，差距仍然存在。增加社会经济地位较低人群和少数民族人群 CGM 使用的建议包括增加患者和医疗保健提供者的财务、行政和教育支持。但是，建议会根据当地国家的具体情况（例如报销标准和医疗保健生态系统）而有所不同。