(P622) Virtual Insulin Pump Starts in Adults With High Social Vulnerability Scores: Outcomes Study

Delays in insulin pump training due to geography, limited clinic availability, and social determinants of health factors prevent many adults with diabetes from accessing technology that could improve outcomes. This access gap disproportionately affects individuals facing language barriers, inflexible schedules, and transportation limitations. This poster discusses a project aimed at addressing those barriers by offering at-risk communities a fully virtual, bilingual insulin pump training program. The goal of this study is to describe how a virtual insulin pump program—delivered in English and Spanish, including evening and weekend sessions—impacted clinical, behavioral, and qualitative outcomes. The training used a standardized curriculum led by a team of Certified Pump Trainers (CDCESs), with support from a device training lead and administrative staff. This poster highlights the use of CGM-derived metrics standardized according to ADA guidelines and demonstrates how virtual training supported person-centered care. We share outcomes from collaborative, structured, remote delivery of insulin pump therapy and device data integration. Authors: Jacqueline Thompson, MS, RD, CDCES, Marina, CA; Stormie S. Baxter, MEd, CDCES, Pleasant View, UT; Heather Zelenka, MS, CPT, Device Training Lead; Prem Sahasranam, MD; Frank Gavini, MD – all based in Hanford, CA; Theresa Garnero, APRN, BC-ADM, MSN, CDCES, Lucca, Italy; Maheshwari Nallur, MD, Zinah Qader, MD, Mohamed Manswer, MD, Adventist Health, Hanford, CA. All others are affiliated with My Diabetes Tutor. Funding Source: None.