Diabetes technology

Continuous glucose monitoring for glycaemic control and cardiovascular risk reduction in patients with type 2 diabetes not on insulin therapy: A clinical trial

Diabetes Obes MetabPublished Crossover study

Authors' conclusion

Dexcom G6 CGM was associated with improved glycaemic control and cardiometabolic risk in patients with T2DM who were not on insulin. CGM can be a safe and effective tool to improve diabetes management in patients at high risk for adverse cardiovascular outcomes.

Study context

Population
Adults with T2D, HbA1c >7%, body mass index (BMI) ≥30 kg/m², not using insulin; 44% women, 34% Black, mean age 63 years, mean BMI 37 kg/m², HbA1c 8.4%, 10-year predicted ASCVD risk 24.0%
Participants
47 adults
Comparison
Unblinded Dexcom G6 continuous glucose monitoring (CGM) vs blinded CGM with standard SMBG
Outcome
Glycaemic control (CGM metrics)
Follow-up
90 days
Methodological detailstwo-phase cross-over, paired tests
  • Two-phase cross-over
  • Paired tests

Main finding

As reported in the abstract

Average glucose reduced (mg/dl)

184.0 to 147.2

p < .001

TIR increased (%)

57.8 to 82.8

p < .001

Trend towards lower glucose variability (%)

26.2 to 23.8

Further findings

Cardiometabolic risk factors and diabetes distress · 90 days

Significant reductions in HbA1c, BMI, triglycerides, blood pressure, total cholesterol, diabetes distress and 10-year predicted ASCVD risk
P < 0.05 for all

Prescriptions · 90 days

SGLT2i prescriptions increased (%)
36.2 to 83.0
GLP-1 RA prescriptions increased (%)
42.5 to 87.2
P for both
P < 0.001 for both

Original publication

Continuous glucose monitoring for glycaemic control and cardiovascular risk reduction in patients with type 2 diabetes not on insulin therapy: A clinical trial. Diabetes Obes Metab. Published 28 April 2024. doi:10.1111/dom.15608

Composed by AI from the published abstract and checked against it. How Briefs are made →

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