Continuous Glucose Monitoring and Hospitalization Outcomes in Adults with Insulin-Treated Type 2 Diabetes and Complex Care Needs: A Population-Based Study
Authors' conclusion
In this population-based cohort of adults with insulin-treated T2D and CCN, CGM initiation was associated with fewer hospitalizations, shorter hospital stays, and lower hospitalization costs
Study context
- Population
- Adults with insulin-treated T2D and complex care needs (CCN) initiating continuous glucose monitoring (CGM) through the Andalusian Public Health System; mean age 79 years, 55.1% aged ≥80 yearsof 17,561 initiating CGM
- Participants
- 5,281 adults
- Exposure
- After vs before CGM initiation
- Outcome
- Rates of acute diabetes-related complications and cardiovascular admissions
Methodological detailsbefore-after comparison, interrupted time-series analysis, Poisson regression adjusted for person-time
- Before-after comparison
- Interrupted time-series analysis
- Poisson regression adjusted for person-time
Main finding
As reported in the abstract
Acute diabetes-related hospitalization rate
Acute diabetes-related hospitalization rate decreased after vs before CGM initiation (per 10,000 person-years)
from 144.27 to 41.04 per 10,000 person-years
RR after vs before CGM initiation (95% CI 0.19-0.42)
RR 0.28
Observational data: associations, not effects.
Further findings
Cardiovascular admission rate
- Cardiovascular admission rate decreased after vs before CGM initiation (per 10,000 person-years)
- from 387.25 to 251.96 per 10,000 person-years
- RR after vs before CGM initiation (95% CI 0.54-0.78)
- RR 0.65
Interrupted time-series analyses
- Post-intervention hospitalization rates consistently below counterfactual estimates
Mean length of stay (LOS)
- Mean LOS decreased
- 3.68 days (95% CI −5.26 to −2.10; P < 0.001)
Hospitalization costs
- Hospitalization costs decreased per patient-year
- USD657.39
Original publication
Continuous Glucose Monitoring and Hospitalization Outcomes in Adults with Insulin-Treated Type 2 Diabetes and Complex Care Needs: A Population-Based Study. Diabetes Technol Ther. Published 24 September 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →