Diabetes technology

Continuous Glucose Monitoring Systems in Noninsulin-Treated People with Type 2 Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Diabetes Technol TherPublished Systematic review and meta-analysis of randomised controlled trials

An erratum to this article was published (Diabetes Technol Ther, Aug 2026 ↗)

Pooled result · HbA1cResult — go to the resultWMD −0.31 % 95% CI −0.42 to −0.21

Authors' conclusion

In this meta-analysis, rt-CGM and is-CGM were associated with improvement in glycemic control in people with T2D not using insulin when compared to SMBG.

Study context

Population
Noninsulin-treated people with T2D; diabetes duration 5.4 to 13.9 years, mean age 57.9 years, mean BMI 30.8 kg/m²
Participants
407 people6 randomized controlled trials (RCTs)
Comparison
Continuous glucose monitoring (CGM) vs self-monitoring of blood glucose (SMBG)
  • CGMn = 228
Outcome
HbA1c

Pooled result

As reported in the abstract

WMD

−0.31 %

95% CI −0.42 to −0.21

CGMvs SMBG
WMD −0.31 % (95% CI −0.42 to −0.21)

Further pooled results

OutcomeWMD (mg/dL) (95% CI)
Glucose levelI2 = 0%−11.16 (−19.94 to −2.39)
SD of glucose variationI2 = 0%−4.00 (−6.86 to −1.14)
OutcomeWMD (%) (95% CI)
Time in hypoglycemia level 2I2 = 91%−0.28 (−0.52 to −0.03)
Glucose time >180 mg/dLI2 = 0%−7.75 (−12.04 to −3.45)
TIRI2 = 0%8.63 (4.54–12.71)
OutcomeSMD (95% CI)
Treatment satisfactionI2 = 0%0.79 (0.54–1.05)

Original publication

Continuous Glucose Monitoring Systems in Noninsulin-Treated People with Type 2 Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Diabetes Technol Ther. Published 13 February 2024. doi:10.1089/dia.2023.0390

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