Diabetes technology

Cost-Effectiveness Analysis of Real-Time Continuous Glucose Monitoring Versus Self-Monitoring of Blood Glucose in People With Type 2 Diabetes Treated With Non-Intensive Insulin Therapy in South Korea

J Diabetes Sci TechnolPublished Cost-effectiveness analysis

Authors' conclusion

rt-CGM is likely to be cost-effective versus self-monitoring of blood glucose in the management of patients with type 2 diabetes receiving basal insulin regimens in South Korea.

Study context

Population
Simulated cohort of people with T2D receiving basal insulin regimens, South Koreasimulated cohort
Exposure
rtCGM vs SMBG
Outcome
Cost-effectiveness (lifetime horizon)
Follow-up
Remaining lifetime (up to 50 years)
Methodological detailsIQVIA Core Diabetes Model, South Korean payer perspective, simulated cohort based on Korea National Health and Nutrition Examination Survey, remaining lifetime horizon (up to 50 years), discount rate 4.5% per annum
  • IQVIA Core Diabetes Model
  • South Korean payer perspective
  • Simulated cohort based on Korea National Health and Nutrition Examination Survey
  • Remaining lifetime horizon (up to 50 years)
  • Discount rate 4.5% per annum

Main finding

As reported in the abstract

Incremental quality-adjusted life expectancy

0.490 QALYs

Real-time continuous glucose monitoring (rt-CGM) vs SMBG · increase with rt-CGM

Incremental costs

13.3 million KRW

rt-CGM vs SMBG · increase with rt-CGM

Incremental cost-utility ratio

27.1 million KRW per QALY

Between rt-CGM and SMBG · base case; below willingness-to-pay threshold of KRW 47 million

Observational data: associations, not effects.

Original publication

Cost-Effectiveness Analysis of Real-Time Continuous Glucose Monitoring Versus Self-Monitoring of Blood Glucose in People With Type 2 Diabetes Treated With Non-Intensive Insulin Therapy in South Korea. J Diabetes Sci Technol. Published 21 October 2025. doi:10.1177/19322968251382570

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