Diabetes technology

Discrepancies between current displayed and auto‐logged glucose values in FreeStyle Libre 3: Implications for clinical interpretation

Diabetes Obes MetabPublished Secondary analysis of a sensor performance study

Primary result · Difference between CUR and AL valuesResult — go to the resultMean difference −1.2 mg/dL

Authors' conclusion

Although differences between AL and CUR were generally small, they were systematic and more pronounced in critical contexts like hypoglycaemia and rapid glucose change. Recognising these patterns may improve CGM data interpretation and alignment between user actions, provider decisions, and automated systems. These differences can reclassify readings across clinical thresholds, affecting patient-clinician alignment despite small average biases.

Study context

Population
Study participants wearing FreeStyle Libre 3 continuous glucose monitoring (CGM) over 15 days, with three in-clinic sessions with glycaemic excursions
Participants
24 participants
Comparison
Current displayed glucose values (CUR) vs auto-logged glucose values (AL) in FreeStyle Libre 3
Methodological detailspaired comparison, 15-day study, in-clinic sessions with glycaemic excursions
  • Paired comparison
  • 15-day study
  • In-clinic sessions with glycaemic excursions

Primary result

Difference between CUR and AL values

Mean difference

−1.2 mg/dL

As reported in the abstract

Discrepancies exceeding ±10 mg/dL
about 10% of cases

Further findings

MARD

Mean absolute relative difference (MARD)

MARD comparable between AL and CUR, with greater deviation in hypoglycaemia

Display errors (error message instead of CUR value)

Display errors
3.9%
Mean AL difference at display errors (higher glucose levels)
+91.9 mg/dL
Mean absolute rate of change (RoC) difference at display errors (rapid fluctuations)
+1.52 mg/dL/min
P for both associations
P < 0.001
  • Linear mixed-effects models

Original publication

Discrepancies between current displayed and auto‐logged glucose values in FreeStyle Libre 3: Implications for clinical interpretation. Diabetes Obes Metab. Published 18 September 2025. doi:10.1111/dom.70140

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

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