The effectiveness of continuous glucose monitoring with remote telemonitoring-enabled virtual educator visits in adults with non-insulin dependent type 2 diabetes: A randomized trial
Authors' conclusion
CGM with virtual diabetes educator visits is effective, safe, and acceptable in adults with type 2 diabetes not on insulin and should be considered as an alternative to drug therapy for improving blood glucose.
Study context
- Population
- Adults with T2D, not on insulin, HbA1c > 7.0 %; mean age 57.3 years, 49.5 % females, mean baseline HbA1c 8.0 %86 at follow-up
- Participants
- 105 adults
- Comparison
- 6 weeks of continuous glucose monitoring (CGM) with telemonitoring vs enhanced usual care
- Primary endpoint
- Change in HbA1c
- Follow-up
- 12 weeks
Methodological detailsopen-label
- Open-label
Primary result
As reported in the abstract
Difference in HbA1c reduction
0.65 %
95 % CI 0.17–1.12
P = 0.008
Change by group
CGM
−0.69
%
Enhanced usual care
−0.33
%
Further findings
| Outcome | RR (CI) | P value | |
|---|---|---|---|
| HbA1c reduction ≥ 0.5 %92 % more likely with CGM | 1.92 (1.19–3.06) | P = 0.007 | |
| 0.20.5125Relative risk (log scale) |
| Outcome | Difference in weight reduction (kg) (CI) | P value |
|---|---|---|
| Weight reductionMore weight lost with CGM | 2.17 (0.22–4.11) | P = 0.029 |
Treatment satisfaction
- CGM participants were more satisfied with their treatment
Safety
- No treatment-related adverse events were observed
Original publication
The effectiveness of continuous glucose monitoring with remote telemonitoring-enabled virtual educator visits in adults with non-insulin dependent type 2 diabetes: A randomized trial. Diabetes Res Clin Pract. Published 19 October 2024. doi:10. 1016/ j. diabres. 2024. 111899
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