Diabetes technology

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 PractPublished Randomised controlled 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

OutcomeRR (CI)P value
HbA1c reduction ≥ 0.5 %92 % more likely with CGM1.92 (1.19–3.06)P = 0.007
OutcomeDifference in weight reduction (kg) (CI)P value
Weight reductionMore weight lost with CGM2.17 (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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