Diabetes technology

Efficacy of flash glucose monitoring on HbA1c in type 2 diabetes: An individual patient data meta-analysis of real-world evidence

Diabetes Res Clin PractPublished Individual patient data meta-analysis of observational studies

Authors' conclusion

Commencement of flash glucose monitoring was associated with a significant reduction in HbA1c at 3-6 months in a real-world setting in T2DM managed with insulin.

Study context

Population
Adults with T2DM managed with insulin and baseline HbA1c 8.0 %-12.0 % (64–108 mmol/mol); mean age 62.8 years, BMI 32.2 kg/m²
Participants
803 adults8 observational studies
Comparison
Before vs after commencing flash glucose monitoring
Outcome
Change in HbA1c
Follow-up
3-6 months
Methodological detailsreal-world evidence, one-stage model
  • Real-world evidence
  • One-stage model

Pooled result

As reported in the abstract

HbA1c reduction

HbA1c reduction after commencing flash glucose monitoring, %

0.89 %

95% CI 0.71 to 1.08

HbA1c reduction, mmol/mol

9.8 mmol/mol

95% CI 7.8 to 11.8

Further pooled results

Heterogeneity between studies (one-stage model)

Age, BMI and baseline HbA1c accounted for the substantial heterogeneity observed between studies

Baseline characteristics of included patients

Age, mean (SD)
62.8(11.4) years
BMI, mean (SD)
32.2(6.8) kg/m²
Baseline HbA1c, mean (SD)
9.0(0.9) % [75 (10) mmol/mol]

Original publication

Efficacy of flash glucose monitoring on HbA1c in type 2 diabetes: An individual patient data meta-analysis of real-world evidence. Diabetes Res Clin Pract. Published 4 December 2024. doi:10.1016/j.diabres.2024.111950

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