Evaluation of a Continuous Glucose Monitoring–Based Insulin Titration Protocol for Inpatients With Type 2 Diabetes in Non-Intensive Care Unit Settings
Authors' conclusion
The CGM-based insulin titration protocol by Olsen et al has been successfully implemented for titrating basal, prandial, and correctional insulin in inpatients with type 2 diabetes in non-ICU settings. It was highly accepted by inpatient diabetes teams
Study context
- Population
- Inpatients with T2D monitored by continuous glucose monitoring (CGM) in non-ICU settings; insulin titration decisions by 7 inpatient diabetes team members over 353 days7 team members
- Participants
- 84 inpatients
- Outcome
- Acceptability and operability of the Olsen et al CGM-based insulin titration protocol (adherence to protocol; team questionnaires)
Main finding
As reported in the abstract
Adherence to protocol
- Basal insulin titration decisions adhering to protocol
- 439/456 (96.3%)
- Prandial insulin adherence, breakfast
- 83.9% (125/149)
- Prandial insulin adherence, lunch
- 87.2% (130/149)
- Prandial insulin adherence, dinner
- 92.6% (138/149)
- Prandial adherence across meals
- p=0.163
Observational data: associations, not effects.
Further findings
Protocol usability rated by team members (1–10 scale)
- Basal insulin usability, mean (SD)
- 8.7 (0.9)
- Prandial insulin usability, mean (SD)
- 8.3 (1.4)
- Correctional insulin usability, mean (SD)
- 7.4 (1.9)
- All team members preferred having a protocol for CGM-based insulin titration
Original publication
Evaluation of a Continuous Glucose Monitoring–Based Insulin Titration Protocol for Inpatients With Type 2 Diabetes in Non-Intensive Care Unit Settings. J Diabetes Sci Technol. Published 5 April 2025. doi:10.
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