Diabetes technology

Impact of Continuous Glucose Monitoring on Clinical Outcomes and Productivity Losses Among People Living With Type 2 Diabetes Not Using Insulin From an Employer’s Perspective

J Diabetes Sci TechnolPublished Pre-post observational study

Main finding · Mean HbA1c, overallResult — go to the resultMean reduction 0.52 %

Authors' conclusion

In this population, CGM was associated with improvements in clinical outcomes and absenteeism, although the economic implications require further evaluation. BMI and absenteeism were statistically significantly improved among persistent patients, compared with those of the nonpersistent cohort. Employers could benefit from broader coverage of CGM in this population.

Study context

Population
People living with T2D not using insulin who initiated continuous glucose monitoring (CGM), large employer health plan; mean age 52.3 years, 56.3% female
Participants
71 people
Exposure
360 days after vs 360 days before CGM initiation; CGM-persistent vs nonpersistent
  • Persistentn = 33
Outcome
Mean HbA1c, overall
Follow-up
360 days after vs 360 days before CGM initiation
Methodological detailsreal-world data, large employer health plan
  • Real-world data
  • Large employer health plan

Main finding

As reported in the abstract

Mean reduction

0.52 %

P = 0.042

Mean HbA1c before → after CGM initiation
7.6% to 7.1%

Observational data: associations, not effects.

Further findings

OutcomePersistentNonpersistentEstimateP value
Mean BMI, overall · 360 days after vs 360 days before CGM initiationLower after CGM initiation; N = 34mean decrease 0.95 kg/m²P = 0.075
Mean change in HbA1c, Persistent vs NonpersistentLarger reduction with Persistent · %−0.89−0.17mean difference 0.72 %P = 0.152
Mean change in BMI, Persistent vs NonpersistentLarger reduction with Persistent · kg/m²−2.26+0.37mean difference 2.62 kg/m²P = 0.009
Change in absenteeism (mean sick days), Persistent vs Nonpersistentmean −8.41 sick daysmean +6.95 sick daysmean difference 15.36 daysP = 0.002
  • Change in absenteeism (mean sick days), Persistent vs Nonpersistent: absenteeism decreased with Persistent, increased with Nonpersistent

Original publication

Impact of Continuous Glucose Monitoring on Clinical Outcomes and Productivity Losses Among People Living With Type 2 Diabetes Not Using Insulin From an Employer’s Perspective. J Diabetes Sci Technol. Published 14 April 2026. doi:10.1177/19322968261428484

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