Impact of continuous glucose monitoring on hospitalizations and glucose control in people with type 2 diabetes: real‐world analysis
Authors' conclusion
CGM use in real-life across different therapeutic regimens in adults with T2D was associated with reductions in health care resource utilization with improved glucose control over 1 year.
Study context
- Population
- Adults with T2D transitioning from blood glucose monitoring to continuous glucose monitoring (CGM), Optum's de-identified Market Clarity data
- Participants
- 74,679 adults
- Exposure
- Post-index CGM use vs pre-index blood glucose monitoring, by therapy regimen
- NITn = 25,269
- BITn = 16,264
- Prandial insulin therapy (PIT)n = 33,146
- Outcome
- Changes in all-cause hospitalizations, acute diabetes-related hospitalizations and acute diabetes-related ED visits
- Follow-up
- 6- and 12-month post-index period
Methodological detailsreal-world, pre-post (blood glucose monitoring to CGM transition), pre-specified subgroup analysis
- Real-world
- Pre-post (blood glucose monitoring to CGM transition)
- Pre-specified subgroup analysis
Main finding
As reported in the abstract
Change in all-cause hospitalizations, acute diabetes-related hospitalizations and acute diabetes-related ED visits · 6-month post-index, sustained 6-12 months
| Group | All-cause hospitalizations | Acute diabetes-related hospitalizations | Acute diabetes-related ED visits |
|---|---|---|---|
| NIT | −10.1% | −31.0% | −30.7% |
| BIT | −13.9% | −47.6% | −28.2% |
| PIT | −22.6% | −52.7% | −36.6% |
All-cause hospitalizations
NIT−10.1%
BIT−13.9%
PIT−22.6%
Acute diabetes-related hospitalizations
NIT−31.0%
BIT−47.6%
PIT−52.7%
Acute diabetes-related ED visits
NIT−30.7%
BIT−28.2%
PIT−36.6%
Observational data: associations, not effects.
Further findings
Mean, %
| Outcome | NIT | BIT | PIT | P value |
|---|---|---|---|---|
| Mean HbA1c change (pre-specified subgroup, n = 6030) · ≈3 months, sustained throughout post-index periodBetween NIT and BIT · P for HbA1c reductions; groups listed, no direction claimed · spread printed in parentheses; kind not named by abstract | −1.1 (0.05) | −1.1 (0.06) | −0.9 (0.04) | P < 0.0001 |
Original publication
Impact of continuous glucose monitoring on hospitalizations and glucose control in people with type 2 diabetes: real‐world analysis. Diabetes Obes Metab. Published 12 September 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →