Impact of transitioning from conventional blood glucose monitoring to continuous glucose monitoring on glycemic control and self-management in adults with type 2 diabetes on oral glucose-lowering medications
Authors' conclusion
Switching from conventional SMBG to CGM significantly improved glycemic control and self-management in PwT2D treated with oral ADMs. This observation highlights the potential for broader integration of CGM into this population.
Study context
- Population
- Adults with T2D managed with oral glucose-lowering medications
- Participants
- 108 adults
- Exposure
- Transition from conventional self-monitoring of blood glucose (SMBG) to continuous glucose monitoring (CGM), before vs after
- CGMn = 108
- Outcome
- Glycemic control and self-management
- Follow-up
- 12 weeks
Main finding
As reported in the abstract
- HbA1c, baseline to 12 weeks
- 7.93 % to 7.31 % (p < 0.001)
- Mean capillary glucose, baseline to 12 weeks
- 191 mg/dL to 180 mg/dL (p < 0.001)
- Time in range
- 70 % (SD = 6.86)
- IGMSS Capability score
- 16.1 to 30.3 (p < 0.001)
- IGMSS Opportunity score
- 19.8 to 35 (p < 0.001)
- IGMSS Motivation score
- 12.3 to 23.3 (p < 0.001)
- IGMSS scale score
- 42 to 75.6 (p < 0.001)
Observational data: associations, not effects.
Further findings
Factors associated with endpoint IGMSS scores · 12 weeks
- Longer diabetes duration associated with lower endpoint IGMSS scores
- P = 0.024
- More frequent SMBG associated with lower endpoint IGMSS scores
- P = 0.012
- Co-morbidities linked to higher endpoint IGMSS scores
- P = 0.03
Original publication
Impact of transitioning from conventional blood glucose monitoring to continuous glucose monitoring on glycemic control and self-management in adults with type 2 diabetes on oral glucose-lowering medications. Diabetes Res Clin Pract. Published 5 September 2025. doi:10. 1016/ j. diabres. 2025. 112458
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