Intermittently scanned continuous glucose monitoring provides no benefit over structured self-monitoring of blood glucose in type 2 diabetes not on prandial insulin, in the context of diabetes self-management education: GLucose monitoring programme SingaporE (GLiMPSE)
Authors' conclusion
In the context of DSME, use of either SMBG or is-CGM led to improved glycaemia and reduced weight over a period of 24 weeks, sustained to one year.
Study context
- Population
- Sub-optimally controlled T2D, HbA1c ≥ 7.5-≤10 %, on oral agents with/without basal insulin, multi-ethnic setting (Singapore); Diabetes self-management education (DSME) at weeks 0, 2, 8, 16analysed
- Participants
- 176 participants
- Comparison
- isCGM vs self-monitoring of blood glucose (SMBG), in the context of DSME
- Primary endpoint
- Change in HbA1c from baseline
- Follow-up
- 24w
Methodological detailsopen-label
- Open-label
Primary result
As reported in the abstract
Within each arm, mean HbA1c decreased from baseline to 24w
−0.6 %
−6.6.mmol/molp-value < 0.01
Further findings
kg
| Outcome | isCGM | SMBG | P value |
|---|---|---|---|
| Weight change from baseline · 24wNo significant difference between arms | −1.44 | −1.25 | P > 0.05 |
- Weight change from baseline: within-arm decreases both p < 0.01
HbA1c and weight changes at one year
- Changes were sustained to one year
Original publication
Intermittently scanned continuous glucose monitoring provides no benefit over structured self-monitoring of blood glucose in type 2 diabetes not on prandial insulin, in the context of diabetes self-management education: GLucose monitoring programme SingaporE (GLiMPSE). Diabetes Res Clin Pract. Published 18 April 2024. doi:10. 1016/ j. diabres. 2024. 111678
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