Diabetes technology

Pediatric Inpatient Continuous Glucose Monitor Accuracy by Sensor Wear Day, Hospital Day, and Glucose Rate of Change

Diabetes Technol TherPublished Retrospective cross-sectional accuracy study

Authors' conclusion

In this pediatric hospital CGM accuracy study, MARD was within a favorable range of <14% overall and throughout sensor wear and hospitalization.

Study context

Population
Youth and young adults with diabetes hospitalized at two pediatric centers, aged 2–22 years (mean 12.4 ± 5.8 years, 58.8% female, 66.2% White, 8.8% Hispanic)
Participants
68 participants544 POC-CGM pairs
Comparison
Dexcom G7 continuous glucose monitoring (CGM) vs reference point-of-care capillary glucose
Outcome
CGM accuracy: MARD and Parkes error grids
Methodological detailstwo pediatric centers, 80 hospital encounters
  • Two pediatric centers
  • 80 hospital encounters

Performance

As reported in the abstract

Overall CGM accuracy vs reference POC capillary glucose (MARD)

Overall mean absolute relative difference (MARD)

12.5%

Glucose pairs within low-risk Parkes error grid zones A and B, overall

99%

Further findings

MARD by sensor wear day

Wear day 1
12.3%
Wear days 2-6
13.6%
Wear days 7-10 (best)
10.6%
Wear day 1: pairs within Parkes zones A and B
99%

MARD by hospital day

Hospital day 1
13.7%
Hospital days 2-4
10.4%
Hospital days 5-30
12.5%

MARD by CGM glucose rate of change

Flat [−1 to 1 mg/(dL·min)] (best)
11.5%-11.9%
Rapidly rising or falling [beyond −2 or 2 mg/(dL·min)]
16.6%-18.4%

Original publication

Pediatric Inpatient Continuous Glucose Monitor Accuracy by Sensor Wear Day, Hospital Day, and Glucose Rate of Change. Diabetes Technol Ther. Published 10 September 2026. doi:10.1177/15209156261486139

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