Diabetes technology

Performance of Three Continuous Glucose Monitoring Systems in Adults With Type 1 Diabetes

J Diabetes Sci TechnolPublished Diagnostic accuracy study

Authors' conclusion

Performance results of all CGM systems varied depending on the comparator method. However, across comparators FL3 and DG7 tended to be more accurate compared with MSP. All CGM systems showed a lower accuracy compared with previous studies

Study context

Population
Adults with T1D wearing one sensor of each continuous glucose monitoring (CGM) system in parallel for up to 15 days
Participants
24 adults
Comparison
FreeStyle Libre 3 vs Dexcom G7 vs Medtronic Simplera
Outcome
Accuracy as MARD vs comparator methods (YSI venous, Integra (INT) venous, Contour Next (CNX) capillary)
Methodological detailshead-to-head, sensors worn in parallel, induced glucose excursions, Three 7-hour sessions with 15-minute comparator measurements on days 2, 5 and 15; Dexcom G7 (DG7) and Medtronic Simplera (MSP) sensors exchanged on days 5 and 8
  • Head-to-head
  • Sensors worn in parallel
  • Induced glucose excursions
  • Three 7-hour sessions with 15-minute comparator measurements on days 2, 5 and 15; DG7 and MSP sensors exchanged on days 5 and 8

Performance

As reported in the abstract

MARD vs YSI

Further findings

MARD vs INT

MARD vs CNX

Accuracy by glycemic range

FL3 and DG7 more accurate in normoglycemic and hyperglycemic range; MSP better in hypoglycemic range

Original publication

Performance of Three Continuous Glucose Monitoring Systems in Adults With Type 1 Diabetes. J Diabetes Sci Technol. Published 4 February 2025. doi:10.1177/19322968251315459

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