Randomized Study Comparing Continuous Glucose Monitoring and Capillary Glucose Testing in Patients With Type 2 Diabetes After Hospital Discharge
Authors' conclusion
The results of this pilot study indicate that the use of CGM leads to improved glycemic control, reduced hypoglycemia, and decreased glucose variability compared to POC glucose testing after hospital discharge.
Study context
- Population
- Insulin-treated patients with T2D after hospital discharge; mean age 54.3 ± 10.7 years, HbA1c 10.46 ± 2.24%, median diabetes duration 9.0 years (IQR 1.0, 42)
- Participants
- 100 patients
- Comparison
- FreeStyle Libre 2 continuous glucose monitoring (CGM) vs capillary point-of-care glucose testing
Methodological detailspilot
- Pilot
Primary result
As reported in the abstract
Glycemic control · up to 12 weeks after discharge
- Trend toward improved glycemic control with CGM vs point-of-care (POC): increased time in range 70-180 mg/dl, reduced time above range > 180 and 250 mg/dl, decreased insulin requirements
Further findings
Healthcare utilization (ED visits, hospital admissions)
- No differences in ED visits or hospitalization between groups
Safety
- Trend toward decreased hypoglycemia with CGM vs POC
Original publication
Randomized Study Comparing Continuous Glucose Monitoring and Capillary Glucose Testing in Patients With Type 2 Diabetes After Hospital Discharge. Endocr Pract. Published 17 December 2024. doi:10. 1016/ j. eprac. 2024. 11. 018
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