Diabetes technology

Real-Time Continuous Glucose Monitoring Among People With Type 2 Diabetes and End-Stage Kidney Failure Undergoing Maintenance Hemodialysis: A Randomized Clinical Trial

Diabetes CarePublished Randomised controlled trial

Authors' conclusion

In adults with T2D and ESKF undergoing hemodialysis, TBR was minimal and not influenced by rtCGM use. Compared with CBG testing, %TIR and %TAR improved during the rtCGM intervention.

Study context

Population
Adults with T2D and end-stage kidney failure (ESKF) undergoing maintenance hemodialysis
Comparison
Real-time continuous glucose monitoring (rtCGM) vs capillary blood glucose (CBG) testing
Primary endpoint
%TBR <70 mg/dL
Methodological detailsprospective, crossover
  • Prospective
  • Crossover

Primary result

As reported in the abstract

%TBR <70 mg/dL not significantly different between groups; mean values as printed, groups not named

1.17% ± 1.8 vs. 1.29% ± 2.7

Further findings

%TIR · higher with rtCGM

P ≤ 0.01

%TAR >180 mg/dL · decreased with rtCGM

P ≤ 0.01

%TAR >250 mg/dL · decreased with rtCGM

P ≤ 0.01

Mean glucose · lower with rtCGM

P ≤ 0.01

Original publication

Real-Time Continuous Glucose Monitoring Among People With Type 2 Diabetes and End-Stage Kidney Failure Undergoing Maintenance Hemodialysis: A Randomized Clinical Trial. Diabetes Care. Published 26 June 2026. doi:10.2337/dc26-0404

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