Diabetes technology

Real‐time continuous glucose monitoring improves postoperative glucose control in people with type 2 diabetes mellitus undergoing coronary artery bypass grafting: A randomized clinical trial

Diabetes Obes MetabPublished Randomised controlled trial

Primary result · TIRResult — go to the resultLS mean difference 10.0 % 95% CI 2.1–18.0

Authors' conclusion

In this RCT, real-time CGM and telemonitoring improved glycaemic control during postoperative period without increasing hypoglycaemia risk. Given the benefits of effective glycaemic control on perioperative outcomes, CGM may be helpful in managing T2D after CABG.

Study context

Population
Adults with T2D undergoing coronary artery bypass grafting (CABG)
Participants
91 adults
Comparison
Real-time continuous glucose monitoring (CGM) and telemetry vs blinded CGM with point-of-care measures
  • Testn = 48
  • Controln = 43reference
Primary endpoint
Percentage TIR of blood glucose 70–180 mg/dL (3.9-10.0 mmol/L), measured by CGM
Follow-up
Postoperative period

Primary result

TIR

Least squares (LS) mean difference

10.0 %

95% CI 2.1–18.0

P = 0.014

By group

Testvs Control
LS mean difference 10.0 % (95% CI 2.1–18.0); P = 0.014

As reported in the abstract

Further findings

TAR and mean glucose

Test had lower TAR and mean glucose levels

TBR

No differences in TBR

Safety

No differences in hypoglycaemic events

Original publication

Real‐time continuous glucose monitoring improves postoperative glucose control in people with type 2 diabetes mellitus undergoing coronary artery bypass grafting: A randomized clinical trial. Diabetes Obes Metab. Published 7 January 2025. doi:10.1111/dom.16177

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