Real-Time Continuous Glucose Monitoring Reduced Costly Diabetes-Related Events in Adolescents and Young Adults despite Lack of Short-Term Reduction in Hemoglobin A1c (A1c)
Authors' conclusion
Our findings suggest that rtCGM may be an effective tool for reducing diabetes-related events and underscores the importance of access.
Study context
- Population
- High-risk, under-resourced and young adults (AYA) with T1D with no prior access to real-time continuous glucose monitoring (rtCGM), with ≥70% rtCGM use
- Participants
- 33 participants
- Exposure
- Phone-based pattern management intervention vs comparison group
- Outcome
- Frequency of health care events (diabetes-related emergency room (ER) visits, hospitalizations, emergency medical services (EMS), after-hour emergency calls) and A1c, evaluated regarding payor costs
Main finding
As reported in the abstract
Frequency of health care events · 12 and 24 weeks
Projected annualized cost-savings, based on Medicare or list pricing for rtCGM, respectively
$195,943 to $294,864 or 43-65% per year
Observational data: associations, not effects.
Further findings
- A1c improved at 12 weeks for all participants; not maintained at 24 weeks in the phone-based pattern management intervention group
Original publication
Real-Time Continuous Glucose Monitoring Reduced Costly Diabetes-Related Events in Adolescents and Young Adults despite Lack of Short-Term Reduction in Hemoglobin A1c. Pediatr Diabetes. Published 11 April 2023. doi:10.
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