Diabetes technology

Switching from Intermittently Scanned Continuous Glucose Monitoring to Real-Time Continuous Glucose Monitoring with a Predictive Urgent Low Soon Alert Reduces Exposure to Hypoglycemia

Diabetes Technol TherPublished Single-arm switch study

Authors' conclusion

In conclusion, adults with T1D who switched from isCGM to rtCGM may benefit from reduced exposure to hypoglycemia and glycemic variability.

Study context

Population
Adults with T1D using FSL2; aged 44.8 ± 16.5 years, 12 male and 17 femaleanalysed
Participants
29 adults
Comparison
Switching from intermittently scanned continuous glucose monitoring (isCGM) to real-time continuous glucose monitoring (rtCGM) with an urgent low soon predictive alert
Outcome
Percent TIR
Methodological detailsbefore–after comparison
  • Before–after comparison

Secondary outcomes

OutcomeP value
Time in hypoglycaemia <3.9 mmol/L (70 mg/dL) · 12 weeksLess time after switching to rtCGMP = 0.006
Achievement of time <3.9 mmol/L (70 mg/dL) of <4% · 12 weeksHigher achievement after switching to rtCGMP = 0.005
CV · 12 weeksLower after switching to rtCGMP = 0.008

Time in hypoglycaemia <3.9 mmol/L (70 mg/dL) · 12 weeks

Less time in hypoglycaemia <3.9 mmol/L after switching to rtCGM

Achievement of time <3.9 mmol/L (70 mg/dL) of <4% · 12 weeks

Higher % achievement of time <3.9 mmol/L of <4% after switching to rtCGM

CV · 12 weeks

CV was lower after switching to rtCGM

Original publication

Switching from Intermittently Scanned Continuous Glucose Monitoring to Real-Time Continuous Glucose Monitoring with a Predictive Urgent Low Soon Alert Reduces Exposure to Hypoglycemia. Diabetes Technol Ther. Published 9 April 2024. doi:10.1089/dia.2023.0434

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