Diabetes technology

Systematic Review of Continuous Glucose Monitor Accuracy in the Hypoglycemia Range for Non-Critical Care Ward Hospitalized People Living With Diabetes

J Diabetes Sci TechnolPublished Systematic review

Authors' conclusion

These high mean absolute relative differences suggest that hypoglycemic range CGM results are too inaccurate to guide in-hospital diabetes therapy.

Study context

Population
Adult people living with diabetes (PLWD) on non-critical care wards with continuous glucose monitor (CGM) levels below 70 mg/dL (3.9 mmol/L) compared with paired reference blood glucose; databases searched 2012 to August 20259 studies · 465 pairs
Comparison
Hypoglycaemia-range CGM vs paired reference blood glucose
Outcome
CGM accuracy in the hypoglycemic range (absolute relative difference vs paired reference blood glucose)

Pooled result

As reported in the abstract

Absolute relative difference, hypoglycaemia-range CGM vs reference blood glucose

Mean absolute relative differences ranged

7.6% to 53.3%

Median absolute relative differences ranged

11.7% to 38.5%

Studies with mean absolute relative difference greater than 15%

8

Original publication

Systematic Review of Continuous Glucose Monitor Accuracy in the Hypoglycemia Range for Non-Critical Care Ward Hospitalized People Living With Diabetes. J Diabetes Sci Technol. Published 31 January 2026. doi:10.1177/19322968251412482

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