Diabetes technology

The Association of Continuous Glucose Monitoring Metrics with Hospital-Related Clinical Outcomes in Nonintensive Care Units

Diabetes Technol TherPublished Prospective observational cohort study

Authors' conclusion

CGM can be useful in identifying patients at risk of inpatient hypoglycemia and 30-day ED visits.

Study context

Population
Hospitalized adults on non-ICU floors
Participants
326 adults
Outcome
Association between CGM metrics and clinical outcomes (infection, DKA, renal replacement therapy, thrombosis, 30-day post-discharge readmissions and ED visits)
Methodological detailsblinded continuous glucose monitoring (CGM) (Dexcom G6 Pro)
  • Blinded CGM (Dexcom G6 Pro)

Main finding

As reported in the abstract

CGM metrics and clinical outcomes
Median % TIR 70-180 mg/dL (IQR)
44.5% (17.1, 70.2%)
Median % TAR >180 mg/dL (IQR)
54.8% (28.8, 82.3%)
Median % TBR
0.6% (0, 0.2%)
30-day emergency department (ED) visits associated with increased %TAR
P = 0.01

Observational data: associations, not effects.

Further findings

Predictors of CGM-detected severe hypoglycemia

Predictors: T1D, female gender, lower admission hemoglobin, lower HbA1c, longer hospital stay

Original publication

The Association of Continuous Glucose Monitoring Metrics with Hospital-Related Clinical Outcomes in Nonintensive Care Units. Diabetes Technol Ther. Published 5 June 2025. doi:10.1089/dia.2024.0628

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