Diabetes technology

The Benefits of Utilizing Continuous Glucose Monitoring of Diabetes Mellitus in Primary Care: A Systematic Review

J Diabetes Sci TechnolPublished Systematic review

Pooled result · HbA1cResult — go to the resultWMD −0.43 %

Authors' conclusion

Compared with usual care, CGM/is-CGM can reduce HbA1c, but most studies had notable biases, were short duration, unmasked, and were sponsored by industry. Further research needs to confirm the long-term benefits of CGM/is-CGM in primary care.

Study context

Population
Patients with DM in primary care; studies with <20 participants, specialty care only or hospitalized participants excluded
Participants
4,006 patients10 studies
Comparison
Continuous glucose monitoring (CGM)/intermittently scanned CGM (is-CGM) vs usual care in primary care
Outcome
HbA1c (weighted mean difference)
Methodological detailsnarrative synthesis, weighted mean difference of HbA1c, Search of seven databases, June 2021, Quality assessed with NHLBI tool and GRADE
  • Narrative synthesis
  • Weighted mean difference of HbA1c
  • Search of seven databases, June 2021
  • Quality assessed with NHLBI tool and GRADE

Pooled result

HbA1c

Weighted mean difference (WMD)

−0.43 %

As reported in the abstract

Further pooled results

TIR, TAR, TBR

Low certainty of evidence that CGM/is-CGM improves TIR, TAR or TBR over usual care

Hypoglycemic events

CGM can reduce hypoglycemic events

Staff/patient satisfaction

Staff/patient satisfaction is high

Subgroup: intensive insulin therapy

Patients with intensive insulin therapy may benefit more from CGM/is-CGM

Original publication

The Benefits of Utilizing Continuous Glucose Monitoring of Diabetes Mellitus in Primary Care: A Systematic Review. J Diabetes Sci Technol. Published 1 February 2022. doi:10.1177/19322968211070855

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