Diabetes technology

Use of continuous glucose monitoring and point-of-care glucose testing in hospitalized patients with diabetes mellitus in non-intensive care unit settings: A systematic review and meta-analysis of randomized controlled trials

Diabetes Res Clin PractPublished Systematic review and meta-analysis of randomised trials

Pooled result · Time in rangeResult — go to the resultMD + 7.24 % 95 % CI +5.06, +9.42

Authors' conclusion

In non-critically ill, hospitalized adults with diabetes, the addition of CGM to POC testing for insulin dosing resulted in superior glycemic control and reduction of hypoglycemia compared to POC testing alone.

Study context

Population
Non-pregnant, non-critically ill hospitalized adults with diabetes (non-ICU settings); searches to May 2024
Participants
979 participants6 RCTs
Comparison
Continuous glucose monitoring (CGM) plus point-of-care (POC) glucose testing vs POC testing alone
Outcome
Time in range

Pooled result

As reported in the abstract

MD

+ 7.24 %

95 % CI +5.06, +9.42

P < 0.00001

Further pooled results

OutcomeMD (%) (95 % CI)P value
Time below range <70 mg/dLI2 = 64 %−1.23 (−2.27 to −0.18)P = 0.02
Time below range <54 mg/dLI2 = 0 %−0.95 (−1.19 to −0.70)P < 0.00001
Time above range >250 mg/dLI2 = 39 %−3.70 (−6.10 to −1.29)P = 0.003

Glycemic variability and insulin doses

No statistically significant differences in glycemic variability or insulin doses

Original publication

Use of continuous glucose monitoring and point-of-care glucose testing in hospitalized patients with diabetes mellitus in non-intensive care unit settings: A systematic review and meta-analysis of randomized controlled trials. Diabetes Res Clin Pract. Published 9 January 2025. doi:10.1016/j.diabres.2024.111986

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