Type 2 & other diabetes

Use of the FreeStyle Libre system and diabetes treatment progression in T2DM : Results from a retrospective cohort study using a Canadian private payer claims database

Diabetes Obes MetabPublished Retrospective cohort study

Main finding · Treatment progressionResult — go to the resultRelative risk 1.86 and 2.81

Authors' conclusion

People with T2DM using FSL had a greater probability for treatment progression compared with BGM alone, irrespective of the starting therapy, which may suggest that FSL can be used to support escalation of diabetes therapy to improve therapeutic inertia in T2DM.

Study context

Population
People with T2D in a Canadian national private drug claims database (≈50% coverage of insured individuals), followed over 24 months
Participants
373,871 people
Exposure
FreeStyle Libre flash glucose monitoring (FSL) vs blood glucose monitoring (BGM) alone
Outcome
Rate of diabetes treatment progression
Follow-up
24-month study period
Methodological detailsprivate drug claims database, Andersen-Gill recurrent time-to-event model
  • Private drug claims database
  • Andersen-Gill recurrent time-to-event model

Main finding

Treatment progression

Relative risk

1.86 and 2.81

P < 0.001

As reported in the abstract

Observational data: associations, not effects.

Further findings

Treatment progression by starting therapy or patient status

Higher probability of progression with FSL independent of treatment at index date, patient status, and treatment-naïve vs established therapy

Ending vs starting therapy

Much greater portion of FSL cohort ended on insulin after starting non-insulin treatment vs BGM cohort

Original publication

Use of the FreeStyle Libre system and diabetes treatment progression in T2DM : Results from a retrospective cohort study using a Canadian private payer claims database. Diabetes Obes Metab. Published 8 March 2023. doi:10.1111/dom.15025

Composed by AI from the published abstract and checked against it. How Briefs are made →

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