Diabetes technology

Use of Glucose Monitoring Devices Among Adults with Diabetes in Germany: Results from Nationwide Surveys Conducted in 2017 and 2021/2022

Diabetes Technol TherPublished Repeated cross-sectional study

Authors' conclusion

Among adults with diabetes in Germany, CGM use increased about twofold within 5 years, irrespective of sociodemographic factors. Educational inequality in CGM use diminished over time.

Study context

Population
Adults aged ≥18 years with diagnosed diabetes, Germany
Participants
1,396 vs 1,456
Exposure
Continuous glucose monitoring (CGM) use in 2017 vs 2021/2022
  • 2017n = 1,396reference
  • 2021/2022n = 1,456
Outcome
Prevalence of CGM use
Methodological detailsnationwide population-based telephone surveys, 2017 and 2021/2022
  • Nationwide population-based telephone surveys
  • 2017 and 2021/2022

Main finding

As reported in the abstract

Overall prevalence of CGM use

Observational data: associations, not effects.

Further findings

CGM use in adults with T1D

CGM use increased in adults with T1D
from 31.1% to 75.4%

CGM use in adults with T2D

CGM use increased in adults with T2D
from 6.3% to 13.6%

CGM use in all insulin users

CGM use increased in all insulin users
from 14.6% to 36.7%

CGM use by subgroup

Increase in CGM use across all subgroups except those without antidiabetic medications

Factors associated with CGM use

In both surveys: younger age, insulin use, T1D and reporting hypoglycemia associated with CGM use
2017: higher education level and absence of obesity associated with CGM use
2021/2022: participation in diabetes self-management education program and higher self-assessed quality of diabetes care associated with CGM use
  • Logistic regression models

Original publication

Use of Glucose Monitoring Devices Among Adults with Diabetes in Germany: Results from Nationwide Surveys Conducted in 2017 and 2021/2022. Diabetes Technol Ther. Published 18 March 2025. doi:10.1089/dia.2024.0623

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