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