The Dexcom Community Glucose Monitoring Project: Six-Month Results Using Continuous Glucose Monitoring in Type 2 Diabetes

Topics: Type 2 Diabetes, Primary Care, Lifestyle Modification

Research Spotlight: “The Dexcom Community Glucose Monitoring Project: Six-Month Results Using Continuous Glucose Monitoring in Type 2 Diabetes” Grace TP, et al. Clinical Diabetes. 2024;42(4):540-6.

Background: Glucose sensor use is limited in the primary care setting despite the multiple benefits of continuous glucose monitoring (CGM) among people with type 2 diabetes.

Key question: What are the benefits of a glucose sensor in type 2 diabetes in a real-world primary care setting?

Main outcomes of the study:

Participants using a glucose sensor (n=237) showed clinically meaningful and statistically significant (p<0.001) decrease in A1C of 2.4%+1.9% at 6 months. Overall, those with higher baseline A1C achieved greater reductions in A1C at the 6-month follow-up.
TIR 70-180 mg/dL significantly increased in the glucose sensor group by 5.5%±28.7% (p=0.022). The improvement in TIR was attributable to a significant decrease in TAR >180 mg/dL (p=0.021).
The proportion of glucose sensor participants meeting Healthcare Effectiveness Data and Information Set (HEDIS) A1C Target of < 8.0% increased from 18.6% to 82.7% at 6 months.

Key takeaways for healthcare providers:

Glucose sensor use in a real-world primary care type 2 diabetes population improved A1C and resulted in a greater proportion meeting A1C targets.
Expanded use of glucose sensors in the primary care setting could help more patients learn about their diabetes, make and sustain lifestyle modifications, and achieve glycemic targets.

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The Dexcom Community Glucose Monitoring Project: Six-Month Results Using Continuous Glucose Monitoring in Type 2 Diabetes

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