Effect of Continuous Glucose Monitoring on Glycemic Control, Acute Admissions, and Quality of Life: A Real-World Study

Source: The Journal of Clinical Endocrinology & Metabolism

Key Takeaway: Nationwide reimbursement of real-time CGM improved HbA1c, fear of hypoglycemia, and QOL as well as economic indicators including work absenteeism and hospital admissions for acute diabetes complications.

The Value of rtCGM: Reduction in Hospitalizations and Work Absenteeism

	Pre-Reimbursement for rtCGM	Post-Reimbursement for rtCGM	P Value
	(n = 496)	(n = 379)
Patients with
Hospitalizations due to hypoglycemia and/or ketoacidosis	77 (16%)	14 (4%)	<0.0005
Hospitalizations due to hypoglycemia	59 (11%)	12 (3%)	<0.0005
Hospitalizations due to ketoacidosis	23 (5%)	4 (1%)	0.092
Work absenteesim*	123 (25%)	36 (9%)	<0.0005
Days (per 100 patient years) of
Hospitalizations due to hypoglycemia and/or ketoacidosis	53.5	17.8	<0.0005
Hospitalizations due to hypoglycemia	38.5	12.5	0.001
Hospitalizations due to ketoacidosis	14.9	5.3	0.220
Work absenteeism	494.5	233.8	0.001

Data are n (%).

*Work absenteeism of at least half a day. Patient-reported hospital admissions were validated by clinicians.

Reference: Charleer S, et al. Clin Endocrinol Metab. 2018;103(3):1224–1232

Reference: Charleer S, Mathieu C, Nobels F, et al. J Clin Endocrinol Metab. 2018;103(3):1224-1232.

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