Evidence
December 20, 2022Coverage and Benefit Design CE Activities
Intended Audience: This activity is designed to meet the educational needs of medical directors, registered nurses, pharmacy directors, clinical pharmacists, specialty pharmacists, quality directors, as well as network physicians affiliated with various MCOs, health systems, and other payer organizations.
Credit Available: Up to 0.5 credit hour available for nurses (ANCC), pharmacists (ACPE), and physicians (AMA PRA Category 1 Credit™)
Expired
Click Here to Review – CE Expired
Educational Objectives
- Describe the clinical impact of real-time continuous glucose monitoring on HbA1c, severe hypoglycemia-related events and diabetic ketoacidosis
- Assess health plan opportunities to improve HbA1c and diabetes outcomes through implementation of real-time continuous glucose monitoring interventions for patients with diabetes
- Identify key stakeholders and steps for the delivery of successful quality improvement interventions targeting patients naïve to real-time continuous glucose monitoring
Expert Faculty
Jointly provided by Impact Education, LLC, and Medical Education Resources.
This continuing education activity is supported by an independent educational grant from Dexcom, Inc.
AMGA Webinar: The Impact of Continuous Glucose Monitoring on HbA1c Control in Primary Care Patients with Type 2 Diabetes
December 14, 2022Clinical Outcomes CGM Best Practices / Webinar / Archive
December 13, 2022Clinical Outcomes Article / Publication
During a session at the 20th World Congress on Insulin Resistance, Diabetes & Cardiovascular Disease held in December, Dr. Peter Reaven discussed the benefits of continuous glucose monitoring (CGM) beyond improved glycemic control. In an analysis of electronic health records from adults with type 1 diabetes (T1D) and type 2 diabetes (T2D) seen in Veterans Affairs (VA) clinics, use of CGM was associated with superior HbA1c reduction and a lower risk of hospitalization. The cohort included >50,000 adults with T1D or T2D who were either CGM users or non-users. CGM users with T1D had a lower risk of admissions to emergency rooms or hospitals for hypoglycemia-related events (HR=0.69 95% CI, 0.48, 0.98; P=0.04), a lower risk of hypoglycemia events in general (HR=0.72; 95% CI, 0.57-0.91; P=0.01), and a lower risk of all-cause hospitalization (HR=0.75; 95% CI, 0.63-0.9; P=0.002) than non-users. CGM users with T2D had a lower risk of hyperglycemia events (HR=0.87; 95% CI, 0.77-0.99; P=0.04) and all-cause hospitalization (HR=0.89; 95% CI, 0.82-0.97; P=0.004) than non-users. In a preliminary analysis, the researchers also calculated mortality risk using propensity score overlap weighting. CGM users with T1D had a lower risk for mortality at 18 months than non-CGM users (adjusted HR=0.38; 95% CI, 0.28-0.51; P<0.001). CGM users with T2D likewise had a reduced mortality risk compared with non-users (aHR=0.79; 95% CI, 0.7-0.88; P<0.001). Dr. Reaven noted that these findings signal a call-to-action for more widespread CGM use, giving managed care and payer professionals cause for consideration in developing coverage policies.
Reaven P. Presented at: 20th World Congress on Insulin Resistance, Diabetes & Cardiovascular Disease. December 1-3, 2022; Universal City, CA.
Learn MoreReal-Time Continuous Glucose Monitoring Demystifies Glycemic Management in Pregnancy and Improves Both Fetal and Maternal Outcomes
December 9, 2022Population Health Article / Publication
In an interview with OBG Management, Dr. Celeste Durnwald explains the benefits of real-time continuous glucose monitoring (RT-CGM) in pregnancy. Risk to fetal, neonatal, and maternal well-being is increased in pregnancy complicated by diabetes. While most patients obtain 7 to 8 glucose values over 24 hours with self-monitoring of blood glucose (SMBG), RT-CGM collects approximately 288 readings daily. In this manner, RT-CGM may help pregnant women align their carbohydrate intake and insulin dosing throughout the day to prevent hyperglycemia while avoiding sudden hypoglycemic events, all without the burden of finger sticks. The CONCEPTT trial showed that only 6 patients would need to use RT-CGM to prevent 1 large-for-gestational-age infant, 8 patients to prevent a case of neonatal hypoglycemia, and 6 patients to prevent a neonatal intensive care unit (NICU) stay. Based on these findings and other published literature, consensus guidelines recommend the use of RT-CGM in pregnant women with pre-existing type 1 and type 2 diabetes, as well as in those with gestational diabetes. These findings offer insights for payer professionals seeking to implement evidence-based quality improvement programs in diabetes or obstetrics.
Durnwald CP. Real-Time Continuous Glucose Monitoring Use in Pregnant Patients From A-to-Z. OBG Management. August 2022.
Learn MoreDecember 9, 2022CGM Technology and Digital Health Article / Publication
Dexcom G7 is now cleared in the U.S. for people with all Types of diabetes ages two years and older, giving more people than ever access to a powerfully simple diabetes management solution. The next-generation real-time continuous glucose monitoring system demonstrates comparable accuracy to previous versions while offering a smaller sensor and enhanced ease-of-use features.
Learn MoreNew G7 Continuous Glucose Monitoring System Demonstrates Similar Accuracy and Superior Ease-of-Use Compared with Previous Versions
December 9, 2022Clinical Outcomes Article / Publication / CGM Innovations
In an analysis of available data, accuracy metrics from preapproval trials of the G5, G6, and G7 real-time continuous glucose monitoring (RT-CGM) systems were compared after propensity score adjustments were applied to balance baseline demographic characteristics. Metrics included mean absolute relative differences (MARD) between CGM and YSI values (from the YSI, Inc., 2300 Stat Plus system) and the proportion of CGM values within 20% or 20 mg/dL of the YSI values (“%20/20”). Ease-of-use was also evaluated by formal task analysis in the study. Accuracy performance of the G7 sensors, whether placed on the arm or abdomen, was similar to that of abdomen-placed G5 and G6 sensors, and egregious errors were rare with all three systems. Based on the formal task analysis, the authors concluded that simplification of the sensor insertion process should result in G7 being even easier to learn and several software improvements may contribute to better glycemic outcomes. Payer professionals may well find confidence in the comparative usability data for the latest RT-CGM system versus previous versions of the technology when considering updates to coverage policies.
Welsh JB, Psavko S, Zhang X, Gao P, Balo AK. Comparisons of Fifth-, Sixth-, and Seventh-Generation Continuous Glucose Monitoring Systems. J Diabetes Sci Technol. 2022:19322968221099879.
Learn MoreIn Children and Adolescents with Type 1 Diabetes, G7 Continuous Glucose Monitoring System Maintains Accuracy Across Wear Days, Glucose Ranges, and Rates of Glucose Change
December 9, 2022Clinical Outcomes Article / Publication / CGM Innovations
In children and adolescents with type 1 diabetes (T1D), the G7 real-time continuous glucose monitoring (RT-CGM) system demonstrated accuracy across wear days, glucose ranges, and rates of glucose change. Over 10.5 days, RT-CGM data from 28 participants aged 2 to 6 years and 127 participants aged 7 to 17 were collected and compared with blood glucose measurements. In young children aged 2 to 6, overall MARD and %20/20 agreement rates were 9.3% and 91.5%, respectively. In older children and adolescents aged 7 to 17 years, arm- and abdomen-placed G7 sensor MARD values were 8.1% and 9.0%, respectively, and overall %20/20 values were 95.3% and 92.9%, respectively. These results are consistent with those of the G6 system in children and adolescents with T1D and with an earlier study of the G5 system that evaluated accuracy at different insertion sites. Compared with the G6 RT-CGM system, the G7 has a shorter warm-up period (27 minutes vs 2 hours), making it possible for youth and caregivers of young children to obtain glucose data more quickly for diabetes management decisions. According to the authors, while day 1 accuracy tends to be lower across CGM devices, the accuracy of the G7—coupled with its shorter warm-up period—should improve the sensor experience in young users. The G7 RT-CGM was recently FDA approved for use in all individuals with diabetes aged 2 years and older, and having data specific to use in children and adolescents can be of value for managed care and payer professionals in developing coverage policies.
Laffel LM, Bailey TS, Christiansen MP, Reid JL, Beck SE. Accuracy of a Seventh-Generation Continuous Glucose Monitoring System in Children and Adolescents with Type 1 Diabetes. J Diabetes Sci Technol. 2022:19322968221091816.
Learn MoreG7 Real-Time Continuous Glucose Monitoring System Demonstrates Accurate Glucose Readings and No Serious Adverse Events in Adults with Type 1 and Type 2 Diabetes
December 9, 2022Clinical Outcomes Article / Publication / CGM Innovations
The accuracy and safety of the G7 real-time continuous glucose monitoring (RT-CGM) system was demonstrated over 10.5 days of use in adults with diabetes. In the study, adults with either type 1 or type 2 diabetes—either on intensive insulin therapy or not—wore G7 sensors concurrently on the upper arm and abdomen. Individuals were seen in clinic on days 1 or 2, 4 or 7, and on the second half of day 10 or the first half of day 11 for frequent comparisons with comparator blood glucose measurements obtained with the YSI 2300 Stat Plus glucose analyzer. After analyzing data from 316 participants (619 sensors, 77,774 matched pairs), overall mean absolute relative differences (MARD) between RT-CGM and YSI values for arm- and abdomen-placed sensors were 8.2% and 9.1%, respectively. In-clinic glucose manipulations and frequent blood glucose sampling confirmed accurate readings during euglycemia, hypoglycemia, and hyperglycemia (reflected as time in range [TIR], time below range [TBR], and time above range [TAR]), as well as during rapid glucose concentration change. Even at the highest rates of glucose concentration change, MARD values <10% were observed for arm-placed sensors and were <10.5% for abdomen-placed sensors. Offering a smaller size and added features, such as sensor/transmitter integration with a simplified insertion process, the G7 also demonstrated a favorable safety profile, with no serious adverse events reported during the study. With the recent FDA approval of the G7 RT-CGM system, payer professionals may well find value in the accuracy and safety data from this prospective multicenter single-arm study when they are developing coverage criteria.
Garg SK, et al. Accuracy and Safety of Dexcom G7 Continuous Glucose Monitoring in Adults with Diabetes. Diabetes Technol Ther. 2022;24(6):373-380.
Learn MoreNovember 11, 2022CGM Technology and Digital Health Article / Publication
Lilly’s new Tempo personalized diabetes management platform features a reusable medical device that attaches to prefilled, disposable insulin pens and sends dose-related data to a compatible app. Patients attach the Tempo Smart Button to the Tempo Pen to send insulin-dose information to TempoSmart. Capturing the data facilitates medication reminders, personalized education resources, and feedback on blood glucose levels, realized through integration with compatible technologies, including real-time continuous glucose monitoring (RT-CGM) via the Dexcom G6. Labeled a “diabetes ecosystem” solution, the fully integrated combination of devices, drugs, and technology offers an opportunity to adapt to each patient’s unique needs in diabetes management while providing value to both physician and payer stakeholders at the same time.
Learn More2022 Update of the ADA Standards of Medical Care Highlight the Strength of Evidence Supporting rtCGM
November 11, 2022Clinical Outcomes Guidelines / Policy
Real-time continuous glucose monitoring (RT-CGM) remains a key technologic advancement recommended for integration into the management of diabetes according to the American Diabetes Association (ADA) Standards of Care (SOC) 2022. ADA assigned Grade A evidence to the recommendation that RT-CGM be offered for diabetes management in adults with diabetes on multiple daily injections (MDI) of insulin or continuous subcutaneous insulin infusion (CSII). Similarly, the ADA assigned Grade A evidence to the recommendation that RT- CGM be used for diabetes management in adults with diabetes on basal insulin. ADA’s criteria for a Grade A designation is defined as clear evidence from well-conducted, generalizable randomized controlled trials that are adequately powered.
American Diabetes Association Professional Practice Committee, et al. 7. Diabetes Technology: Standards of Medical Care in Diabetes-2022. Diabetes Care. 2022;45(Suppl 1):S97-S112.
Learn More
Sign Up To Stay Current On The Latest Coverage
Updates, Recent News, And Resources
Intended Audience: This activity is designed to meet the educational needs of medical directors, registered nurses, pharmacy directors, clinical pharmacists, specialty pharmacists, quality directors, as well as network physicians affiliated with various MCOs, health systems, and other payer organizations.
Credit Available: Up to 0.5 credit hour available for nurses (ANCC), pharmacists (ACPE), and physicians (AMA PRA Category 1 Credit™)
Expired
Click Here to Review – CE ExpiredEducational Objectives
- Describe the clinical impact of real-time continuous glucose monitoring on HbA1c, severe hypoglycemia-related events and diabetic ketoacidosis
- Assess health plan opportunities to improve HbA1c and diabetes outcomes through implementation of real-time continuous glucose monitoring interventions for patients with diabetes
- Identify key stakeholders and steps for the delivery of successful quality improvement interventions targeting patients naïve to real-time continuous glucose monitoring
Expert Faculty
Jointly provided by Impact Education, LLC, and Medical Education Resources.
This continuing education activity is supported by an independent educational grant from Dexcom, Inc.
AMGA Webinar: The Impact of Continuous Glucose Monitoring on HbA1c Control in Primary Care Patients with Type 2 Diabetes
December 14, 2022Clinical Outcomes CGM Best Practices / Webinar / Archive
December 13, 2022Clinical Outcomes Article / Publication
During a session at the 20th World Congress on Insulin Resistance, Diabetes & Cardiovascular Disease held in December, Dr. Peter Reaven discussed the benefits of continuous glucose monitoring (CGM) beyond improved glycemic control. In an analysis of electronic health records from adults with type 1 diabetes (T1D) and type 2 diabetes (T2D) seen in Veterans Affairs (VA) clinics, use of CGM was associated with superior HbA1c reduction and a lower risk of hospitalization. The cohort included >50,000 adults with T1D or T2D who were either CGM users or non-users. CGM users with T1D had a lower risk of admissions to emergency rooms or hospitals for hypoglycemia-related events (HR=0.69 95% CI, 0.48, 0.98; P=0.04), a lower risk of hypoglycemia events in general (HR=0.72; 95% CI, 0.57-0.91; P=0.01), and a lower risk of all-cause hospitalization (HR=0.75; 95% CI, 0.63-0.9; P=0.002) than non-users. CGM users with T2D had a lower risk of hyperglycemia events (HR=0.87; 95% CI, 0.77-0.99; P=0.04) and all-cause hospitalization (HR=0.89; 95% CI, 0.82-0.97; P=0.004) than non-users. In a preliminary analysis, the researchers also calculated mortality risk using propensity score overlap weighting. CGM users with T1D had a lower risk for mortality at 18 months than non-CGM users (adjusted HR=0.38; 95% CI, 0.28-0.51; P<0.001). CGM users with T2D likewise had a reduced mortality risk compared with non-users (aHR=0.79; 95% CI, 0.7-0.88; P<0.001). Dr. Reaven noted that these findings signal a call-to-action for more widespread CGM use, giving managed care and payer professionals cause for consideration in developing coverage policies.
Reaven P. Presented at: 20th World Congress on Insulin Resistance, Diabetes & Cardiovascular Disease. December 1-3, 2022; Universal City, CA.
Learn MoreReal-Time Continuous Glucose Monitoring Demystifies Glycemic Management in Pregnancy and Improves Both Fetal and Maternal Outcomes
December 9, 2022Population Health Article / Publication
In an interview with OBG Management, Dr. Celeste Durnwald explains the benefits of real-time continuous glucose monitoring (RT-CGM) in pregnancy. Risk to fetal, neonatal, and maternal well-being is increased in pregnancy complicated by diabetes. While most patients obtain 7 to 8 glucose values over 24 hours with self-monitoring of blood glucose (SMBG), RT-CGM collects approximately 288 readings daily. In this manner, RT-CGM may help pregnant women align their carbohydrate intake and insulin dosing throughout the day to prevent hyperglycemia while avoiding sudden hypoglycemic events, all without the burden of finger sticks. The CONCEPTT trial showed that only 6 patients would need to use RT-CGM to prevent 1 large-for-gestational-age infant, 8 patients to prevent a case of neonatal hypoglycemia, and 6 patients to prevent a neonatal intensive care unit (NICU) stay. Based on these findings and other published literature, consensus guidelines recommend the use of RT-CGM in pregnant women with pre-existing type 1 and type 2 diabetes, as well as in those with gestational diabetes. These findings offer insights for payer professionals seeking to implement evidence-based quality improvement programs in diabetes or obstetrics.
Durnwald CP. Real-Time Continuous Glucose Monitoring Use in Pregnant Patients From A-to-Z. OBG Management. August 2022.
Learn MoreDecember 9, 2022CGM Technology and Digital Health Article / Publication
Dexcom G7 is now cleared in the U.S. for people with all Types of diabetes ages two years and older, giving more people than ever access to a powerfully simple diabetes management solution. The next-generation real-time continuous glucose monitoring system demonstrates comparable accuracy to previous versions while offering a smaller sensor and enhanced ease-of-use features.
Learn MoreNew G7 Continuous Glucose Monitoring System Demonstrates Similar Accuracy and Superior Ease-of-Use Compared with Previous Versions
December 9, 2022Clinical Outcomes Article / Publication / CGM Innovations
In an analysis of available data, accuracy metrics from preapproval trials of the G5, G6, and G7 real-time continuous glucose monitoring (RT-CGM) systems were compared after propensity score adjustments were applied to balance baseline demographic characteristics. Metrics included mean absolute relative differences (MARD) between CGM and YSI values (from the YSI, Inc., 2300 Stat Plus system) and the proportion of CGM values within 20% or 20 mg/dL of the YSI values (“%20/20”). Ease-of-use was also evaluated by formal task analysis in the study. Accuracy performance of the G7 sensors, whether placed on the arm or abdomen, was similar to that of abdomen-placed G5 and G6 sensors, and egregious errors were rare with all three systems. Based on the formal task analysis, the authors concluded that simplification of the sensor insertion process should result in G7 being even easier to learn and several software improvements may contribute to better glycemic outcomes. Payer professionals may well find confidence in the comparative usability data for the latest RT-CGM system versus previous versions of the technology when considering updates to coverage policies.
Welsh JB, Psavko S, Zhang X, Gao P, Balo AK. Comparisons of Fifth-, Sixth-, and Seventh-Generation Continuous Glucose Monitoring Systems. J Diabetes Sci Technol. 2022:19322968221099879.
Learn MoreIn Children and Adolescents with Type 1 Diabetes, G7 Continuous Glucose Monitoring System Maintains Accuracy Across Wear Days, Glucose Ranges, and Rates of Glucose Change
December 9, 2022Clinical Outcomes Article / Publication / CGM Innovations
In children and adolescents with type 1 diabetes (T1D), the G7 real-time continuous glucose monitoring (RT-CGM) system demonstrated accuracy across wear days, glucose ranges, and rates of glucose change. Over 10.5 days, RT-CGM data from 28 participants aged 2 to 6 years and 127 participants aged 7 to 17 were collected and compared with blood glucose measurements. In young children aged 2 to 6, overall MARD and %20/20 agreement rates were 9.3% and 91.5%, respectively. In older children and adolescents aged 7 to 17 years, arm- and abdomen-placed G7 sensor MARD values were 8.1% and 9.0%, respectively, and overall %20/20 values were 95.3% and 92.9%, respectively. These results are consistent with those of the G6 system in children and adolescents with T1D and with an earlier study of the G5 system that evaluated accuracy at different insertion sites. Compared with the G6 RT-CGM system, the G7 has a shorter warm-up period (27 minutes vs 2 hours), making it possible for youth and caregivers of young children to obtain glucose data more quickly for diabetes management decisions. According to the authors, while day 1 accuracy tends to be lower across CGM devices, the accuracy of the G7—coupled with its shorter warm-up period—should improve the sensor experience in young users. The G7 RT-CGM was recently FDA approved for use in all individuals with diabetes aged 2 years and older, and having data specific to use in children and adolescents can be of value for managed care and payer professionals in developing coverage policies.
Laffel LM, Bailey TS, Christiansen MP, Reid JL, Beck SE. Accuracy of a Seventh-Generation Continuous Glucose Monitoring System in Children and Adolescents with Type 1 Diabetes. J Diabetes Sci Technol. 2022:19322968221091816.
Learn MoreG7 Real-Time Continuous Glucose Monitoring System Demonstrates Accurate Glucose Readings and No Serious Adverse Events in Adults with Type 1 and Type 2 Diabetes
December 9, 2022Clinical Outcomes Article / Publication / CGM Innovations
The accuracy and safety of the G7 real-time continuous glucose monitoring (RT-CGM) system was demonstrated over 10.5 days of use in adults with diabetes. In the study, adults with either type 1 or type 2 diabetes—either on intensive insulin therapy or not—wore G7 sensors concurrently on the upper arm and abdomen. Individuals were seen in clinic on days 1 or 2, 4 or 7, and on the second half of day 10 or the first half of day 11 for frequent comparisons with comparator blood glucose measurements obtained with the YSI 2300 Stat Plus glucose analyzer. After analyzing data from 316 participants (619 sensors, 77,774 matched pairs), overall mean absolute relative differences (MARD) between RT-CGM and YSI values for arm- and abdomen-placed sensors were 8.2% and 9.1%, respectively. In-clinic glucose manipulations and frequent blood glucose sampling confirmed accurate readings during euglycemia, hypoglycemia, and hyperglycemia (reflected as time in range [TIR], time below range [TBR], and time above range [TAR]), as well as during rapid glucose concentration change. Even at the highest rates of glucose concentration change, MARD values <10% were observed for arm-placed sensors and were <10.5% for abdomen-placed sensors. Offering a smaller size and added features, such as sensor/transmitter integration with a simplified insertion process, the G7 also demonstrated a favorable safety profile, with no serious adverse events reported during the study. With the recent FDA approval of the G7 RT-CGM system, payer professionals may well find value in the accuracy and safety data from this prospective multicenter single-arm study when they are developing coverage criteria.
Garg SK, et al. Accuracy and Safety of Dexcom G7 Continuous Glucose Monitoring in Adults with Diabetes. Diabetes Technol Ther. 2022;24(6):373-380.
Learn MoreNovember 11, 2022CGM Technology and Digital Health Article / Publication
Lilly’s new Tempo personalized diabetes management platform features a reusable medical device that attaches to prefilled, disposable insulin pens and sends dose-related data to a compatible app. Patients attach the Tempo Smart Button to the Tempo Pen to send insulin-dose information to TempoSmart. Capturing the data facilitates medication reminders, personalized education resources, and feedback on blood glucose levels, realized through integration with compatible technologies, including real-time continuous glucose monitoring (RT-CGM) via the Dexcom G6. Labeled a “diabetes ecosystem” solution, the fully integrated combination of devices, drugs, and technology offers an opportunity to adapt to each patient’s unique needs in diabetes management while providing value to both physician and payer stakeholders at the same time.
Learn More2022 Update of the ADA Standards of Medical Care Highlight the Strength of Evidence Supporting rtCGM
November 11, 2022Clinical Outcomes Guidelines / Policy
Real-time continuous glucose monitoring (RT-CGM) remains a key technologic advancement recommended for integration into the management of diabetes according to the American Diabetes Association (ADA) Standards of Care (SOC) 2022. ADA assigned Grade A evidence to the recommendation that RT-CGM be offered for diabetes management in adults with diabetes on multiple daily injections (MDI) of insulin or continuous subcutaneous insulin infusion (CSII). Similarly, the ADA assigned Grade A evidence to the recommendation that RT- CGM be used for diabetes management in adults with diabetes on basal insulin. ADA’s criteria for a Grade A designation is defined as clear evidence from well-conducted, generalizable randomized controlled trials that are adequately powered.
American Diabetes Association Professional Practice Committee, et al. 7. Diabetes Technology: Standards of Medical Care in Diabetes-2022. Diabetes Care. 2022;45(Suppl 1):S97-S112.
Learn More
Sign Up To Stay Current On The Latest Coverage
Updates, Recent News, And Resources
AMGA Webinar: The Impact of Continuous Glucose Monitoring on HbA1c Control in Primary Care Patients with Type 2 Diabetes
December 13, 2022Clinical Outcomes Article / Publication
During a session at the 20th World Congress on Insulin Resistance, Diabetes & Cardiovascular Disease held in December, Dr. Peter Reaven discussed the benefits of continuous glucose monitoring (CGM) beyond improved glycemic control. In an analysis of electronic health records from adults with type 1 diabetes (T1D) and type 2 diabetes (T2D) seen in Veterans Affairs (VA) clinics, use of CGM was associated with superior HbA1c reduction and a lower risk of hospitalization. The cohort included >50,000 adults with T1D or T2D who were either CGM users or non-users. CGM users with T1D had a lower risk of admissions to emergency rooms or hospitals for hypoglycemia-related events (HR=0.69 95% CI, 0.48, 0.98; P=0.04), a lower risk of hypoglycemia events in general (HR=0.72; 95% CI, 0.57-0.91; P=0.01), and a lower risk of all-cause hospitalization (HR=0.75; 95% CI, 0.63-0.9; P=0.002) than non-users. CGM users with T2D had a lower risk of hyperglycemia events (HR=0.87; 95% CI, 0.77-0.99; P=0.04) and all-cause hospitalization (HR=0.89; 95% CI, 0.82-0.97; P=0.004) than non-users. In a preliminary analysis, the researchers also calculated mortality risk using propensity score overlap weighting. CGM users with T1D had a lower risk for mortality at 18 months than non-CGM users (adjusted HR=0.38; 95% CI, 0.28-0.51; P<0.001). CGM users with T2D likewise had a reduced mortality risk compared with non-users (aHR=0.79; 95% CI, 0.7-0.88; P<0.001). Dr. Reaven noted that these findings signal a call-to-action for more widespread CGM use, giving managed care and payer professionals cause for consideration in developing coverage policies.
Reaven P. Presented at: 20th World Congress on Insulin Resistance, Diabetes & Cardiovascular Disease. December 1-3, 2022; Universal City, CA.
Learn MoreReal-Time Continuous Glucose Monitoring Demystifies Glycemic Management in Pregnancy and Improves Both Fetal and Maternal Outcomes
December 9, 2022Population Health Article / Publication
In an interview with OBG Management, Dr. Celeste Durnwald explains the benefits of real-time continuous glucose monitoring (RT-CGM) in pregnancy. Risk to fetal, neonatal, and maternal well-being is increased in pregnancy complicated by diabetes. While most patients obtain 7 to 8 glucose values over 24 hours with self-monitoring of blood glucose (SMBG), RT-CGM collects approximately 288 readings daily. In this manner, RT-CGM may help pregnant women align their carbohydrate intake and insulin dosing throughout the day to prevent hyperglycemia while avoiding sudden hypoglycemic events, all without the burden of finger sticks. The CONCEPTT trial showed that only 6 patients would need to use RT-CGM to prevent 1 large-for-gestational-age infant, 8 patients to prevent a case of neonatal hypoglycemia, and 6 patients to prevent a neonatal intensive care unit (NICU) stay. Based on these findings and other published literature, consensus guidelines recommend the use of RT-CGM in pregnant women with pre-existing type 1 and type 2 diabetes, as well as in those with gestational diabetes. These findings offer insights for payer professionals seeking to implement evidence-based quality improvement programs in diabetes or obstetrics.
Durnwald CP. Real-Time Continuous Glucose Monitoring Use in Pregnant Patients From A-to-Z. OBG Management. August 2022.
Learn MoreDecember 9, 2022CGM Technology and Digital Health Article / Publication
Dexcom G7 is now cleared in the U.S. for people with all Types of diabetes ages two years and older, giving more people than ever access to a powerfully simple diabetes management solution. The next-generation real-time continuous glucose monitoring system demonstrates comparable accuracy to previous versions while offering a smaller sensor and enhanced ease-of-use features.
Learn MoreNew G7 Continuous Glucose Monitoring System Demonstrates Similar Accuracy and Superior Ease-of-Use Compared with Previous Versions
December 9, 2022Clinical Outcomes Article / Publication / CGM Innovations
In an analysis of available data, accuracy metrics from preapproval trials of the G5, G6, and G7 real-time continuous glucose monitoring (RT-CGM) systems were compared after propensity score adjustments were applied to balance baseline demographic characteristics. Metrics included mean absolute relative differences (MARD) between CGM and YSI values (from the YSI, Inc., 2300 Stat Plus system) and the proportion of CGM values within 20% or 20 mg/dL of the YSI values (“%20/20”). Ease-of-use was also evaluated by formal task analysis in the study. Accuracy performance of the G7 sensors, whether placed on the arm or abdomen, was similar to that of abdomen-placed G5 and G6 sensors, and egregious errors were rare with all three systems. Based on the formal task analysis, the authors concluded that simplification of the sensor insertion process should result in G7 being even easier to learn and several software improvements may contribute to better glycemic outcomes. Payer professionals may well find confidence in the comparative usability data for the latest RT-CGM system versus previous versions of the technology when considering updates to coverage policies.
Welsh JB, Psavko S, Zhang X, Gao P, Balo AK. Comparisons of Fifth-, Sixth-, and Seventh-Generation Continuous Glucose Monitoring Systems. J Diabetes Sci Technol. 2022:19322968221099879.
Learn MoreIn Children and Adolescents with Type 1 Diabetes, G7 Continuous Glucose Monitoring System Maintains Accuracy Across Wear Days, Glucose Ranges, and Rates of Glucose Change
December 9, 2022Clinical Outcomes Article / Publication / CGM Innovations
In children and adolescents with type 1 diabetes (T1D), the G7 real-time continuous glucose monitoring (RT-CGM) system demonstrated accuracy across wear days, glucose ranges, and rates of glucose change. Over 10.5 days, RT-CGM data from 28 participants aged 2 to 6 years and 127 participants aged 7 to 17 were collected and compared with blood glucose measurements. In young children aged 2 to 6, overall MARD and %20/20 agreement rates were 9.3% and 91.5%, respectively. In older children and adolescents aged 7 to 17 years, arm- and abdomen-placed G7 sensor MARD values were 8.1% and 9.0%, respectively, and overall %20/20 values were 95.3% and 92.9%, respectively. These results are consistent with those of the G6 system in children and adolescents with T1D and with an earlier study of the G5 system that evaluated accuracy at different insertion sites. Compared with the G6 RT-CGM system, the G7 has a shorter warm-up period (27 minutes vs 2 hours), making it possible for youth and caregivers of young children to obtain glucose data more quickly for diabetes management decisions. According to the authors, while day 1 accuracy tends to be lower across CGM devices, the accuracy of the G7—coupled with its shorter warm-up period—should improve the sensor experience in young users. The G7 RT-CGM was recently FDA approved for use in all individuals with diabetes aged 2 years and older, and having data specific to use in children and adolescents can be of value for managed care and payer professionals in developing coverage policies.
Laffel LM, Bailey TS, Christiansen MP, Reid JL, Beck SE. Accuracy of a Seventh-Generation Continuous Glucose Monitoring System in Children and Adolescents with Type 1 Diabetes. J Diabetes Sci Technol. 2022:19322968221091816.
Learn MoreG7 Real-Time Continuous Glucose Monitoring System Demonstrates Accurate Glucose Readings and No Serious Adverse Events in Adults with Type 1 and Type 2 Diabetes
December 9, 2022Clinical Outcomes Article / Publication / CGM Innovations
The accuracy and safety of the G7 real-time continuous glucose monitoring (RT-CGM) system was demonstrated over 10.5 days of use in adults with diabetes. In the study, adults with either type 1 or type 2 diabetes—either on intensive insulin therapy or not—wore G7 sensors concurrently on the upper arm and abdomen. Individuals were seen in clinic on days 1 or 2, 4 or 7, and on the second half of day 10 or the first half of day 11 for frequent comparisons with comparator blood glucose measurements obtained with the YSI 2300 Stat Plus glucose analyzer. After analyzing data from 316 participants (619 sensors, 77,774 matched pairs), overall mean absolute relative differences (MARD) between RT-CGM and YSI values for arm- and abdomen-placed sensors were 8.2% and 9.1%, respectively. In-clinic glucose manipulations and frequent blood glucose sampling confirmed accurate readings during euglycemia, hypoglycemia, and hyperglycemia (reflected as time in range [TIR], time below range [TBR], and time above range [TAR]), as well as during rapid glucose concentration change. Even at the highest rates of glucose concentration change, MARD values <10% were observed for arm-placed sensors and were <10.5% for abdomen-placed sensors. Offering a smaller size and added features, such as sensor/transmitter integration with a simplified insertion process, the G7 also demonstrated a favorable safety profile, with no serious adverse events reported during the study. With the recent FDA approval of the G7 RT-CGM system, payer professionals may well find value in the accuracy and safety data from this prospective multicenter single-arm study when they are developing coverage criteria.
Garg SK, et al. Accuracy and Safety of Dexcom G7 Continuous Glucose Monitoring in Adults with Diabetes. Diabetes Technol Ther. 2022;24(6):373-380.
Learn MoreNovember 11, 2022CGM Technology and Digital Health Article / Publication
Lilly’s new Tempo personalized diabetes management platform features a reusable medical device that attaches to prefilled, disposable insulin pens and sends dose-related data to a compatible app. Patients attach the Tempo Smart Button to the Tempo Pen to send insulin-dose information to TempoSmart. Capturing the data facilitates medication reminders, personalized education resources, and feedback on blood glucose levels, realized through integration with compatible technologies, including real-time continuous glucose monitoring (RT-CGM) via the Dexcom G6. Labeled a “diabetes ecosystem” solution, the fully integrated combination of devices, drugs, and technology offers an opportunity to adapt to each patient’s unique needs in diabetes management while providing value to both physician and payer stakeholders at the same time.
Learn More2022 Update of the ADA Standards of Medical Care Highlight the Strength of Evidence Supporting rtCGM
November 11, 2022Clinical Outcomes Guidelines / Policy
Real-time continuous glucose monitoring (RT-CGM) remains a key technologic advancement recommended for integration into the management of diabetes according to the American Diabetes Association (ADA) Standards of Care (SOC) 2022. ADA assigned Grade A evidence to the recommendation that RT-CGM be offered for diabetes management in adults with diabetes on multiple daily injections (MDI) of insulin or continuous subcutaneous insulin infusion (CSII). Similarly, the ADA assigned Grade A evidence to the recommendation that RT- CGM be used for diabetes management in adults with diabetes on basal insulin. ADA’s criteria for a Grade A designation is defined as clear evidence from well-conducted, generalizable randomized controlled trials that are adequately powered.
American Diabetes Association Professional Practice Committee, et al. 7. Diabetes Technology: Standards of Medical Care in Diabetes-2022. Diabetes Care. 2022;45(Suppl 1):S97-S112.
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During a session at the 20th World Congress on Insulin Resistance, Diabetes & Cardiovascular Disease held in December, Dr. Peter Reaven discussed the benefits of continuous glucose monitoring (CGM) beyond improved glycemic control. In an analysis of electronic health records from adults with type 1 diabetes (T1D) and type 2 diabetes (T2D) seen in Veterans Affairs (VA) clinics, use of CGM was associated with superior HbA1c reduction and a lower risk of hospitalization. The cohort included >50,000 adults with T1D or T2D who were either CGM users or non-users. CGM users with T1D had a lower risk of admissions to emergency rooms or hospitals for hypoglycemia-related events (HR=0.69 95% CI, 0.48, 0.98; P=0.04), a lower risk of hypoglycemia events in general (HR=0.72; 95% CI, 0.57-0.91; P=0.01), and a lower risk of all-cause hospitalization (HR=0.75; 95% CI, 0.63-0.9; P=0.002) than non-users. CGM users with T2D had a lower risk of hyperglycemia events (HR=0.87; 95% CI, 0.77-0.99; P=0.04) and all-cause hospitalization (HR=0.89; 95% CI, 0.82-0.97; P=0.004) than non-users. In a preliminary analysis, the researchers also calculated mortality risk using propensity score overlap weighting. CGM users with T1D had a lower risk for mortality at 18 months than non-CGM users (adjusted HR=0.38; 95% CI, 0.28-0.51; P<0.001). CGM users with T2D likewise had a reduced mortality risk compared with non-users (aHR=0.79; 95% CI, 0.7-0.88; P<0.001). Dr. Reaven noted that these findings signal a call-to-action for more widespread CGM use, giving managed care and payer professionals cause for consideration in developing coverage policies.
Reaven P. Presented at: 20th World Congress on Insulin Resistance, Diabetes & Cardiovascular Disease. December 1-3, 2022; Universal City, CA.
Learn MoreReal-Time Continuous Glucose Monitoring Demystifies Glycemic Management in Pregnancy and Improves Both Fetal and Maternal Outcomes
December 9, 2022Population Health Article / Publication
In an interview with OBG Management, Dr. Celeste Durnwald explains the benefits of real-time continuous glucose monitoring (RT-CGM) in pregnancy. Risk to fetal, neonatal, and maternal well-being is increased in pregnancy complicated by diabetes. While most patients obtain 7 to 8 glucose values over 24 hours with self-monitoring of blood glucose (SMBG), RT-CGM collects approximately 288 readings daily. In this manner, RT-CGM may help pregnant women align their carbohydrate intake and insulin dosing throughout the day to prevent hyperglycemia while avoiding sudden hypoglycemic events, all without the burden of finger sticks. The CONCEPTT trial showed that only 6 patients would need to use RT-CGM to prevent 1 large-for-gestational-age infant, 8 patients to prevent a case of neonatal hypoglycemia, and 6 patients to prevent a neonatal intensive care unit (NICU) stay. Based on these findings and other published literature, consensus guidelines recommend the use of RT-CGM in pregnant women with pre-existing type 1 and type 2 diabetes, as well as in those with gestational diabetes. These findings offer insights for payer professionals seeking to implement evidence-based quality improvement programs in diabetes or obstetrics.
Durnwald CP. Real-Time Continuous Glucose Monitoring Use in Pregnant Patients From A-to-Z. OBG Management. August 2022.
Learn MoreDecember 9, 2022CGM Technology and Digital Health Article / Publication
Dexcom G7 is now cleared in the U.S. for people with all Types of diabetes ages two years and older, giving more people than ever access to a powerfully simple diabetes management solution. The next-generation real-time continuous glucose monitoring system demonstrates comparable accuracy to previous versions while offering a smaller sensor and enhanced ease-of-use features.
Learn MoreNew G7 Continuous Glucose Monitoring System Demonstrates Similar Accuracy and Superior Ease-of-Use Compared with Previous Versions
December 9, 2022Clinical Outcomes Article / Publication / CGM Innovations
In an analysis of available data, accuracy metrics from preapproval trials of the G5, G6, and G7 real-time continuous glucose monitoring (RT-CGM) systems were compared after propensity score adjustments were applied to balance baseline demographic characteristics. Metrics included mean absolute relative differences (MARD) between CGM and YSI values (from the YSI, Inc., 2300 Stat Plus system) and the proportion of CGM values within 20% or 20 mg/dL of the YSI values (“%20/20”). Ease-of-use was also evaluated by formal task analysis in the study. Accuracy performance of the G7 sensors, whether placed on the arm or abdomen, was similar to that of abdomen-placed G5 and G6 sensors, and egregious errors were rare with all three systems. Based on the formal task analysis, the authors concluded that simplification of the sensor insertion process should result in G7 being even easier to learn and several software improvements may contribute to better glycemic outcomes. Payer professionals may well find confidence in the comparative usability data for the latest RT-CGM system versus previous versions of the technology when considering updates to coverage policies.
Welsh JB, Psavko S, Zhang X, Gao P, Balo AK. Comparisons of Fifth-, Sixth-, and Seventh-Generation Continuous Glucose Monitoring Systems. J Diabetes Sci Technol. 2022:19322968221099879.
Learn MoreIn Children and Adolescents with Type 1 Diabetes, G7 Continuous Glucose Monitoring System Maintains Accuracy Across Wear Days, Glucose Ranges, and Rates of Glucose Change
December 9, 2022Clinical Outcomes Article / Publication / CGM Innovations
In children and adolescents with type 1 diabetes (T1D), the G7 real-time continuous glucose monitoring (RT-CGM) system demonstrated accuracy across wear days, glucose ranges, and rates of glucose change. Over 10.5 days, RT-CGM data from 28 participants aged 2 to 6 years and 127 participants aged 7 to 17 were collected and compared with blood glucose measurements. In young children aged 2 to 6, overall MARD and %20/20 agreement rates were 9.3% and 91.5%, respectively. In older children and adolescents aged 7 to 17 years, arm- and abdomen-placed G7 sensor MARD values were 8.1% and 9.0%, respectively, and overall %20/20 values were 95.3% and 92.9%, respectively. These results are consistent with those of the G6 system in children and adolescents with T1D and with an earlier study of the G5 system that evaluated accuracy at different insertion sites. Compared with the G6 RT-CGM system, the G7 has a shorter warm-up period (27 minutes vs 2 hours), making it possible for youth and caregivers of young children to obtain glucose data more quickly for diabetes management decisions. According to the authors, while day 1 accuracy tends to be lower across CGM devices, the accuracy of the G7—coupled with its shorter warm-up period—should improve the sensor experience in young users. The G7 RT-CGM was recently FDA approved for use in all individuals with diabetes aged 2 years and older, and having data specific to use in children and adolescents can be of value for managed care and payer professionals in developing coverage policies.
Laffel LM, Bailey TS, Christiansen MP, Reid JL, Beck SE. Accuracy of a Seventh-Generation Continuous Glucose Monitoring System in Children and Adolescents with Type 1 Diabetes. J Diabetes Sci Technol. 2022:19322968221091816.
Learn MoreG7 Real-Time Continuous Glucose Monitoring System Demonstrates Accurate Glucose Readings and No Serious Adverse Events in Adults with Type 1 and Type 2 Diabetes
December 9, 2022Clinical Outcomes Article / Publication / CGM Innovations
The accuracy and safety of the G7 real-time continuous glucose monitoring (RT-CGM) system was demonstrated over 10.5 days of use in adults with diabetes. In the study, adults with either type 1 or type 2 diabetes—either on intensive insulin therapy or not—wore G7 sensors concurrently on the upper arm and abdomen. Individuals were seen in clinic on days 1 or 2, 4 or 7, and on the second half of day 10 or the first half of day 11 for frequent comparisons with comparator blood glucose measurements obtained with the YSI 2300 Stat Plus glucose analyzer. After analyzing data from 316 participants (619 sensors, 77,774 matched pairs), overall mean absolute relative differences (MARD) between RT-CGM and YSI values for arm- and abdomen-placed sensors were 8.2% and 9.1%, respectively. In-clinic glucose manipulations and frequent blood glucose sampling confirmed accurate readings during euglycemia, hypoglycemia, and hyperglycemia (reflected as time in range [TIR], time below range [TBR], and time above range [TAR]), as well as during rapid glucose concentration change. Even at the highest rates of glucose concentration change, MARD values <10% were observed for arm-placed sensors and were <10.5% for abdomen-placed sensors. Offering a smaller size and added features, such as sensor/transmitter integration with a simplified insertion process, the G7 also demonstrated a favorable safety profile, with no serious adverse events reported during the study. With the recent FDA approval of the G7 RT-CGM system, payer professionals may well find value in the accuracy and safety data from this prospective multicenter single-arm study when they are developing coverage criteria.
Garg SK, et al. Accuracy and Safety of Dexcom G7 Continuous Glucose Monitoring in Adults with Diabetes. Diabetes Technol Ther. 2022;24(6):373-380.
Learn MoreNovember 11, 2022CGM Technology and Digital Health Article / Publication
Lilly’s new Tempo personalized diabetes management platform features a reusable medical device that attaches to prefilled, disposable insulin pens and sends dose-related data to a compatible app. Patients attach the Tempo Smart Button to the Tempo Pen to send insulin-dose information to TempoSmart. Capturing the data facilitates medication reminders, personalized education resources, and feedback on blood glucose levels, realized through integration with compatible technologies, including real-time continuous glucose monitoring (RT-CGM) via the Dexcom G6. Labeled a “diabetes ecosystem” solution, the fully integrated combination of devices, drugs, and technology offers an opportunity to adapt to each patient’s unique needs in diabetes management while providing value to both physician and payer stakeholders at the same time.
Learn More2022 Update of the ADA Standards of Medical Care Highlight the Strength of Evidence Supporting rtCGM
November 11, 2022Clinical Outcomes Guidelines / Policy
Real-time continuous glucose monitoring (RT-CGM) remains a key technologic advancement recommended for integration into the management of diabetes according to the American Diabetes Association (ADA) Standards of Care (SOC) 2022. ADA assigned Grade A evidence to the recommendation that RT-CGM be offered for diabetes management in adults with diabetes on multiple daily injections (MDI) of insulin or continuous subcutaneous insulin infusion (CSII). Similarly, the ADA assigned Grade A evidence to the recommendation that RT- CGM be used for diabetes management in adults with diabetes on basal insulin. ADA’s criteria for a Grade A designation is defined as clear evidence from well-conducted, generalizable randomized controlled trials that are adequately powered.
American Diabetes Association Professional Practice Committee, et al. 7. Diabetes Technology: Standards of Medical Care in Diabetes-2022. Diabetes Care. 2022;45(Suppl 1):S97-S112.
Learn More
Sign Up To Stay Current On The Latest Coverage
Updates, Recent News, And Resources
Real-Time Continuous Glucose Monitoring Demystifies Glycemic Management in Pregnancy and Improves Both Fetal and Maternal Outcomes
In an interview with OBG Management, Dr. Celeste Durnwald explains the benefits of real-time continuous glucose monitoring (RT-CGM) in pregnancy. Risk to fetal, neonatal, and maternal well-being is increased in pregnancy complicated by diabetes. While most patients obtain 7 to 8 glucose values over 24 hours with self-monitoring of blood glucose (SMBG), RT-CGM collects approximately 288 readings daily. In this manner, RT-CGM may help pregnant women align their carbohydrate intake and insulin dosing throughout the day to prevent hyperglycemia while avoiding sudden hypoglycemic events, all without the burden of finger sticks. The CONCEPTT trial showed that only 6 patients would need to use RT-CGM to prevent 1 large-for-gestational-age infant, 8 patients to prevent a case of neonatal hypoglycemia, and 6 patients to prevent a neonatal intensive care unit (NICU) stay. Based on these findings and other published literature, consensus guidelines recommend the use of RT-CGM in pregnant women with pre-existing type 1 and type 2 diabetes, as well as in those with gestational diabetes. These findings offer insights for payer professionals seeking to implement evidence-based quality improvement programs in diabetes or obstetrics.
Durnwald CP. Real-Time Continuous Glucose Monitoring Use in Pregnant Patients From A-to-Z. OBG Management. August 2022.
Learn MoreDecember 9, 2022CGM Technology and Digital Health Article / Publication
Dexcom G7 is now cleared in the U.S. for people with all Types of diabetes ages two years and older, giving more people than ever access to a powerfully simple diabetes management solution. The next-generation real-time continuous glucose monitoring system demonstrates comparable accuracy to previous versions while offering a smaller sensor and enhanced ease-of-use features.
Learn MoreNew G7 Continuous Glucose Monitoring System Demonstrates Similar Accuracy and Superior Ease-of-Use Compared with Previous Versions
December 9, 2022Clinical Outcomes Article / Publication / CGM Innovations
In an analysis of available data, accuracy metrics from preapproval trials of the G5, G6, and G7 real-time continuous glucose monitoring (RT-CGM) systems were compared after propensity score adjustments were applied to balance baseline demographic characteristics. Metrics included mean absolute relative differences (MARD) between CGM and YSI values (from the YSI, Inc., 2300 Stat Plus system) and the proportion of CGM values within 20% or 20 mg/dL of the YSI values (“%20/20”). Ease-of-use was also evaluated by formal task analysis in the study. Accuracy performance of the G7 sensors, whether placed on the arm or abdomen, was similar to that of abdomen-placed G5 and G6 sensors, and egregious errors were rare with all three systems. Based on the formal task analysis, the authors concluded that simplification of the sensor insertion process should result in G7 being even easier to learn and several software improvements may contribute to better glycemic outcomes. Payer professionals may well find confidence in the comparative usability data for the latest RT-CGM system versus previous versions of the technology when considering updates to coverage policies.
Welsh JB, Psavko S, Zhang X, Gao P, Balo AK. Comparisons of Fifth-, Sixth-, and Seventh-Generation Continuous Glucose Monitoring Systems. J Diabetes Sci Technol. 2022:19322968221099879.
Learn MoreIn Children and Adolescents with Type 1 Diabetes, G7 Continuous Glucose Monitoring System Maintains Accuracy Across Wear Days, Glucose Ranges, and Rates of Glucose Change
December 9, 2022Clinical Outcomes Article / Publication / CGM Innovations
In children and adolescents with type 1 diabetes (T1D), the G7 real-time continuous glucose monitoring (RT-CGM) system demonstrated accuracy across wear days, glucose ranges, and rates of glucose change. Over 10.5 days, RT-CGM data from 28 participants aged 2 to 6 years and 127 participants aged 7 to 17 were collected and compared with blood glucose measurements. In young children aged 2 to 6, overall MARD and %20/20 agreement rates were 9.3% and 91.5%, respectively. In older children and adolescents aged 7 to 17 years, arm- and abdomen-placed G7 sensor MARD values were 8.1% and 9.0%, respectively, and overall %20/20 values were 95.3% and 92.9%, respectively. These results are consistent with those of the G6 system in children and adolescents with T1D and with an earlier study of the G5 system that evaluated accuracy at different insertion sites. Compared with the G6 RT-CGM system, the G7 has a shorter warm-up period (27 minutes vs 2 hours), making it possible for youth and caregivers of young children to obtain glucose data more quickly for diabetes management decisions. According to the authors, while day 1 accuracy tends to be lower across CGM devices, the accuracy of the G7—coupled with its shorter warm-up period—should improve the sensor experience in young users. The G7 RT-CGM was recently FDA approved for use in all individuals with diabetes aged 2 years and older, and having data specific to use in children and adolescents can be of value for managed care and payer professionals in developing coverage policies.
Laffel LM, Bailey TS, Christiansen MP, Reid JL, Beck SE. Accuracy of a Seventh-Generation Continuous Glucose Monitoring System in Children and Adolescents with Type 1 Diabetes. J Diabetes Sci Technol. 2022:19322968221091816.
Learn MoreG7 Real-Time Continuous Glucose Monitoring System Demonstrates Accurate Glucose Readings and No Serious Adverse Events in Adults with Type 1 and Type 2 Diabetes
December 9, 2022Clinical Outcomes Article / Publication / CGM Innovations
The accuracy and safety of the G7 real-time continuous glucose monitoring (RT-CGM) system was demonstrated over 10.5 days of use in adults with diabetes. In the study, adults with either type 1 or type 2 diabetes—either on intensive insulin therapy or not—wore G7 sensors concurrently on the upper arm and abdomen. Individuals were seen in clinic on days 1 or 2, 4 or 7, and on the second half of day 10 or the first half of day 11 for frequent comparisons with comparator blood glucose measurements obtained with the YSI 2300 Stat Plus glucose analyzer. After analyzing data from 316 participants (619 sensors, 77,774 matched pairs), overall mean absolute relative differences (MARD) between RT-CGM and YSI values for arm- and abdomen-placed sensors were 8.2% and 9.1%, respectively. In-clinic glucose manipulations and frequent blood glucose sampling confirmed accurate readings during euglycemia, hypoglycemia, and hyperglycemia (reflected as time in range [TIR], time below range [TBR], and time above range [TAR]), as well as during rapid glucose concentration change. Even at the highest rates of glucose concentration change, MARD values <10% were observed for arm-placed sensors and were <10.5% for abdomen-placed sensors. Offering a smaller size and added features, such as sensor/transmitter integration with a simplified insertion process, the G7 also demonstrated a favorable safety profile, with no serious adverse events reported during the study. With the recent FDA approval of the G7 RT-CGM system, payer professionals may well find value in the accuracy and safety data from this prospective multicenter single-arm study when they are developing coverage criteria.
Garg SK, et al. Accuracy and Safety of Dexcom G7 Continuous Glucose Monitoring in Adults with Diabetes. Diabetes Technol Ther. 2022;24(6):373-380.
Learn MoreNovember 11, 2022CGM Technology and Digital Health Article / Publication
Lilly’s new Tempo personalized diabetes management platform features a reusable medical device that attaches to prefilled, disposable insulin pens and sends dose-related data to a compatible app. Patients attach the Tempo Smart Button to the Tempo Pen to send insulin-dose information to TempoSmart. Capturing the data facilitates medication reminders, personalized education resources, and feedback on blood glucose levels, realized through integration with compatible technologies, including real-time continuous glucose monitoring (RT-CGM) via the Dexcom G6. Labeled a “diabetes ecosystem” solution, the fully integrated combination of devices, drugs, and technology offers an opportunity to adapt to each patient’s unique needs in diabetes management while providing value to both physician and payer stakeholders at the same time.
Learn More2022 Update of the ADA Standards of Medical Care Highlight the Strength of Evidence Supporting rtCGM
November 11, 2022Clinical Outcomes Guidelines / Policy
Real-time continuous glucose monitoring (RT-CGM) remains a key technologic advancement recommended for integration into the management of diabetes according to the American Diabetes Association (ADA) Standards of Care (SOC) 2022. ADA assigned Grade A evidence to the recommendation that RT-CGM be offered for diabetes management in adults with diabetes on multiple daily injections (MDI) of insulin or continuous subcutaneous insulin infusion (CSII). Similarly, the ADA assigned Grade A evidence to the recommendation that RT- CGM be used for diabetes management in adults with diabetes on basal insulin. ADA’s criteria for a Grade A designation is defined as clear evidence from well-conducted, generalizable randomized controlled trials that are adequately powered.
American Diabetes Association Professional Practice Committee, et al. 7. Diabetes Technology: Standards of Medical Care in Diabetes-2022. Diabetes Care. 2022;45(Suppl 1):S97-S112.
Learn More
Sign Up To Stay Current On The Latest Coverage
Updates, Recent News, And Resources
Dexcom G7 is now cleared in the U.S. for people with all Types of diabetes ages two years and older, giving more people than ever access to a powerfully simple diabetes management solution. The next-generation real-time continuous glucose monitoring system demonstrates comparable accuracy to previous versions while offering a smaller sensor and enhanced ease-of-use features.
Learn MoreNew G7 Continuous Glucose Monitoring System Demonstrates Similar Accuracy and Superior Ease-of-Use Compared with Previous Versions
December 9, 2022Clinical Outcomes Article / Publication / CGM Innovations
In an analysis of available data, accuracy metrics from preapproval trials of the G5, G6, and G7 real-time continuous glucose monitoring (RT-CGM) systems were compared after propensity score adjustments were applied to balance baseline demographic characteristics. Metrics included mean absolute relative differences (MARD) between CGM and YSI values (from the YSI, Inc., 2300 Stat Plus system) and the proportion of CGM values within 20% or 20 mg/dL of the YSI values (“%20/20”). Ease-of-use was also evaluated by formal task analysis in the study. Accuracy performance of the G7 sensors, whether placed on the arm or abdomen, was similar to that of abdomen-placed G5 and G6 sensors, and egregious errors were rare with all three systems. Based on the formal task analysis, the authors concluded that simplification of the sensor insertion process should result in G7 being even easier to learn and several software improvements may contribute to better glycemic outcomes. Payer professionals may well find confidence in the comparative usability data for the latest RT-CGM system versus previous versions of the technology when considering updates to coverage policies.
Welsh JB, Psavko S, Zhang X, Gao P, Balo AK. Comparisons of Fifth-, Sixth-, and Seventh-Generation Continuous Glucose Monitoring Systems. J Diabetes Sci Technol. 2022:19322968221099879.
Learn MoreIn Children and Adolescents with Type 1 Diabetes, G7 Continuous Glucose Monitoring System Maintains Accuracy Across Wear Days, Glucose Ranges, and Rates of Glucose Change
December 9, 2022Clinical Outcomes Article / Publication / CGM Innovations
In children and adolescents with type 1 diabetes (T1D), the G7 real-time continuous glucose monitoring (RT-CGM) system demonstrated accuracy across wear days, glucose ranges, and rates of glucose change. Over 10.5 days, RT-CGM data from 28 participants aged 2 to 6 years and 127 participants aged 7 to 17 were collected and compared with blood glucose measurements. In young children aged 2 to 6, overall MARD and %20/20 agreement rates were 9.3% and 91.5%, respectively. In older children and adolescents aged 7 to 17 years, arm- and abdomen-placed G7 sensor MARD values were 8.1% and 9.0%, respectively, and overall %20/20 values were 95.3% and 92.9%, respectively. These results are consistent with those of the G6 system in children and adolescents with T1D and with an earlier study of the G5 system that evaluated accuracy at different insertion sites. Compared with the G6 RT-CGM system, the G7 has a shorter warm-up period (27 minutes vs 2 hours), making it possible for youth and caregivers of young children to obtain glucose data more quickly for diabetes management decisions. According to the authors, while day 1 accuracy tends to be lower across CGM devices, the accuracy of the G7—coupled with its shorter warm-up period—should improve the sensor experience in young users. The G7 RT-CGM was recently FDA approved for use in all individuals with diabetes aged 2 years and older, and having data specific to use in children and adolescents can be of value for managed care and payer professionals in developing coverage policies.
Laffel LM, Bailey TS, Christiansen MP, Reid JL, Beck SE. Accuracy of a Seventh-Generation Continuous Glucose Monitoring System in Children and Adolescents with Type 1 Diabetes. J Diabetes Sci Technol. 2022:19322968221091816.
Learn MoreG7 Real-Time Continuous Glucose Monitoring System Demonstrates Accurate Glucose Readings and No Serious Adverse Events in Adults with Type 1 and Type 2 Diabetes
December 9, 2022Clinical Outcomes Article / Publication / CGM Innovations
The accuracy and safety of the G7 real-time continuous glucose monitoring (RT-CGM) system was demonstrated over 10.5 days of use in adults with diabetes. In the study, adults with either type 1 or type 2 diabetes—either on intensive insulin therapy or not—wore G7 sensors concurrently on the upper arm and abdomen. Individuals were seen in clinic on days 1 or 2, 4 or 7, and on the second half of day 10 or the first half of day 11 for frequent comparisons with comparator blood glucose measurements obtained with the YSI 2300 Stat Plus glucose analyzer. After analyzing data from 316 participants (619 sensors, 77,774 matched pairs), overall mean absolute relative differences (MARD) between RT-CGM and YSI values for arm- and abdomen-placed sensors were 8.2% and 9.1%, respectively. In-clinic glucose manipulations and frequent blood glucose sampling confirmed accurate readings during euglycemia, hypoglycemia, and hyperglycemia (reflected as time in range [TIR], time below range [TBR], and time above range [TAR]), as well as during rapid glucose concentration change. Even at the highest rates of glucose concentration change, MARD values <10% were observed for arm-placed sensors and were <10.5% for abdomen-placed sensors. Offering a smaller size and added features, such as sensor/transmitter integration with a simplified insertion process, the G7 also demonstrated a favorable safety profile, with no serious adverse events reported during the study. With the recent FDA approval of the G7 RT-CGM system, payer professionals may well find value in the accuracy and safety data from this prospective multicenter single-arm study when they are developing coverage criteria.
Garg SK, et al. Accuracy and Safety of Dexcom G7 Continuous Glucose Monitoring in Adults with Diabetes. Diabetes Technol Ther. 2022;24(6):373-380.
Learn MoreNovember 11, 2022CGM Technology and Digital Health Article / Publication
Lilly’s new Tempo personalized diabetes management platform features a reusable medical device that attaches to prefilled, disposable insulin pens and sends dose-related data to a compatible app. Patients attach the Tempo Smart Button to the Tempo Pen to send insulin-dose information to TempoSmart. Capturing the data facilitates medication reminders, personalized education resources, and feedback on blood glucose levels, realized through integration with compatible technologies, including real-time continuous glucose monitoring (RT-CGM) via the Dexcom G6. Labeled a “diabetes ecosystem” solution, the fully integrated combination of devices, drugs, and technology offers an opportunity to adapt to each patient’s unique needs in diabetes management while providing value to both physician and payer stakeholders at the same time.
Learn More2022 Update of the ADA Standards of Medical Care Highlight the Strength of Evidence Supporting rtCGM
November 11, 2022Clinical Outcomes Guidelines / Policy
Real-time continuous glucose monitoring (RT-CGM) remains a key technologic advancement recommended for integration into the management of diabetes according to the American Diabetes Association (ADA) Standards of Care (SOC) 2022. ADA assigned Grade A evidence to the recommendation that RT-CGM be offered for diabetes management in adults with diabetes on multiple daily injections (MDI) of insulin or continuous subcutaneous insulin infusion (CSII). Similarly, the ADA assigned Grade A evidence to the recommendation that RT- CGM be used for diabetes management in adults with diabetes on basal insulin. ADA’s criteria for a Grade A designation is defined as clear evidence from well-conducted, generalizable randomized controlled trials that are adequately powered.
American Diabetes Association Professional Practice Committee, et al. 7. Diabetes Technology: Standards of Medical Care in Diabetes-2022. Diabetes Care. 2022;45(Suppl 1):S97-S112.
Learn More
Sign Up To Stay Current On The Latest Coverage
Updates, Recent News, And Resources
New G7 Continuous Glucose Monitoring System Demonstrates Similar Accuracy and Superior Ease-of-Use Compared with Previous Versions
In an analysis of available data, accuracy metrics from preapproval trials of the G5, G6, and G7 real-time continuous glucose monitoring (RT-CGM) systems were compared after propensity score adjustments were applied to balance baseline demographic characteristics. Metrics included mean absolute relative differences (MARD) between CGM and YSI values (from the YSI, Inc., 2300 Stat Plus system) and the proportion of CGM values within 20% or 20 mg/dL of the YSI values (“%20/20”). Ease-of-use was also evaluated by formal task analysis in the study. Accuracy performance of the G7 sensors, whether placed on the arm or abdomen, was similar to that of abdomen-placed G5 and G6 sensors, and egregious errors were rare with all three systems. Based on the formal task analysis, the authors concluded that simplification of the sensor insertion process should result in G7 being even easier to learn and several software improvements may contribute to better glycemic outcomes. Payer professionals may well find confidence in the comparative usability data for the latest RT-CGM system versus previous versions of the technology when considering updates to coverage policies.
Welsh JB, Psavko S, Zhang X, Gao P, Balo AK. Comparisons of Fifth-, Sixth-, and Seventh-Generation Continuous Glucose Monitoring Systems. J Diabetes Sci Technol. 2022:19322968221099879.
Learn MoreIn Children and Adolescents with Type 1 Diabetes, G7 Continuous Glucose Monitoring System Maintains Accuracy Across Wear Days, Glucose Ranges, and Rates of Glucose Change
December 9, 2022Clinical Outcomes Article / Publication / CGM Innovations
In children and adolescents with type 1 diabetes (T1D), the G7 real-time continuous glucose monitoring (RT-CGM) system demonstrated accuracy across wear days, glucose ranges, and rates of glucose change. Over 10.5 days, RT-CGM data from 28 participants aged 2 to 6 years and 127 participants aged 7 to 17 were collected and compared with blood glucose measurements. In young children aged 2 to 6, overall MARD and %20/20 agreement rates were 9.3% and 91.5%, respectively. In older children and adolescents aged 7 to 17 years, arm- and abdomen-placed G7 sensor MARD values were 8.1% and 9.0%, respectively, and overall %20/20 values were 95.3% and 92.9%, respectively. These results are consistent with those of the G6 system in children and adolescents with T1D and with an earlier study of the G5 system that evaluated accuracy at different insertion sites. Compared with the G6 RT-CGM system, the G7 has a shorter warm-up period (27 minutes vs 2 hours), making it possible for youth and caregivers of young children to obtain glucose data more quickly for diabetes management decisions. According to the authors, while day 1 accuracy tends to be lower across CGM devices, the accuracy of the G7—coupled with its shorter warm-up period—should improve the sensor experience in young users. The G7 RT-CGM was recently FDA approved for use in all individuals with diabetes aged 2 years and older, and having data specific to use in children and adolescents can be of value for managed care and payer professionals in developing coverage policies.
Laffel LM, Bailey TS, Christiansen MP, Reid JL, Beck SE. Accuracy of a Seventh-Generation Continuous Glucose Monitoring System in Children and Adolescents with Type 1 Diabetes. J Diabetes Sci Technol. 2022:19322968221091816.
Learn MoreG7 Real-Time Continuous Glucose Monitoring System Demonstrates Accurate Glucose Readings and No Serious Adverse Events in Adults with Type 1 and Type 2 Diabetes
December 9, 2022Clinical Outcomes Article / Publication / CGM Innovations
The accuracy and safety of the G7 real-time continuous glucose monitoring (RT-CGM) system was demonstrated over 10.5 days of use in adults with diabetes. In the study, adults with either type 1 or type 2 diabetes—either on intensive insulin therapy or not—wore G7 sensors concurrently on the upper arm and abdomen. Individuals were seen in clinic on days 1 or 2, 4 or 7, and on the second half of day 10 or the first half of day 11 for frequent comparisons with comparator blood glucose measurements obtained with the YSI 2300 Stat Plus glucose analyzer. After analyzing data from 316 participants (619 sensors, 77,774 matched pairs), overall mean absolute relative differences (MARD) between RT-CGM and YSI values for arm- and abdomen-placed sensors were 8.2% and 9.1%, respectively. In-clinic glucose manipulations and frequent blood glucose sampling confirmed accurate readings during euglycemia, hypoglycemia, and hyperglycemia (reflected as time in range [TIR], time below range [TBR], and time above range [TAR]), as well as during rapid glucose concentration change. Even at the highest rates of glucose concentration change, MARD values <10% were observed for arm-placed sensors and were <10.5% for abdomen-placed sensors. Offering a smaller size and added features, such as sensor/transmitter integration with a simplified insertion process, the G7 also demonstrated a favorable safety profile, with no serious adverse events reported during the study. With the recent FDA approval of the G7 RT-CGM system, payer professionals may well find value in the accuracy and safety data from this prospective multicenter single-arm study when they are developing coverage criteria.
Garg SK, et al. Accuracy and Safety of Dexcom G7 Continuous Glucose Monitoring in Adults with Diabetes. Diabetes Technol Ther. 2022;24(6):373-380.
Learn MoreNovember 11, 2022CGM Technology and Digital Health Article / Publication
Lilly’s new Tempo personalized diabetes management platform features a reusable medical device that attaches to prefilled, disposable insulin pens and sends dose-related data to a compatible app. Patients attach the Tempo Smart Button to the Tempo Pen to send insulin-dose information to TempoSmart. Capturing the data facilitates medication reminders, personalized education resources, and feedback on blood glucose levels, realized through integration with compatible technologies, including real-time continuous glucose monitoring (RT-CGM) via the Dexcom G6. Labeled a “diabetes ecosystem” solution, the fully integrated combination of devices, drugs, and technology offers an opportunity to adapt to each patient’s unique needs in diabetes management while providing value to both physician and payer stakeholders at the same time.
Learn More2022 Update of the ADA Standards of Medical Care Highlight the Strength of Evidence Supporting rtCGM
November 11, 2022Clinical Outcomes Guidelines / Policy
Real-time continuous glucose monitoring (RT-CGM) remains a key technologic advancement recommended for integration into the management of diabetes according to the American Diabetes Association (ADA) Standards of Care (SOC) 2022. ADA assigned Grade A evidence to the recommendation that RT-CGM be offered for diabetes management in adults with diabetes on multiple daily injections (MDI) of insulin or continuous subcutaneous insulin infusion (CSII). Similarly, the ADA assigned Grade A evidence to the recommendation that RT- CGM be used for diabetes management in adults with diabetes on basal insulin. ADA’s criteria for a Grade A designation is defined as clear evidence from well-conducted, generalizable randomized controlled trials that are adequately powered.
American Diabetes Association Professional Practice Committee, et al. 7. Diabetes Technology: Standards of Medical Care in Diabetes-2022. Diabetes Care. 2022;45(Suppl 1):S97-S112.
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In Children and Adolescents with Type 1 Diabetes, G7 Continuous Glucose Monitoring System Maintains Accuracy Across Wear Days, Glucose Ranges, and Rates of Glucose Change
In children and adolescents with type 1 diabetes (T1D), the G7 real-time continuous glucose monitoring (RT-CGM) system demonstrated accuracy across wear days, glucose ranges, and rates of glucose change. Over 10.5 days, RT-CGM data from 28 participants aged 2 to 6 years and 127 participants aged 7 to 17 were collected and compared with blood glucose measurements. In young children aged 2 to 6, overall MARD and %20/20 agreement rates were 9.3% and 91.5%, respectively. In older children and adolescents aged 7 to 17 years, arm- and abdomen-placed G7 sensor MARD values were 8.1% and 9.0%, respectively, and overall %20/20 values were 95.3% and 92.9%, respectively. These results are consistent with those of the G6 system in children and adolescents with T1D and with an earlier study of the G5 system that evaluated accuracy at different insertion sites. Compared with the G6 RT-CGM system, the G7 has a shorter warm-up period (27 minutes vs 2 hours), making it possible for youth and caregivers of young children to obtain glucose data more quickly for diabetes management decisions. According to the authors, while day 1 accuracy tends to be lower across CGM devices, the accuracy of the G7—coupled with its shorter warm-up period—should improve the sensor experience in young users. The G7 RT-CGM was recently FDA approved for use in all individuals with diabetes aged 2 years and older, and having data specific to use in children and adolescents can be of value for managed care and payer professionals in developing coverage policies.
Laffel LM, Bailey TS, Christiansen MP, Reid JL, Beck SE. Accuracy of a Seventh-Generation Continuous Glucose Monitoring System in Children and Adolescents with Type 1 Diabetes. J Diabetes Sci Technol. 2022:19322968221091816.
Learn MoreG7 Real-Time Continuous Glucose Monitoring System Demonstrates Accurate Glucose Readings and No Serious Adverse Events in Adults with Type 1 and Type 2 Diabetes
December 9, 2022Clinical Outcomes Article / Publication / CGM Innovations
The accuracy and safety of the G7 real-time continuous glucose monitoring (RT-CGM) system was demonstrated over 10.5 days of use in adults with diabetes. In the study, adults with either type 1 or type 2 diabetes—either on intensive insulin therapy or not—wore G7 sensors concurrently on the upper arm and abdomen. Individuals were seen in clinic on days 1 or 2, 4 or 7, and on the second half of day 10 or the first half of day 11 for frequent comparisons with comparator blood glucose measurements obtained with the YSI 2300 Stat Plus glucose analyzer. After analyzing data from 316 participants (619 sensors, 77,774 matched pairs), overall mean absolute relative differences (MARD) between RT-CGM and YSI values for arm- and abdomen-placed sensors were 8.2% and 9.1%, respectively. In-clinic glucose manipulations and frequent blood glucose sampling confirmed accurate readings during euglycemia, hypoglycemia, and hyperglycemia (reflected as time in range [TIR], time below range [TBR], and time above range [TAR]), as well as during rapid glucose concentration change. Even at the highest rates of glucose concentration change, MARD values <10% were observed for arm-placed sensors and were <10.5% for abdomen-placed sensors. Offering a smaller size and added features, such as sensor/transmitter integration with a simplified insertion process, the G7 also demonstrated a favorable safety profile, with no serious adverse events reported during the study. With the recent FDA approval of the G7 RT-CGM system, payer professionals may well find value in the accuracy and safety data from this prospective multicenter single-arm study when they are developing coverage criteria.
Garg SK, et al. Accuracy and Safety of Dexcom G7 Continuous Glucose Monitoring in Adults with Diabetes. Diabetes Technol Ther. 2022;24(6):373-380.
Learn MoreNovember 11, 2022CGM Technology and Digital Health Article / Publication
Lilly’s new Tempo personalized diabetes management platform features a reusable medical device that attaches to prefilled, disposable insulin pens and sends dose-related data to a compatible app. Patients attach the Tempo Smart Button to the Tempo Pen to send insulin-dose information to TempoSmart. Capturing the data facilitates medication reminders, personalized education resources, and feedback on blood glucose levels, realized through integration with compatible technologies, including real-time continuous glucose monitoring (RT-CGM) via the Dexcom G6. Labeled a “diabetes ecosystem” solution, the fully integrated combination of devices, drugs, and technology offers an opportunity to adapt to each patient’s unique needs in diabetes management while providing value to both physician and payer stakeholders at the same time.
Learn More2022 Update of the ADA Standards of Medical Care Highlight the Strength of Evidence Supporting rtCGM
November 11, 2022Clinical Outcomes Guidelines / Policy
Real-time continuous glucose monitoring (RT-CGM) remains a key technologic advancement recommended for integration into the management of diabetes according to the American Diabetes Association (ADA) Standards of Care (SOC) 2022. ADA assigned Grade A evidence to the recommendation that RT-CGM be offered for diabetes management in adults with diabetes on multiple daily injections (MDI) of insulin or continuous subcutaneous insulin infusion (CSII). Similarly, the ADA assigned Grade A evidence to the recommendation that RT- CGM be used for diabetes management in adults with diabetes on basal insulin. ADA’s criteria for a Grade A designation is defined as clear evidence from well-conducted, generalizable randomized controlled trials that are adequately powered.
American Diabetes Association Professional Practice Committee, et al. 7. Diabetes Technology: Standards of Medical Care in Diabetes-2022. Diabetes Care. 2022;45(Suppl 1):S97-S112.
Learn More
Sign Up To Stay Current On The Latest Coverage
Updates, Recent News, And Resources
G7 Real-Time Continuous Glucose Monitoring System Demonstrates Accurate Glucose Readings and No Serious Adverse Events in Adults with Type 1 and Type 2 Diabetes
The accuracy and safety of the G7 real-time continuous glucose monitoring (RT-CGM) system was demonstrated over 10.5 days of use in adults with diabetes. In the study, adults with either type 1 or type 2 diabetes—either on intensive insulin therapy or not—wore G7 sensors concurrently on the upper arm and abdomen. Individuals were seen in clinic on days 1 or 2, 4 or 7, and on the second half of day 10 or the first half of day 11 for frequent comparisons with comparator blood glucose measurements obtained with the YSI 2300 Stat Plus glucose analyzer. After analyzing data from 316 participants (619 sensors, 77,774 matched pairs), overall mean absolute relative differences (MARD) between RT-CGM and YSI values for arm- and abdomen-placed sensors were 8.2% and 9.1%, respectively. In-clinic glucose manipulations and frequent blood glucose sampling confirmed accurate readings during euglycemia, hypoglycemia, and hyperglycemia (reflected as time in range [TIR], time below range [TBR], and time above range [TAR]), as well as during rapid glucose concentration change. Even at the highest rates of glucose concentration change, MARD values <10% were observed for arm-placed sensors and were <10.5% for abdomen-placed sensors. Offering a smaller size and added features, such as sensor/transmitter integration with a simplified insertion process, the G7 also demonstrated a favorable safety profile, with no serious adverse events reported during the study. With the recent FDA approval of the G7 RT-CGM system, payer professionals may well find value in the accuracy and safety data from this prospective multicenter single-arm study when they are developing coverage criteria.
Garg SK, et al. Accuracy and Safety of Dexcom G7 Continuous Glucose Monitoring in Adults with Diabetes. Diabetes Technol Ther. 2022;24(6):373-380.
Learn MoreNovember 11, 2022CGM Technology and Digital Health Article / Publication
Lilly’s new Tempo personalized diabetes management platform features a reusable medical device that attaches to prefilled, disposable insulin pens and sends dose-related data to a compatible app. Patients attach the Tempo Smart Button to the Tempo Pen to send insulin-dose information to TempoSmart. Capturing the data facilitates medication reminders, personalized education resources, and feedback on blood glucose levels, realized through integration with compatible technologies, including real-time continuous glucose monitoring (RT-CGM) via the Dexcom G6. Labeled a “diabetes ecosystem” solution, the fully integrated combination of devices, drugs, and technology offers an opportunity to adapt to each patient’s unique needs in diabetes management while providing value to both physician and payer stakeholders at the same time.
Learn More2022 Update of the ADA Standards of Medical Care Highlight the Strength of Evidence Supporting rtCGM
November 11, 2022Clinical Outcomes Guidelines / Policy
Real-time continuous glucose monitoring (RT-CGM) remains a key technologic advancement recommended for integration into the management of diabetes according to the American Diabetes Association (ADA) Standards of Care (SOC) 2022. ADA assigned Grade A evidence to the recommendation that RT-CGM be offered for diabetes management in adults with diabetes on multiple daily injections (MDI) of insulin or continuous subcutaneous insulin infusion (CSII). Similarly, the ADA assigned Grade A evidence to the recommendation that RT- CGM be used for diabetes management in adults with diabetes on basal insulin. ADA’s criteria for a Grade A designation is defined as clear evidence from well-conducted, generalizable randomized controlled trials that are adequately powered.
American Diabetes Association Professional Practice Committee, et al. 7. Diabetes Technology: Standards of Medical Care in Diabetes-2022. Diabetes Care. 2022;45(Suppl 1):S97-S112.
Learn More
Sign Up To Stay Current On The Latest Coverage
Updates, Recent News, And Resources
Lilly’s new Tempo personalized diabetes management platform features a reusable medical device that attaches to prefilled, disposable insulin pens and sends dose-related data to a compatible app. Patients attach the Tempo Smart Button to the Tempo Pen to send insulin-dose information to TempoSmart. Capturing the data facilitates medication reminders, personalized education resources, and feedback on blood glucose levels, realized through integration with compatible technologies, including real-time continuous glucose monitoring (RT-CGM) via the Dexcom G6. Labeled a “diabetes ecosystem” solution, the fully integrated combination of devices, drugs, and technology offers an opportunity to adapt to each patient’s unique needs in diabetes management while providing value to both physician and payer stakeholders at the same time.
Learn More2022 Update of the ADA Standards of Medical Care Highlight the Strength of Evidence Supporting rtCGM
November 11, 2022Clinical Outcomes Guidelines / Policy
Real-time continuous glucose monitoring (RT-CGM) remains a key technologic advancement recommended for integration into the management of diabetes according to the American Diabetes Association (ADA) Standards of Care (SOC) 2022. ADA assigned Grade A evidence to the recommendation that RT-CGM be offered for diabetes management in adults with diabetes on multiple daily injections (MDI) of insulin or continuous subcutaneous insulin infusion (CSII). Similarly, the ADA assigned Grade A evidence to the recommendation that RT- CGM be used for diabetes management in adults with diabetes on basal insulin. ADA’s criteria for a Grade A designation is defined as clear evidence from well-conducted, generalizable randomized controlled trials that are adequately powered.
American Diabetes Association Professional Practice Committee, et al. 7. Diabetes Technology: Standards of Medical Care in Diabetes-2022. Diabetes Care. 2022;45(Suppl 1):S97-S112.
Learn More
2022 Update of the ADA Standards of Medical Care Highlight the Strength of Evidence Supporting rtCGM
Real-time continuous glucose monitoring (RT-CGM) remains a key technologic advancement recommended for integration into the management of diabetes according to the American Diabetes Association (ADA) Standards of Care (SOC) 2022. ADA assigned Grade A evidence to the recommendation that RT-CGM be offered for diabetes management in adults with diabetes on multiple daily injections (MDI) of insulin or continuous subcutaneous insulin infusion (CSII). Similarly, the ADA assigned Grade A evidence to the recommendation that RT- CGM be used for diabetes management in adults with diabetes on basal insulin. ADA’s criteria for a Grade A designation is defined as clear evidence from well-conducted, generalizable randomized controlled trials that are adequately powered.
American Diabetes Association Professional Practice Committee, et al. 7. Diabetes Technology: Standards of Medical Care in Diabetes-2022. Diabetes Care. 2022;45(Suppl 1):S97-S112.
Learn More