Evidence map›Paper›PMID 36602920›Full record

ArticleJMIR diabetes2023

Glycemic Outcomes and Feature Set Engagement Among Real-Time Continuous Glucose Monitoring Users With Type 1 or Non-Insulin-Treated Type 2 Diabetes: Retrospective Analysis of Real-World Data.

Robert Dowd, Lauren H Jepson, Courtney R Green, Gregory J Norman, Roy Thomas, Keri Leone

Open access · goldAbstract read
In one paragraph

Article in JMIR diabetes, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.4field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Detection and Intervention: Use of Continuous Glucose Monitoring in the Early Stages of Type 2 Diabetes.Clinical diabetes : a publication of the American Diabetes Association · 2024
    Article
  4. Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Robert DowdDepartment of Data Science, Dexcom, Inc, San Diego, CA, United States.ORCID https://orcid.org/0000-0002-4061-0677
Lauren H JepsonDepartment of Data Science, Dexcom, Inc, San Diego, CA, United States.ORCID https://orcid.org/0000-0003-2773-5157
Courtney R GreenDepartment of Medical Affairs, Dexcom, Inc, San Diego, CA, United States.ORCID https://orcid.org/0000-0002-9279-0649
Gregory J NormanDepartment of Global Access, Dexcom, Inc, San Diego, CA, United States.ORCID https://orcid.org/0000-0001-7989-9597
Roy ThomasDepartment of Medical Affairs, Dexcom, Inc, San Diego, CA, United States.ORCID https://orcid.org/0000-0003-2162-507X
Keri LeoneDepartment of Medical Affairs, Dexcom, Inc, San Diego, CA, United States.ORCID https://orcid.org/0000-0003-3749-3577
Dexcom (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe benefits of real-time continuous glucose monitoring (RT-CGM) are well established for patients with type 1 diabetes (T1D) and patients with insulin-treated type 2 diabetes (T2D). However, the usage and effectiveness of RT-CGM in the context of non-insulin-treated T2D has not been well studied.

objectiveWe aimed to assess glycemic metrics and rates of RT-CGM feature utilization in users with T1D and non-insulin-treated T2D.

methodsWe retrospectively analyzed data from 33,685 US-based users of an RT-CGM system (Dexcom G6; Dexcom, Inc) who self-identified as having either T1D (n=26,706) or T2D and not using insulin (n=6979). Data included glucose concentrations, alarm settings, feature usage, and event logs.

resultsThe T1D cohort had lower proportions of glucose values in the 70 mg/dl to 180 mg/dl range than the T2D cohort (52.1% vs 70.8%, respectively), with more values indicating hypoglycemia or hyperglycemia and higher glycemic variability. Discretionary alarms were enabled by a large majority in both cohorts. The data sharing feature was used by 38.7% (10,327/26,706) of those with T1D and 10.4% (727/6979) of those with T2D, and the mean number of followers was higher in the T1D cohort. Large proportions of patients with T1D or T2D enabled and customized their glucose alerts. Retrospective analysis features were used by the majority in both cohorts (T1D: 15,783/26,706, 59.1%; T2D: 3751/6979, 53.8%).

conclusionsSimilar to patients with T1D, patients with non-insulin-treated T2D used RT-CGM system features, suggesting beneficial, routine engagement with data by patients and others involved in their care. Motivated patients with diabetes could benefit from RT-CGM coverage.

Indexed as

CGMcontinuous glucose monitorcontinuous glucose monitoringdiabetes managementengagementhealth datahyperglycemiaT1DT2Dtime in rangetype 1 diabetestype 2 diabetes

Identifiers

PMID36602920
PMCPMC9947825
OpenAlexW4313545772

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.