Evidence map›Paper›PMID 40952636›Full record

SynthesisEndocrine2025

The therapeutic efficacy of continuous glucose monitoring in diabetes: an updated meta-analysis with meta-regression.

Maria Ida Maiorino, Nicole Di Martino, Silvia Angelino, Antonietta Maio, Paola Caruso, Michela Petrizzo, Lorenzo Scappaticcio, Miriam Longo, Daniela Forestiere, Chiara Porcellini and 3 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Endocrine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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

13 authors.

Maria Ida MaiorinoDepartment of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Naples, Italy.ORCID 0000-0003-4659-7546
Nicole Di MartinoUnit of Endocrinology and Metabolic Diseases, University Hospital Luigi Vanvitelli, Piazza L. Miraglia 2, Naples, 80138, Italy.
Silvia AngelinoDepartment of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Naples, Italy.
Antonietta MaioDepartment of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Naples, Italy.
Paola CarusoUnit of Endocrinology and Metabolic Diseases, University Hospital Luigi Vanvitelli, Piazza L. Miraglia 2, Naples, 80138, Italy. paola.caruso@unicampania.it.ORCID 0000-0002-4756-2022
Michela PetrizzoUnit of Endocrinology and Metabolic Diseases, University Hospital Luigi Vanvitelli, Piazza L. Miraglia 2, Naples, 80138, Italy.
Lorenzo ScappaticcioDepartment of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Naples, Italy.ORCID 0000-0003-2972-9551
Miriam LongoDepartment of Life Science, Health, and Health Professions, Link Campus University, Rome, Italy.ORCID 0000-0002-6459-5854
Daniela ForestiereDepartment of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Naples, Italy.
Chiara PorcelliniDepartment of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Naples, Italy.
Giuseppe BellastellaDepartment of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Naples, Italy.ORCID 0000-0002-4748-321X
Dario GiuglianoDepartment of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Naples, Italy.ORCID 0000-0002-9377-873X
Katherine EspositoDepartment of Advanced Medical and Surgical Sciences, University of Campania Luigi Vanvitelli, Naples, Italy.ORCID 0000-0002-3652-5154

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeContinuous glucose monitoring (CGM) plays a key role for achieving glycemic targets in many people with diabetes. We aim at 1) updating the evidence on the efficacy of CGM and 2) determining which is the contribution of CGM-related metrics to the change of both HbA1c and mean glucose, providing a meta-analysis with meta-regression of randomized controlled trials (RCT).

methodsElectronic database were searched until 20 December 2024. We included RCTs reporting both HbA1c and mean CGM glucose together with time in range (TIR), time above range (TAR) and time below range (TBR). Two investigators extracted data from each study. A random effect model was used to calculate the pooled weighted mean difference (WMD) with the 95% CI.

resultsThe meta-analysis included 19 studies involving 2936 patients. Compared with control strategies, CGM led to a reduction of both HbA1c (WMD -0.18%, 95% CI -0.28 to -0.08, P<0.001) and mean glucose (-5.07 mg/dL, 95% CI –8.46 to –1.68, P = 0.003), and improvement of TIR, TAR and TBR. In meta-regression, there was a significant association between the change in both HbA1c and mean glucose and TIR (beta = - 0.046, P <0.001 and beta = -1.98, P <0.001, respectively) and TAR (beta = 0.047, P<0.001 and beta = 1.69, P <0.001), that explained 100% of between-study variance.

conclusionCGM improve glucose control in diabetes. The change of TAR is the best contributor to the improvement of glucose control.

Indexed as

Blood GlucoseContinuous Glucose MonitoringDiabetes MellitusDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Glycated HemoglobinGlycemic ControlHumansRandomized Controlled Trials as TopicBlood GlucoseGlycated HemoglobinContinuous glucose monitoringHbA1cMean glucoseTime in rangeType 1 diabetesType 2 diabetes

Identifiers

PMID40952636

What Socratic holds

Textmetadata
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.