Evidence map›Paper›PMID 35100891›Full record

SynthesisJournal of diabetes science and technology2023

The Benefits of Utilizing Continuous Glucose Monitoring of Diabetes Mellitus in Primary Care: A Systematic Review.

Alexander Kieu, Jeffrey King, Romona Devi Govender, Linda Östlundh

Registry-linked trialOpen access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Journal of diabetes science and technology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06716671 (Influence of Continuous Glucose Monitoring on Quality of Life in People With Type 2 Diabetes Mellitus), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 3% 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.

NCT06716671 completednot on this mapstarted 2024, after this paper: background citation

Influence of Continuous Glucose Monitoring on Quality of Life in People With Type 2 Diabetes Mellitus

TypeobservationalSponsorFundacio d'Investigacio en Atencio Primaria Jordi Gol i GurinaRan2024 to 2026Enrolled87ConditionsContinuous Glucose Monitoring, Quality of Life, Type 2 Diabetes Mellitus (T2DM)
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
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  18. Using digital tools to improve diabetes care in India with continuous glucose monitoring.Therapeutic advances in endocrinology and metabolism · 2025
    Review
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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

4 authors at 1 institution in 1 country.

Alexander KieuDepartment of Family Medicine, College of Medicine and Health Sciences (CMHS), United Arab Emirates (UAE) University, Al Ain, United Arab Emirates.ORCID 0000-0002-5434-9705
Jeffrey KingDepartment of Family Medicine, College of Medicine and Health Sciences (CMHS), United Arab Emirates (UAE) University, Al Ain, United Arab Emirates.
Romona Devi GovenderDepartment of Family Medicine, College of Medicine and Health Sciences (CMHS), United Arab Emirates (UAE) University, Al Ain, United Arab Emirates.
Linda ÖstlundhNational Medical Library, College of Medicine and Health Sciences (CMHS), United Arab Emirates (UAE) University, Al Ain, United Arab Emirates.
United Arab Emirates University · AE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundContinuous glucose monitoring (CGM) and intermittently scanned CGM (is-CGM) have shown to effectively manage diabetes in the specialty setting, but their efficacy in the primary care setting remains unknown. Does CGM/is-CGM improve glycemic control, decrease rates of hypoglycemia, and improve staff/physician satisfaction in primary care? If so, what subgroups of patients with diabetes are most likely to benefit?

methodsA comprehensive search in seven databases was performed in June 2021 for primary studies examining any continuous glucose monitoring system in primary care. We excluded studies with fewer than 20 participants, specialty care only, or hospitalized participants. The National Heart, Lung and Blood Institute and Grading of Recommendations Assessment, Development and Evaluation were used for the quality assessment. The weighted mean difference (WMD) of HbA1c between CGM/is-CGM and usual care with 95% confidence interval was calculated. A narrative synthesis was conducted for change of time in, above, or below range (TIR, TAR, and TBR) hypoglycemic events and staff/patient satisfaction.

resultsFrom ten studies and 4006 participants reviewed, CGM was more effective at reducing HbA1c compared with usual care (WMD -0.43%). There is low certainty of evidence that CGM/is-CGM improves TIR, TAR, or TBR over usual care. The CGM can reduce hypoglycemic events and staff/patient satisfaction is high. Patients with intensive insulin therapy may benefit more from CGM/is-CGM.

conclusionsCompared with usual care, CGM/is-CGM can reduce HbA1c, but most studies had notable biases, were short duration, unmasked, and were sponsored by industry. Further research needs to confirm the long-term benefits of CGM/is-CGM in primary care.

Indexed as

Blood GlucoseDiabetes Mellitus, Type 1Blood Glucose Self-MonitoringGlycated HemoglobinHumansHypoglycemic AgentsInsulinPrimary Health CareBlood GlucoseGlycated HemoglobinHypoglycemic AgentsInsulincontinuous glucose monitor (CGM)flash glucose monitor (FGM)primary caresystematic reviewtype 1 diabetestype 2 diabetes

Identifiers

PMID35100891
PMCPMC10210096
OpenAlexW4210339997

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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 OpenQuestion graph.