Evidence map›Paper›PMID 38619722›Full record

ArticleAdvances in therapy2024

Reduction in Diabetes-Related Hospitalizations and Medical Costs After Dexcom G6 Continuous Glucose Monitor Initiation in People with Type 2 Diabetes Using Intensive Insulin Therapy.

Katia L Hannah, Poorva M Nemlekar, Courtney R Green, Gregory J Norman

Abstract read
In one paragraph

Article in Advances in therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. The role of advanced technologies in improving diabetes outcomes.The American journal of managed care · 2025
    Review
  7. Practical Approaches to Continuous Glucose Monitoring in Primary Care: A UK-Based Consensus Opinion.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2025
    Article
  8. Observational
  9. 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

4 authors.

Katia L HannahDexcom, Inc., 6340 Sequence Dr., San Diego, CA, 92121, USA.ORCID 0000-0003-1027-4059
Poorva M NemlekarDexcom, Inc., 6340 Sequence Dr., San Diego, CA, 92121, USA.ORCID 0009-0003-7092-5295
Courtney R GreenDexcom, Inc., 6340 Sequence Dr., San Diego, CA, 92121, USA.ORCID 0000-0002-9279-0649
Gregory J NormanDexcom, Inc., 6340 Sequence Dr., San Diego, CA, 92121, USA. greg.norman@dexcom.com.ORCID 0000-0001-7989-9597

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSome people with type 2 diabetes (T2D) require intensive insulin therapy to manage their diabetes. This can increase the risk of diabetes-related hospitalizations. We hypothesize that initiation of real-time continuous glucose monitoring (RT-CGM), which continuously measures a user's glucose values and provides threshold- and trend-based alerts, will reduce diabetes-related emergency department (ED) and inpatient hospitalizations and concomitant costs.

methodsA retrospective analysis of US healthcare claims data using Optum's de-identified Clinformatics

resultsA total of 790 individuals met the inclusion criteria. The average age was 52.8 (10.5) [mean (SD)], 53.3% were male, and 76.3% were white. For claims with a diabetes-related diagnosis code in any position, the number of individuals with ≥ 1 ED visit decreased by 30.0% (p = 0.01) and with ≥ 1 inpatient visit decreased by 41.5% (p < 0.0001). The number of diabetes-related visits and average number of visits per person similarly decreased by at least 31.4%. Larger relative decreases were observed for claims with a diabetes-related diagnosis code in the first or second position on the claim. Total diabetes-related costs expressed as per-person-per-month (PPPM) decreased by $341 PPPM for any position and $330 PPPM for first or second position.

conclusionInitiation of Dexcom G6 among people with T2D using intensive insulin therapy was associated with a significant reduction in diabetes-related ED and inpatient visits and related HCRU costs. Expanded use of RT-CGM could augment these benefits and result in further cost reductions.

Indexed as

Blood Glucose Self-MonitoringDiabetes Mellitus, Type 2HospitalizationHypoglycemic AgentsInsulinAdultAgedBlood GlucoseFemaleHealth Care CostsHumansMaleMiddle AgedRetrospective StudiesUnited StatesBlood GlucoseHypoglycemic AgentsInsulinIntensive insulin therapyMedical costsReal-time continuous glucose monitoringRetrospective analysisType 2 diabetes

Identifiers

PMID38619722
PMCPMC11133133

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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.