Resumen de Investigación
Analyzed using Evidence Intelligence™

CGM Improves Glycemic Management in Type 2 Diabetes

Última actualización 9 de septiembre de 2026

Key finding

Adjusted difference, -0.6% (95% CI -0.9% to -0.3%); p<0.001

This study compared continuous glucose monitoring (CGM) to blood glucose monitoring (BGM) in adults with type 2 diabetes, finding significant improvements in HbA1c and time in range with CGM.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

High Risk

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study compared continuous glucose monitoring (CGM) to blood glucose monitoring (BGM) in adults with type 2 diabetes, finding significant improvements in HbA1c and time in range with CGM.

Clinical relevance

The findings highlight the potential of continuous glucose monitoring (CGM) to improve diabetes management by providing real-time data, which may lead to better glycemic control and fewer complications. This can enhance patient outcomes and reduce the risk of diabetes-related health issues.

Keep in mind

The study's sample size and demographic diversity may limit generalizability. Potential biases in self-reported data could affect outcome accuracy. Long-term effects of CGM versus BGM were not assessed.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Thomas WM, Roy WB, Corbin G, et al. Use of Continuous Glucose Monitoring Compared with Blood Glucose Monitoring in Adults with Type 2 Diabetes. BMJ Open Diabetes Research & Care. 2025;13(6):e005469. doi:10.1136/bmjdrc-2025-005469

Efectos Principales

CGM group showed a decrease in HbA1c from 9.1% to 8.0% (p=0.001).

BGM group showed a decrease in HbA1c from 9.0% to 8.5% (p=0.001).

Mean time in range (70-180 mg/dL) increased by 9.3% in the CGM group (p=0.001).

Mean weekly hypoglycemic event rate decreased by 0.2 events in the CGM group (p=0.001).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Continuous glucose monitoring and HbA1c, Time >250 mg/dL, Time in range, and 1 more.

Primary intervention

Continuous glucose monitoring

Primary outcomes

  • HbA1c
  • Time >250 mg/dL
  • Time in range

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

4
Evidence pairs
4
Relationships
4
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 72

4

Related topics

4

Evidence pairs

1501

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 4 evidence relationships
  • Includes primary outcome data
  • Linked to 4 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Evidencia principal

Relación de evidencia

Insulin Delivery Systems and HbA1c

Evidencia relacionada

Relación de evidencia

Insulin Delivery Systems and CGM Time in Range

Guardar evidencia

Tema de evidencia

Diabetes Technology

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

HbA1c

Continuous glucose monitoring → HbA1c

Continuous glucose monitoring → HbA1c

Evidence Intelligence™
EvidenceScore™
85
Strong
ImpactScore™
81
Positive
ConsistencyScore™
85
consistent
Estudios de apoyo: Basado en 13 estudios
Add to Evidence Tracker

Time >250 mg/dL

Continuous glucose monitoring → Time >250 mg/dL

Continuous glucose monitoring → Time >250 mg/dL

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Time in range

Continuous glucose monitoring → Time in range

Continuous glucose monitoring → Time in range

Evidence Intelligence™
EvidenceScore™
88
Strong
ImpactScore™
75
Positive
ConsistencyScore™
56
generally_consistent
Estudios de apoyo: Basado en 16 estudios
Add to Evidence Tracker

Weekly hypoglycemic event rate

Continuous glucose monitoring → Weekly hypoglycemic event rate

Continuous glucose monitoring → Weekly hypoglycemic event rate

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Evidence Library

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evidence suggest

La Evidencia Sugiere

  • CGM reduced HbA1c by 0.6% compared to BGM (p=0.001).
  • CGM increased time in the target range by 9.3% (p=0.001).
  • CGM decreased hypoglycemic events by 0.2 events/week (p=0.001).
who this applies

A quién se aplica

  • Adults diagnosed with type 2 diabetes.
  • Individuals seeking improved blood glucose management.
keep in mind

Tener en Cuenta

  • Results may not apply to populations outside the study's demographics.
  • The study did not evaluate the long-term sustainability of CGM benefits.
  • Further research is needed to confirm findings across diverse populations.
between the lines

Entre Líneas

  • The study's sample size and demographic diversity may limit generalizability.
  • Potential biases in self-reported data could affect outcome accuracy.
  • Long-term effects of CGM versus BGM were not assessed.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Insulin Delivery Systems and CGM Time in Range, Insulin Delivery Systems and HbA1c.

Relaciones de evidencia relacionadas

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Insulin Delivery Systems lower HbA1c?

Strong Evidence

Insulin Delivery Systems appears to lower HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 85.5 | moderate positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 21 supporting studies with consistent results and a positive effect signal.

21 supporting studies

Does Insulin Delivery Systems improve CGM Time in Range?

Strong Evidence

Insulin Delivery Systems may improve CGM Time in Range.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Time in range

    EvidenceScore™ Strong | EvidenceScore™ 87.6 | moderate positive | ConsistencyScore™ Generally Consistent | 1 study

Why this answer: This answer is based on 38 supporting studies with generally consistent results and a positive effect signal.

38 supporting studies

Does Continuous glucose monitoring improve time >250 mg/dl?

Emerging Evidence

Continuous glucose monitoring appears to improve time >250 mg/dl.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Time >250 mg/dL

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Continuous glucose monitoring affect weekly hypoglycemic event rate?

Emerging Evidence

Continuous glucose monitoring appears to affect weekly hypoglycemic event rate.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Weekly hypoglycemic event rate

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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