Research Summary
Analyzed using Evidence Intelligence™

CGM Improves Glycemic Control in Hospitalized Diabetes Patients

Last updated September 11, 2026

Key finding

TIR improved progressively to nearly 90% in the CGM arm by discharge, compared to 60% in the POC arm.

This study evaluated continuous glucose monitoring (CGM) versus point-of-care testing (POC) in hospitalized patients with type 2 diabetes, finding that CGM significantly improved time in range.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Risk of bias

Some Concerns

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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 evaluated continuous glucose monitoring (CGM) versus point-of-care testing (POC) in hospitalized patients with type 2 diabetes, finding that CGM significantly improved time in range.

Clinical relevance

Improving glycemic control in hospitalized patients is crucial for reducing complications and enhancing recovery. The findings suggest that continuous glucose monitoring can be a more effective tool for managing blood sugar levels in this population, potentially leading to better patient outcomes and reduced healthcare costs.

Keep in mind

The study may have limited generalizability due to its specific hospital setting. Sample size and demographic diversity were not detailed, potentially affecting applicability. Effectiveness data for some outcomes were reported as unclear.

Published in

Journal Reference

Publication details and source links for this paper.

Mikkel TO, Signe HJ, Louise MR, et al. Continuous Glucose Monitoring Improves Time in Range Compared to Point-of-Care Testing in Hospitalized Patients with Type 2 Diabetes. Journal of the Endocrine Society. 2025;9(10):bvaf137. doi:10.1210/jendso/bvaf137

Main Effects

CGM improved time in range to nearly 90% by discharge, compared to 60% for POC (30% increase, p=0.001).

Correctional insulin doses were reduced by 0.7 IU in the CGM arm compared to POC (p=0.016).

Prandial insulin doses were lower during evening shifts in the CGM group, showing a decrease of 1.1 IU (p=0.021).

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, Point-of-care glucose testing (POC) and Change in prandial insulin requirement per kg, Correctional insulin doses, Time in range.

Primary intervention

Continuous glucose monitoring

Primary outcomes

  • Change in prandial insulin requirement per kg
  • Correctional insulin doses
  • Time in range

Evidence relationships

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

6
Evidence pairs
6
Relationships
3
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

3

Related topics

6

Evidence pairs

898

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence relationship

Insulin Delivery Systems and CGM Time in Range

Related evidence

Evidence topic

Diabetes Technology

Save evidence

Evidence topic

CGM Time in Range

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Change in prandial insulin requirement per kg

Continuous glucose monitoring → Change in prandial insulin requirement per kg

Continuous glucose monitoring → Change in prandial insulin requirement per kg

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Correctional insulin doses

Continuous glucose monitoring → Correctional insulin doses

Continuous glucose monitoring → Correctional insulin doses

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
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
Supporting studies: Based on 16 studies
Add to Evidence Tracker

Change in prandial insulin requirement per kg

Point-of-care glucose testing (POC) → Change in prandial insulin requirement per kg

Point-of-care glucose testing (POC) → Change in prandial insulin requirement per kg

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Correctional insulin doses

Point-of-care glucose testing (POC) → Correctional insulin doses

Point-of-care glucose testing (POC) → Correctional insulin doses

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Time in range

Point-of-care glucose testing (POC) → Time in range

Point-of-care glucose testing (POC) → Time in range

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • CGM led to a 30% increase in time in range compared to POC.
  • Correctional insulin doses decreased by 0.7 IU in the CGM group.
  • Prandial insulin doses were reduced by 1.1 IU during evening shifts with CGM.
who this applies

Who this applies to

  • Hospitalized patients with type 2 diabetes.
  • Patients requiring insulin therapy for blood glucose management.
keep in mind

Keep in Mind

  • Results may not apply to outpatient settings or other diabetes types.
  • Further research is needed to confirm long-term benefits of CGM.
  • The study did not explore potential adverse effects of CGM technology.
between the lines

Between the Lines

  • The study may have limited generalizability due to its specific hospital setting.
  • Sample size and demographic diversity were not detailed, potentially affecting applicability.
  • Effectiveness data for some outcomes were reported as unclear.

Evidence Library

Build your evidence library

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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 Correctional insulin doses.

Related evidence relationships

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 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 change in prandial insulin requirement per kg?

Emerging Evidence

Continuous glucose monitoring appears to improve change in prandial insulin requirement per kg.

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

Ranked evidence signals

  1. 1

    Change in prandial insulin requirement per kg

    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 improve correctional insulin doses?

Emerging Evidence

Continuous glucose monitoring appears to improve correctional insulin doses.

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

Ranked evidence signals

  1. 1

    Correctional insulin doses

    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 Point-of-care glucose testing (POC) improve change in prandial insulin requirement per kg?

Emerging Evidence

Current evidence does not show a clear benefit of Point-of-care glucose testing (POC) for change in prandial insulin requirement per kg.

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

Ranked evidence signals

  1. 1

    Change in prandial insulin requirement per kg

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | 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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