Research Summary
Analyzed using Evidence Intelligence™

Gamified CGM App Improves Glycemic Control in Children

Last updated September 9, 2026

Key finding

TIR improved by 5.38% compared to controls (P = .001).

A study evaluated a gamified continuous glucose monitor app and Dexcom G6 in children, finding significant improvements in glycemic outcomes.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Extended (5–20+ y)

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

A study evaluated a gamified continuous glucose monitor app and Dexcom G6 in children, finding significant improvements in glycemic outcomes.

Clinical relevance

Improving glycemic control in children with diabetes is crucial for preventing long-term complications. This study highlights the potential of engaging digital health tools to enhance adherence and outcomes, suggesting that gamification can be an effective strategy in managing diabetes in pediatric populations.

Keep in mind

Study design limited to a single population. Results may not generalize to all pediatric diabetes patients. Unclear long-term effects of the gamified app.

Published in

Journal Reference

Publication details and source links for this paper.

Farhaneh A, Alonso L. Gaming the System: A Fun Continuous Glucose Monitor Interface Improves Glycemic Outcomes for Children. Journal of Diabetes Science and Technology. 2024;19(3):836-842. doi:10.1177/19322968231223759

Main Effects

TIR improved by 5.38% compared to controls (P = .001).

TAR decreased by 5.80% compared to controls (P = .019).

Control group showed no significant change in TIR.

Control group showed no significant change in TAR.

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, Remote multiprofessional educational program and Time above range, Time in range.

Primary intervention

Continuous glucose monitoring

Primary outcomes

  • Time above range
  • 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

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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: 68

4

Related topics

4

Evidence pairs

930

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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Primary evidence

Evidence relationship

Insulin Delivery Systems and CGM Time in Range

Related evidence

Evidence relationship

Diabetes Self-Management Education and Support (DSMES) Programs and CGM Time in Range

Save evidence

Evidence topic

Diabetes Technology

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Time above range

Continuous glucose monitoring → Time above range

Continuous glucose monitoring → Time above range

Evidence Intelligence™
EvidenceScore™
83
Strong
ImpactScore™
55
Slightly Positive
ConsistencyScore™
35
mixed
Supporting studies: Based on 5 studies
Add to Evidence Tracker

Time in range

Continuous glucose monitoring → Time in range

Continuous glucose monitoring → Time in range

Evidence Intelligence™
EvidenceScore™
85
Strong
ImpactScore™
77
Positive
ConsistencyScore™
62
generally_consistent
Supporting studies: Based on 13 studies
Add to Evidence Tracker

Time above range

Remote multiprofessional educational program → Time above range

Remote multiprofessional educational program → Time above range

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

Remote multiprofessional educational program → Time in range

Remote multiprofessional educational program → Time in range

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Gamified app improved TIR by 5.38%, indicating better blood sugar control.
  • TAR decreased by 5.80%, suggesting reduced hyperglycemia.
  • Control group showed no significant changes in glycemic outcomes.
who this applies

Who this applies to

  • Children diagnosed with diabetes.
  • Pediatric patients using continuous glucose monitoring.
  • Families interested in engaging diabetes management tools.
keep in mind

Keep in Mind

  • The study's findings are based on a specific demographic.
  • Results may not apply to older adolescents or adults.
  • Further research is needed to assess long-term effectiveness.
between the lines

Between the Lines

  • Study design limited to a single population.
  • Results may not generalize to all pediatric diabetes patients.
  • Unclear long-term effects of the gamified app.

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 CGM Time in Range.

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 mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Time in range

    EvidenceScore™ Strong | EvidenceScore™ 85.2 | moderate positive | ConsistencyScore™ Generally Consistent | 1 study

  2. 2

    Time above range

    EvidenceScore™ Strong | EvidenceScore™ 82.7 | weak positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

35 supporting studies

Do Diabetes Self-Management Education and Support (DSMES) Programs improve CGM Time in Range?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs appear to improve CGM Time in Range.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Time in range

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Consistent | 1 study

  2. 2

    Time above range

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

Why this answer: This answer is cautious because the available studies report mixed findings.

7 supporting studies
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