CGM Linked to More Time in Range

In a randomized crossover trial of insulin-treated patients receiving hemodialysis, real-time continuous glucose monitoring did not improve the primary hypoglycemia outcome but increased time in range and reduced time above range vs capillary testing.

By
Andrea Surnit
July 14, 2026
4 min

MDSpire News

Overview

Real-time continuous glucose monitoring (CGM) improved secondary glycemic measures among insulin-treated type 2 diabetes patients on hemodialysis, including time in range and mean glucose levels.

Background

Continuous glucose monitoring is increasingly recognized for its potential to enhance glycemic control in patients with diabetes. This study specifically addresses the impact of CGM in a complex population of insulin-treated type 2 diabetes patients undergoing maintenance hemodialysis, a group at high risk for glycemic variability and hypoglycemia.

Data Highlights

Measure	Real-Time CGM	Capillary Testing
Time in Range (70-180 mg/dL)	63%	55%
Time Above 180 mg/dL	35%	44%
Mean Glucose	174 mg/dL	188 mg/dL
Time Below 70 mg/dL	1.2%	1.3%

Key Findings

Real-time CGM improved mean time in the target range (63% vs 55% with capillary testing).
Time above 180 mg/dL was lower with CGM (35%) compared to capillary testing (44%).
Mean glucose levels were significantly lower during CGM (174 mg/dL) than during capillary testing (188 mg/dL).
Time below 70 mg/dL did not differ significantly between the two monitoring methods.
Approximately 79% of patients experienced glucose below 70 mg/dL during CGM, compared to 72% during capillary testing.
Hyperglycemic episodes remained common, with all patients experiencing glucose above 180 mg/dL in both periods.