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. 2021 May 25;34(2):149–155. doi: 10.2337/ds20-0096

TABLE 1.

Overview of the Evidence on Associations Between CGM-Derived Parameters of Glycemic Control and Patient-Reported Outcomes

Type of Analysis Type of Evidence Limitations
Interventional studies • Randomized controlled trials on the efficacy of CGM and AID systems
• Congruent improvements of CGM-derived parameters of glycemic control and PROs, indicative of an association
• Large effect sizes regarding improvement of CGM-derived parameters
• Small to medium effect sizes regarding improvement of PROs
• No direct analysis of associations
• Rather optimal baseline levels of PRO measures, possible lack of room for improvement
Observational studies • Direct analysis of the association between CGM-derived parameters and PROs • Higher TIR associated with better mood
• Higher mean glucose/more TAR associated with negative affect/anger
• Rather small sample sizes
• No causality
Ongoing studies • Using EMA and CGM to analyze immediate effects of CGM-derived parameters on PROs and vice versa • Planned: real-time effects of glucose on PROs and vice versa
• Planned: intraindividual patterns
• Publications in peer-reviewed journals pending