Do All Glucose Monitors Give the Same Results?

Do All Glucose Monitors Give the Same Results?

Introduction

Managing diabetes depends a lot on accurate blood sugar monitoring. Today, many people use Continuous Glucose Monitoring (CGM) systems to track their glucose levels throughout the day. But are all CGM systems the same? A new article published in the journal Diabetes Care looked at three popular CGM devices and found that they can give different results even when used by the same person at the same time.

Why This Matters

Doctors and people with diabetes use CGM data to make important decisions about food, insulin, and medications. They focus on numbers like how much time blood sugar stays in a healthy range. If different CGM devices show different numbers, this could lead to different treatment plans. This study wanted to see how much variation there really is and how it could impact care.

How the Comparison Was Done

The research involved 23 adults with type 1 diabetes. Each participant wore three CGM devices: the FreeStyle Libre 3, Dexcom G7, and Medtronic Simplera. They wore the devices for 14 days during daily life and during special test sessions in a clinic. Researchers compared the data collected by each device for each person, using special methods to match the time periods exactly.

What They Found

The results showed some clear differences:

  • The FreeStyle Libre 3 and Dexcom G7 gave more similar readings to each other.
  • The Medtronic Simplera often showed lower glucose levels compared to the other two.
  • Because of these differences, the amount of time that a person’s blood sugar was shown to be in a healthy range, too high, or too low, changed depending on the device.
  • In some people, the differences were big enough that their treatment decisions could have been different if they had used another device.

Why It’s Important for Patients

This finding means that if someone switches from one CGM device to another, they might notice differences in their numbers, even if their actual blood sugar has not changed. It’s important for doctors and patients to be aware of this when interpreting CGM reports. It also shows why it's risky to compare CGM results from different devices directly.

Final Thoughts

Continuous glucose monitors are powerful tools that help people manage diabetes more safely and easily. But, as this study shows, not all CGM devices give exactly the same results. Understanding these differences can help patients and healthcare providers make better choices. As technology continues to improve, it will be important to aim for even more consistent and reliable readings across all devices.

Reference: https://diabetesjournals.org/care/article/doi/10.2337/dc25-0129/158092/A-Comparative-Analysis-of-Glycemic-Metrics-Derived

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