Continuous Glucose Monitoring Found Cost-Effective

by U.S. Medicine

April 7, 2016

BALTIMORE — Real-time continuous glucose monitoring (RT-CGM) is cost-effective in diabetes patients, according to a military study.

In making that determination, a study team led by Walter Reed National Military Medical Center researchers used evidence from a randomized, controlled trial that demonstrated RT-CGM reduced A1C for up to nine months among patients with type 2 diabetes not on prandial insulin.

The study, published recently in the Journal of Diabetes Science and Technology, noted that RT-CGM was offered short-term and intermittently as a self-care tool to affect patients’ behavior.1

Study authors pointed out that the analyses projected lifetime clinical and economic outcomes for RT-CGM vs. self-monitoring of blood glucose by finger-stick only. The base-case analysis was consistent with the randomized control trial — RT-CGM for two weeks on/one week off over three months.

A scenario analysis was used to simulate outcomes of an RT-CGM “refresher” after the active intervention of the trial. Using the IMS CORE Diabetes Model, the analysis was conducted from a U.S. third-party payer perspective, including direct costs obtained from published sources and inflated to 2011 dollars. Costs and health outcomes were discounted at 3% per annum.

Results indicate that life expectancy (LE) and quality-adjusted life expectancy (QALE) from RT-CGM were 0.10 and 0.07, with a cost of $653/patient over a lifetime. In addition, incremental LE and QALE from a “refresher” were 0.14 and 0.10, with a cost of $1,312/patient over a lifetime, while incremental cost-effectiveness ratios were $9,319 and $13,030 per LY and QALY gained.

“RT-CGM, as a self-care tool, is a cost-effective disease management option in the United States for people with type 2 diabetes not on prandial insulin,” study authors concluded. “Repeated use of RT-CGM may result in additional cost-effectiveness.”

1 Fonda SJ, Graham C, Munakata J, Powers JM, Price D, Vigersky RA. The Cost-Effectiveness of Real-Time Continuous Glucose Monitoring (RT-CGM) in Type 2 Diabetes. J Diabetes Sci Technol. 2016 Feb 3. pii: 1932296816628547. [Epub ahead of print] PubMed PMID: 26843480.

Comments are closed here.

Related Articles

Caution Urged in Use of Sulfonylureas in Some T2 Diabetes Patients with CAD

VA clinicians should exercise caution with use of sulfonylurea in some patients with co-morbid type 2 diabetes and cardiovascular disease, according to new research.

Hypoglycemia Concerns Help Drive Use of Continuous Glucose Monitoring at VA

As the VA increases its focus on minimizing hypoglycemia in veterans with type 2 diabetes, it expects that more physicians and veterans will consider using continuous glucose monitors to meet that goal.

U.S. Medicine Recommends

More From research


First-Ever Study Focuses on How Well VHA Cares for TIA Patients

INDIANAPOLIS — While many healthcare systems measure the quality of their stroke care, looking at performance early in the vascular disease process can help avoid acute events altogether.


Link Between Pain, Brain Disruption in Gulf War Veterans

PALM BEACH GARDENS, FL—A tool developed by the VA has raised the profile of pharmacists as critical members of patient care teams at the VA, leading to a doubling of the number of pharmacists serving... View Article


VA Patients Lack Testing to Optimize CLL Treatment

SALT LAKE CITY — The presence of deletion 17p (del17), determined by chromosome analysis and/or fluorescence in situ hybridization (FISH), is a strong negative prognostic marker in chronic lymphocytic leukemia (CLL), according to a report in the Journal of Clinical Oncology.1


Early Relapse After AHCT Bad Sign in Multiple Myeloma

PALM BEACH GARDENS, FL—A tool developed by the VA has raised the profile of pharmacists as critical members of patient care teams at the VA, leading to a doubling of the number of pharmacists serving... View Article


Laparoscopic, Robotic Surgeries Equivalent for Pancreatic Cancer

Pancreatic cancer patients increasingly are receiving minimally invasive pancreaticoduodenectomy (MIPD).

Subscribe to U.S. Medicine Print Magazine

U.S. Medicine is mailed free each month to physicians, pharmacists, nurse practitioners, physician assistants and administrators working for Veterans Affairs, Department of Defense and U.S. Public Health Service.

Subscribe Now

Receive Our Email Newsletter

Stay informed about federal medical news, clinical updates and reports on government topics for the federal healthcare professional.

Sign Up