"In the diabetes community, there is a commonly held belief that insulin pump users are better candidates for using CGM, and that patients on an MDI regimen wouldn't benefit either because they wouldn't be willing to wear a CGM device or they wouldn't use the information to make the changes needed for better glucose control. The DIaMonD study makes significant headway in proving that a wide range of diabetes patients taking insulin injections can benefit from CGM use," said Roy Beck, MD, Jaeb, Center for Health Research in Tampa, Fla.
The DIaMonD study included 158 adult participants with type 1 diabetes on MDI. At 24 weeks, the average A1C reduction (a measure of average blood glucose over a 2-3 month period) in subjects assigned to the CGM group (n=105) was 1 percent compared to baseline. Subjects in the SMBG control group showed only a .4 percent reduction (n=53); (p<.001). The CGM System used in the study was the Dexcom G4® PLATINUM CGM System with Software 505, made by DexCom, Inc., (NASDAQ: DXCM). The company's current flagship product, the Dexcom G5® Mobile CGM System, also uses this software.
A subset of subjects who were considered uncontrolled—an A1C greater than 8.5 percent—saw a 1.3 percent reduction in A1C from baseline at week 24.
Initially presented at the 76th Annual Meeting of the American Diabetes Association in June 2016, the DIaMonD study also tracked the amount of time patients spent in hypoglycemia and found a significant reduction in the CGM group compared to baseline:
- 49 percent reduction in time spent <70mg/dL
- 53 percent reduction in time spent <60 mg/dL
- 69 percent reduction in time spent <50mg/dL
CGM users showed a significant reduction in hypoglycemia during the night, spending only .6 percent of the time in hypoglycemia vs. 2.9 percent at baseline. The study also found that CGM patients spent significantly less time (58 minutes) in hyperglycemia (>300mg/dL) compared to baseline and demonstrated a substantial increase in time spent "in range" (70-180mg/dL) of 1.3 hours.
Additionally, the study dispels the perception that CGM is too complicated to use, as patients demonstrated significant A1C reductions regardless of education level, math ability, or age. A high level of adherence was also achieved with 93% of patients still using the Dexcom CGM System ≥6 days/week at the end of the study.
"With improved accuracy and reliability in CGM technology, patients have built trust in the devices and use them as the primary tool for monitoring their glucose," said Kevin Sayer, President and CEO, Dexcom. "We are delighted that the Dexcom CGM System was able to demonstrate significant benefits among a diverse group of patients, but more importantly, the positive outcomes in the 60+ population will be critical to our efforts in driving CGM coverage for Medicare-eligible patients."
Additional Study Information
The DIaMonD study was conducted between October 2014 and May 2016 at 24 endocrinology practices in the United States using 158 adult subjects with type 1 diabetes on MDI insulin therapy. Participants ranged in age from 25 to 60+ years. The protocol was designed to mimic typical diabetes care, with follow-up visits at months 1, 3 and 6. The first and only randomized, controlled trial focused on CGM for MDI, the Diamond study delivers compelling evidence of significant improvements across several measures of glycemic control.
About DexCom, Inc.
DexCom, Inc., headquartered in San Diego, CA, is dedicated to helping people better manage their diabetes by developing and marketing continuous glucose monitoring (CGM) products and tools for adult and pediatric patients. With exceptional performance, patient comfort and lifestyle flexibility at the heart of its technology, users have consistently ranked Dexcom highest in customer satisfaction and loyalty. For more information on the Dexcom CGM, visit www.dexcom.com.
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SOURCE DexCom, Inc.