Journal article

GP-OSMOTIC trial protocol: An individually randomised controlled trial to determine the effect of retrospective continuous glucose monitoring (r-CGM) on HbA1c in adults with type 2 diabetes in general practice

J Furler, DN O'Neal, J Speight, I Blackberry, JA Manski-Nankervis, S Thuraisingam, K De La Rue, L Ginnivan, JL Browne, E Holmes-Truscott, K Khunti, K Dalziel, J Chiang, R Audehm, M Kennedy, M Clark, AJ Jenkins, D Liew, P Clarke, J Best

BMJ Open | BMJ PUBLISHING GROUP | Published : 2018

Abstract

Introduction Optimal glycaemia can reduce type 2 diabetes (T2D) complications. Observing retrospective continuous glucose monitoring (r-CGM) patterns may prompt therapeutic changes but evidence for r-CGM use in T2D is limited. We describe the protocol for a randomised controlled trial (RCT) examining intermittent r-CGM use (up to 14 days every three months) in T2D in general practice (GP). Methods and analysis General Practice Optimising Structured MOnitoring To achieve Improved Clinical Outcomes is a two-arm RCT asking € does intermittent r-CGM in adults with T2D in primary care improve HbA1c?' Primary outcome Absolute difference in mean HbA1c at 12 months follow-up between intervention and..

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