Health
Study Questions Accuracy of Glucose Monitors for People Without Diabetes
Wearable devices that track blood sugar are enjoying a surge in popularity among health-conscious consumers. But new research suggests they may not be particularly reliable for people without diabetes, raising questions about whether the trend is more hype than health benefit.
Continuous glucose monitors (CGMs) are small sensors typically worn on the back of the arm or abdomen. They measure glucose levels in real time and transmit the data to a smartphone app. For people with diabetes, the technology has been transformative, helping them adjust diet, activity, and medication to keep blood sugar within a safe range.
However, a study published in the journal Diabetes Technology and Therapeutics indicates that the devices offer little meaningful insight for those with normal blood sugar levels. Researchers from Brigham and Women’s Hospital in the United States analysed data from 972 participants, including people with type 2 diabetes, prediabetes, and normal glucose control. Each wore a Dexcom G6 CGM, which recorded their glucose every five minutes for up to 10 days.
The results were clear. Among those with diabetes, CGM data strongly correlated with HbA1c, the gold-standard blood test that measures average blood sugar over several months. The devices were somewhat less reliable for people with prediabetes and showed little to no relationship with long-term glucose control in people without diabetes.
“Our study reaffirms that CGMs are great tools for people with diabetes,” said lead author Dr. Jorge Rodriguez, an internal medicine physician. “But for those without diabetes, CGM data is not a substitute for HbA1c, which reflects long-term blood sugar control.”
The research team examined eight CGM metrics, including average glucose, variability, and time spent in a healthy range. While the devices accurately reflected blood sugar in patients with diabetes, they often captured short-term, non-significant fluctuations in people with normal glucose. These patterns, the researchers noted, are unlikely to indicate health risks.
The findings remained consistent even after accounting for factors such as body mass index. Given that CGMs were designed specifically for people with diabetes, the researchers said the results were unsurprising.
Still, CGMs are increasingly marketed to consumers without diabetes as wellness tools, available without a prescription in some European countries and online. Advocates say they can help people understand how food and exercise affect blood sugar in the moment.
Rodriguez acknowledged that potential benefit, describing CGMs as “behavioural biofeedback tools” for those without diabetes. But he cautioned against overinterpreting the data. “They do not directly reflect longer-term blood sugar control,” he said, adding that larger studies are needed to determine whether the devices provide meaningful health insights for people without glucose disorders.
For now, experts say CGMs remain best suited for the purpose they were designed: helping people with diabetes manage their condition safely and effectively.
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