A Modified CGM Algorithm Enhances Data Availability While Retaining iCGM Performance

J Diabetes Sci Technol. 2022 Sep;16(5):1224-1227. doi: 10.1177/19322968211007521. Epub 2021 Apr 15.

Abstract

The algorithm for the Dexcom G6 CGM System was enhanced to retain accuracy while reducing the frequency and duration of sensor error. The new algorithm was evaluated by post-processing raw signals collected from G6 pivotal trials (NCT02880267) and by assessing the difference in data availability after a limited, real-world launch. Accuracy was comparable with the new algorithm-the overall %20/20 was 91.7% before and 91.8% after the algorithm modification; MARD was unchanged. The mean data gap due to sensor error nearly halved and total time spent in sensor error decreased by 59%. A limited field launch showed similar results, with a 43% decrease in total time spent in sensor error. Increased data availability may improve patient experience and CGM data integration into insulin delivery systems.

Keywords: accuracy; algorithm; continuous glucose monitoring; data availability; performance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Algorithms
  • Blood Glucose
  • Blood Glucose Self-Monitoring* / methods
  • Diabetes Mellitus, Type 1* / drug therapy
  • Humans
  • Insulin / therapeutic use
  • Insulin Infusion Systems
  • Reproducibility of Results

Substances

  • Blood Glucose
  • Insulin