Managing type 2 diabetes with continuous glucose monitoring: A game changer for primary care nurses

Type 2 diabetes (T2DM) management is complex. With over 42 factors affecting glucose levels,1 many patients struggle to take action post-diagnosis due to competing life challenges, difficulty in behaviour modification, lack of support, emotional and psychological issues and the need for individualised follow-up.2,3
How does continuous glucose monitoring (CGM) compare to blood glucose monitoring (often called BGM or SMBG)?
Blood glucose meter (BGM):
- A manual glucose reading for single point in time
- Requires fingerpricks to access glucose data
- No alerts that can help warn of highs or lows
- Doesn’t show glucose trends.
Continuous glucose monitoring (CGM):
- Real-time readings help ensure that patients always know their glucose levels with a glance at a compatible device.* Dexcom offers optional and customisable glucose alerts so patients can be made aware of high or low glucose events.4
The power of CGM

*Display device sold separately.
Dexcom CGM offers real-time insights into lifestyle choices and their impact on glucose levels, encouraging positive and meaningful behaviour change.
Participants in a study credited CGM use with5:
- Making healthier lifestyle choices (90%)
- Understanding how their diet affected their glucose (87%)
- Increased likelihood to walk or exercise in response to rising glucose values (47.5%)
Dexcom CGM can improve glycaemic outcomes in people with T2DM
Use of Real-Time Continuous Glucose Monitoring was studied in a 6 month, prospective, interventional, single-arm study in patients with T2DM treated with basal insulin only or non-insulin-therapy and an average HbA1c of 10.1%. This study found that use of CGM was associated with:6
- A 3.0% decrease in HbA1c
- An additional 3hr 39min Time in Range per day
A separate 6 month, prospective, interventional, single-arm study in 237 patients with T2DM and an average HbA1c of 9.4%, with no exclusion criteria related to treatment regimen found that use of CGM was associated with:7
- A 2.4% decrease in HbA1c
- An increase in the number of individuals meeting a target HbA1c of <7% from 0.4% at baseline to 54% at 6 months
These results matter as suboptimal HbA1c affects cardiovascular health
- HbA1c ≥ 6.5% in the 1st year after diagnosis associated with 20% higher risk for micro- and macrovascular events8
- There is a 29% higher risk of mortality associated with HbA1c levels 7.0 to <8.0% compared to HbA1c <6.5%8
- The 30-year UKPDS analysis found that early intensive therapy in type 2 diabetes leads to a sustained 25% reduction in the risk of microvascular disease9
Consider adding Dexcom CGM in place of another diabetes medication
Unlike common diabetes medications Dexcom CGM does not have dose-limiting toxicity concerns and may help overcome resistance to advancing diabetes treatment when needed. Some patients may be resistant to increasing their medication due to side effects and fear of increasing hypoglycaemia risks10,11, and Dexcom CGM should be considered for these individuals.
Knowledge is power

*Display device sold separately
Dexcom CGM empowers healthcare professionals to optimise treatment
- Guide medication management
- Actionable insights for shared decision making12
- Ongoing access to data to improve population health management12
Dexcom CGM promotes self-management behaviour
- CGM reveals information that BGM and HbA1c cannot5
- CGM can help the individual to connect behaviour and glucose levels, inform food decisions and give a greater feeling of control and confidence5,13
Dexcom CGM sets you and your patients up for success
- 96% of patients say Dexcom CGM is easy to use14
- Dexcom CGM makes the invisible visible (lifestyle, diet, behaviours)
- Dexcom offers comprehensive patient training, resources and support
- No dose-limiting toxicity. CGM data can help overcome resistance to therapy intensification10,11
- Healthcare professionals can optimise treatment plans with CGM data
Introducing Dexcom ONE+ An easy continuous glucose monitor with essential alerts for people living with type 2 diabetes

Easy for you:
- Dexcom ONE+ is a self-start CGM for your patients
- Simple pattern analysis and actionable insights
- Patients can share their glucose data with you from the Dexcom Clarity app‡
Easy for your patients:
- Easy and intuitive all-in-one wearable
- Simple sensor insertion
- Real-time glucose readings sent automatically to a compatible smart device with no fingerpricks needed†
- 10-day sensor wear with an additional 12-hour grace period, making sensor changing more convenient
- Waterproof when swimming, showering or exercising||
- 30 minute warm up sensor time - the fastest of any CGM on the market**
† If your glucose alerts and readings from Dexcom CGM do not match symptoms or expectations, use a blood glucose meter to make diabetes treatment decisions.
Learn more and recommend
Visit the Dexcom HCP website or join the AMSL Education Hub for resources. Patients can purchase Dexcom ONE+ without a prescription at the AMSL Diabetes online shop.
*Display device sold separately. For a list of compatible devices, visit dexcom.com/compatibility. ‡An internet connection is required to send data to Dexcom Clarity. **Dexcom ONE+ and G7 can complete warmup within 30 minutes, whereas other CGM brands require up to an hour or longer. † If your glucose alerts and readings from Dexcom CGM do not match symptoms or expectations, use a blood glucose meter to make diabetes treatment decisions. ||The Dexcom G7 and Dexcom ONE+ sensors are waterproof and may be submerged under 2.4 m of water for up to 24 hours without failure when properly installed. ¶T2DM = type 2 diabetes mellitus. References: 1. Adapted from Brown A. Published February 13, 2018. Accessed May 1, 2024. diatribe.org/42factors; 2. Boakye MDS, et al. Diabetes Spectr. 2023;36(3):264-274; 3. Boakye MDS, et al. Clin Diabetes. 2023;41(1):110-119; 4. Dexcom ONE+ System User Guide. 5. Ehrhardt N, Al ZaghalE. Clin Diabetes 2020;38(2):126-131; 6. Grace T, Salyer J. Diabetes Technol Ther. 2022;24(1):26-31; 7. Grace TP, et al. The Dexcom Community Glucose Monitoring Project: Six-Month Results Using Continuous Glucose Monitoring in Type 2 Diabetes. Clinical Diabetes. 2024. DOI: 10.2337/cd24-0030; 8. Laiteerapong N, et al. Diabetes Care. 2019;42(3):416-426; 9. Holman RR, et al. N Engl J Med. 2008;359(15):1577-1589; 10. Khunti S et al., Ther Adv Endocrinol Metab. 2019;10:1-11; 11. Ajjan et al, Nat Rev Endocrinology 2024. https://doi.org/10.1038/s41574-024-00973-1; 12. Martens TW, Parkin CG Postgraduate Medicine, 2022:134(6), 576-588; 13. Clark TL, et al. The Potential Impact of Continuous Glucose Monitoring Use on Diabetes-Related Attitudes and Behaviors in Adults with Type 2 Diabetes: A Qualitative Investigation of the Patient Experience. Diabetes Technol Ther. 2024;26(10):700-8; 14. Welsh JB, et al. Comparisons of Fifth-, Sixth-, and Seventh-Generation Continuous Glucose Monitoring Systems. J Diabetes Sci Technol. 2024;18(1):143-7
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