{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T13:46:24Z","timestamp":1777556784337,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Diabetes Sci Technol"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Consistent use of continuous glucose monitoring (CGM) systems improves glycemic control compared with occasional use. We aimed to assess the association between the percent time sensor was active and glycemic metrics, among patients with diabetes using the FreeStyle Libre 2 Plus CGM System.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>De-identified CGM data from 12\u2009162 readers of patients with diabetes in Saudi Arabia, between January 2023 and September 2024, were analyzed. Readings were grouped into five sensor usage quintiles. For each quintile, average glycemic metrics were summarized, including mean glucose, glucose management indicator (GMI), time in range (TIR), time below range (TBR), time above range (TAR), and glycemia risk index (GRI). The Jonckheere-Terpstra trend test was used to assess monotonic trends between sensor usage time and glycemic metrics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      As sensor use increased, there were significant decreases in GRI (\n                      <jats:italic toggle=\"yes\">Std. J-T<\/jats:italic>\n                      = \u221229.672), average blood glucose (\n                      <jats:italic toggle=\"yes\">Std. J-T<\/jats:italic>\n                      = \u221223.985), GMI (Std.\n                      <jats:italic toggle=\"yes\">J-T<\/jats:italic>\n                      = \u221223.949), and TAR (\n                      <jats:italic toggle=\"yes\">Std. J-T<\/jats:italic>\n                      = \u221221.964). Time below range showed a different pattern, with an initial increase followed by a decline from the third quantile as sensor usage increased (\n                      <jats:italic toggle=\"yes\">Std. J-T<\/jats:italic>\n                      = \u22124.903). Time in range increased significantly with greater sensor usage (\n                      <jats:italic toggle=\"yes\">Std. J-T<\/jats:italic>\n                      = 25.428; all\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      -values &lt;.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In real-world settings, higher CGM use was associated with better glycemic outcomes, including lower GRI, lower average blood glucose, lower GMI, lower TAR, lower TBR, and higher TIR. Future studies should examine factors influencing sensor use to inform strategies that promote effective CGM adoption.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19322968261427798","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T23:02:43Z","timestamp":1775775763000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Real-Time Continuous Glucose Monitoring Sensor Active Time and Glycemic Metrics in Patients With Diabetes: A Real-World Setting Analysis"],"prefix":"10.1177","author":[{"given":"Lamya","family":"Alzubaidi","sequence":"first","affiliation":[{"name":"Ada\u2019a Health Center, Ministry of Health, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faisal","family":"Alenezi","sequence":"additional","affiliation":[{"name":"Therapeutic Deputyship, Ministry of Health, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdullah","family":"Alsoheimi","sequence":"additional","affiliation":[{"name":"General Director of Specialized Centers, Ministry of Health, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdullah","family":"Arabe","sequence":"additional","affiliation":[{"name":"General Director of Specialized Centers, Ministry of Health, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amera","family":"Alrshood","sequence":"additional","affiliation":[{"name":"Ada\u2019a Health Center, Ministry of Health, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6324-3507","authenticated-orcid":false,"given":"Muna","family":"Hassanein","sequence":"additional","affiliation":[{"name":"Branch of the Ministry of Health in Riyadh Region, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulmohsen","family":"Bakhsh","sequence":"additional","affiliation":[{"name":"Kidney &amp; Pancreas Health Centre, Organ Transplant Centre of Excellence, King Faisal Specialist Hospital &amp; Research Centre, Alfaisal University, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,9]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Magliano DJ Boyko EJ Balkau B et al. IDF DIABETES ATLAS 10th ed. 2021;6\u20139. Accessed February 20 2026. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK581934\/."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-36811-1_45"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-018-4711-2"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc20-S007"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199309303291401"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjms.2019.07.003"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/dme.14528"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1002853"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc06-1134"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2008.0068"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-009-1365-0"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-0750"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-0108"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc14-0303"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/1932296816676280"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d3805"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13098-019-0513-z"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.3390\/medicina59111893"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2017.12.015"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjdrc-2019-001052"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2021.0034"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2021.108897"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.2337\/dci19-0028"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/19322968221085273"},{"key":"e_1_3_3_26_2","unstructured":"Saudi National Diabetes Center (SNDC). Saudi Diabetes Clinical Practice Guidelines (SDCPG). Riyadh Saudi Arabia: Saudi Health Council; 2018. Accessed April 23 2025. https:\/\/shc.gov.sa\/Arabic\/Pages\/default.aspx"},{"key":"e_1_3_3_27_2","unstructured":"Abbott diabetes care. FreeStyle Libre 2 system user\u2019s manual. Witney UK: Abbott Diabetes Care; 2020. Accessed April 23 2025. https:\/\/www.freestyle.abbott\/sa-en\/support\/manuals.html"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2022.0104"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2015.0240"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13098-022-00831-y"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc11-1746"}],"container-title":["Journal of Diabetes Science and Technology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19322968261427798","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/19322968261427798","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19322968261427798","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:15:53Z","timestamp":1777400153000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/19322968261427798"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,9]]},"references-count":30,"alternative-id":["10.1177\/19322968261427798"],"URL":"https:\/\/doi.org\/10.1177\/19322968261427798","relation":{},"ISSN":["1932-2968","1932-2968"],"issn-type":[{"value":"1932-2968","type":"print"},{"value":"1932-2968","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,9]]},"article-number":"19322968261427798"}}