Is continuous glucose monitoring (CGM) for everyone?
In: Diabetes & Metabolism, Jg. 37 (2011-12-01), S. S80- (5S.)
Online
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Zugriff:
Are all type 1 diabetes (T1DM) patients potential candidates for continuous glucose monitoring (CGM)? Clearly, some patients improve their metabolic control with this tool, such as adults with poor metabolic control, especially those treated with continuous subcutaneous insulin infusion (CSII), and compliant patients with HbA(1c) levels 10% and/or severe hypoglycaemia. Beyond the indications, the mode of use of CGM is crucial. An appropriate patient selection, in order to choose those able to run the tool and motivated to use it, is necessary. How to prescribe the sensors is also an important question. Two approaches have been compared: patient-led and physician-driven prescription. Both modes of using CGM provide similar long-term metabolic improvement. However, physician-driven prescription is probably more cost-effective. The last key question is the education of patients by an experienced team. It can help them to translate the large amount of data from the monitor into effective self-management for optimalizing the CGM experience. However, elaboration of a validated algorithm is necessary to take full advantage of this device.
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Is continuous glucose monitoring (CGM) for everyone?
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Autor/in / Beteiligte Person: | Riveline, Jean-Pierre |
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Zeitschrift: | Diabetes & Metabolism, Jg. 37 (2011-12-01), S. S80- (5S.) |
Veröffentlichung: | Elsevier BV, 2011 |
Medientyp: | unknown |
ISSN: | 1262-3636 (print) |
DOI: | 10.1016/s1262-3636(11)70971-5 |
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