Continuous Glucose Monitoring : Review of an Innovation in Diabetes Management

Crown Copyright © 2019. Published by Elsevier Inc. All rights reserved..

Most continuous glucose monitors (CGM) provide interstitial fluid glucose trends, which reflect blood glucose trends with alarms and alerts to prevent hypoglycemia and provide better glycemic control. CGM used in conjunction with insulin pumps has changed the management of patients with insulin-dependent diabetes, mainly type 1 diabetes. CGM technology prevents the need for frequent blood glucose testing, which is often cumbersome for patients, providing them with a better alternative. CGM technology is underprescribed and therefore advantage should be taken of this technology to provide better hemoglobin A1c (HbA1c) control and decrease incidence of diabetic complications. CGM is particularly useful in patients with hypoglycemia unawareness and nocturnal hypoglycemia. CGM is currently not approved in pregnant patients, in critically ill patients and patients on dialysis. Research suggests that the benefits certainly outweigh the limitations of this technology. This review article focuses on the technical and clinical use of continuous glucose monitoring and sensor-integrated pump technology.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:358

Enthalten in:

The American journal of the medical sciences - 358(2019), 5 vom: 10. Nov., Seite 332-339

Sprache:

Englisch

Beteiligte Personen:

Mian, Zainab [VerfasserIn]
Hermayer, Kathie L [VerfasserIn]
Jenkins, Alicia [VerfasserIn]

Links:

Volltext

Themen:

Blood Glucose
Continuous glucose monitoring
Fingerstick blood glucose testing
Hyperglycemia
Hypoglycemia
Hypoglycemic Agents
Insulin
Journal Article
Review
Sensor integrated pump technology

Anmerkungen:

Date Completed 17.03.2020

Date Revised 17.03.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.amjms.2019.07.003

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM300125933