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Continuous Glucose Monitoring: Review of an Innovation in Diabetes Management
- Source :
- The American journal of the medical sciences. 358(5)
- Publication Year :
- 2019
-
Abstract
- 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.
- Subjects :
- Blood Glucose
medicine.medical_specialty
endocrine system diseases
medicine.medical_treatment
030204 cardiovascular system & hematology
Hypoglycemia
Risk Assessment
03 medical and health sciences
0302 clinical medicine
Diabetes management
Diabetes mellitus
medicine
Diabetes Mellitus
Humans
Hypoglycemic Agents
Insulin
030212 general & internal medicine
Intensive care medicine
Dialysis
Glycemic
Type 1 diabetes
business.industry
nutritional and metabolic diseases
General Medicine
Infusion Pumps, Implantable
medicine.disease
Review article
Patient Care Management
business
Subjects
Details
- ISSN :
- 15382990
- Volume :
- 358
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- The American journal of the medical sciences
- Accession number :
- edsair.doi.dedup.....49ca474d6727b5941753533bf0a4d2f9