کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2797178 1155637 2012 12 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Personal continuous glucose monitoring (CGM) in diabetes management: Review of the literature and implementation for practical use
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی علوم غدد
پیش نمایش صفحه اول مقاله
Personal continuous glucose monitoring (CGM) in diabetes management: Review of the literature and implementation for practical use
چکیده انگلیسی

AimDespite recent advances in diabetes therapy including the new long- and rapid-insulin analogs, insulin intensification strategies such as basal/bolus or pump therapy and sophisticated methods for insulin titration derived from the principles of functional insulin therapy, many patients fail to reach or maintain target glycosylated hemoglobin (HbA1c) values, putting them at increased risk for vascular complications. Continuous glucose monitoring (CGM) systems represent an important advance in diabetes technology that can facilitate optimal glucose control in type 1 diabetes.MethodThis review focuses on the efficacy and safety of CGM systems in diabetes management. The different CGM devices available are also described, as the way to use them and the educational approach to the patient in a step-by-step progression toward optimal glycemic control.ResultsIn type 1 diabetes, CGM systems are associated with 0.5–1% reduction in HbA1c without increased risk of hypoglycemia. CGM efficacy correlates with compliance to sensor wear, whatever the patient's age range.ConclusionEfficacy of CGM systems is now proven but indications, terms of use and educational issues of this new technology still need to be specified.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Diabetes Research and Clinical Practice - Volume 96, Issue 3, June 2012, Pages 294–305
نویسندگان
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