Monitorización continua de glucosa en tiempo real: imprescindible su uso combinado con infusión continua de insulina

Baseline-bolus insulin therapy administered using continuous insulin infusions (insulin pumps) is currently the most effective and safe treatment to achieve good metabolic control in patients with type 1 diabetes mellitus, and is experiencing dramatic progress in the last few years with the launching of increasingly more intelligent devices, with programs with specific characteristics, including aids for the administration of a bolus, active insulin functions, establishing targets, etc. For these reasons, the greatest technological advance in intensive diabetes therapy has been the development of real-time continuous glucose monitoring and their integration with insulin pumps. Their clinical impact has been demonstrated, with a major reduction in the glycosylated haemoglobin, without increasing the risk of hypoglycaemia compared to treatment with multiple dose insulin regimes or subcutaneous insulin only infusion systems. Different clinical studies support the evidence for recommending the use of therapies with an insulin pump integrated with continuous glucose monitoring, and will be critically reviewed in the present article.