Capteurs de glucose et mesure continue du glucose

Continuous glucose measurement has become an essential part of the therapeutic management in diabetic patients. Self-monitoring blood glucose, even when intensified, provides only partial information and cross-sectional evaluation of glycemic control. Tools of continuous glucose measurement have been improved, either in clinical use or in accuracy. After being used mainly in hospitals, glucose sensors are now often offered to patients for ambulatory use. Several clinical situations are indications for continuous glucose recording, particularly to identify reasons of poor glycemic control. When the objective is to improve metabolic control, the glucose sensor, preferentially with a real time measurement, must be worn for several weeks or months. The patient must agree to wear the sensor regularly and should benefit from therapeutic education to get a chance of an improved glycemic control. Beyond the sole use of glucose sensor, insulin pump with integrated continuous subcutaneous glucose monitoring represents a major change in diabetic patients' therapeutic management.