The Impact of Prolonged Use of Continuous Glucose Monitoring Sensors in Patients with Diabetes Mellitus: Accuracy and Financial Burden

Continuous glucose monitoring - an important diagnostic, teaching and treatment tool for patients with diabetes mellitus, which is increasingly becoming a part of routine clinical practice in endocrinology. This article presents an overview of modern techniques, their advantages and disadvantages, evidence basis and place in everyday clinical practice. The article discusses the key factors affecting the efficiency, indications, contraindications, conditions of use of the continuous glucose monitoring systems in patients with diabetes mellitus, gives an algorithm for the application of this technique in clinical practice.

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Continuous Glucose Monitoring (CGM) or Blood Glucose Monitoring (BGM): Interactions and Implications

Journal of Diabetes Science and Technology ◽

10.1177/1932296818768834 ◽

2018 ◽

Vol 12 (4) ◽

pp. 873-879 ◽

Cited By ~ 6

Author(s):

Lutz Heinemann

Keyword(s):

Blood Glucose ◽

Continuous Glucose Monitoring ◽

Patient Management ◽

Glucose Monitoring ◽

Blood Glucose Monitoring ◽

Advanced Technologies ◽

Patients With Diabetes ◽

The Impact ◽

Annual International Conference

At the 2017 10th annual International Conference on Advanced Technologies and Treatments for Diabetes (ATTD) in Paris, France, four speakers presented their perspectives on the roles of continuous glucose monitoring (CGM) and of blood glucose monitoring (BGM) in patient management within one symposium. These presentations included discussions of the differences in the accuracy of CGM and BGM, a clinical perspective on the physiological reasons behind differences in CGM and BGM values, and an overview of the impact of variations in device accuracy on patients with diabetes. Subsequently a short summary of these presentations is given, highlighting the value of good accuracy of BGM or CGM systems and the ongoing need for standardization. The important role of both BGM and CGM in patient management was a theme across all presentations.

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The Impact of Social Support on Self-care of Patients With Diabetes: What Is the Effect of Diabetes Type? Systematic Review and Meta-analysis

The Diabetes Educator ◽

10.1177/0145721717712457 ◽

2017 ◽

Vol 43 (4) ◽

pp. 396-412 ◽

Cited By ~ 26

Author(s):

Youngshin Song ◽

Soohyun Nam ◽

Seyeon Park ◽

In-soo Shin ◽

Bon Jeong Ku

Keyword(s):

Diabetes Mellitus ◽

Social Support ◽

Meta Analysis ◽

Coping Behavior ◽

Glucose Monitoring ◽

Self Care ◽

Cochrane Library ◽

Sample Type ◽

Patients With Diabetes ◽

The Impact

Purpose This meta-analysis examined relationships between social support and self-care in type 1 (T1DM) and 2 diabetes mellitus (T2DM). Methods We searched for published and unpublished studies using the following databases: PubMed, Embase, PsycINFO, the Cochrane Library, and Medline. MeSH search terms included “diabetes mellitus,” “social support,” “caregiver,” “self-care,” “self-management,” “self-care skills,” and “coping behavior.” Studies reporting correlations between social support and self-care were included. Results Initially, 2 095 studies were extracted. After eliminating duplicate and irrelevant studies, 28 studies involving 5 242 patients with diabetes were included. Of these, 22 studies examined T2DM subjects. Social support was significantly associated with self-care ( k = 28, r = .28, 95% CI: .21-.34, P < .001). Among the diabetes self-care types, the strongest effect was found for glucose monitoring ( k = 6, r = .21, 95% CI: .08-.33). The relationship between social support and self-care was stronger in T2DM ( k = 22, r = .30, 95% CI: .22-.37), relative to T1DM, samples ( k = 5, r = .22, 95% CI: .02-.38). Conclusion It was concluded that the overall effect size for social support on self-care was moderate, and its strength differed by ethnic majority within the sample, type of social support measures, and publication status.

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