scholarly journals Flash Glucose Monitoring: Differences Between Intermittently Scanned and Continuously Stored Data

2017 ◽  
Vol 12 (2) ◽  
pp. 397-400 ◽  
Author(s):  
Stefan Pleus ◽  
Ulrike Kamecke ◽  
Manuela Link ◽  
Cornelia Haug ◽  
Guido Freckmann
Keyword(s):  
Health Care Professionals ◽  
Glucose Monitoring ◽  
Flash Glucose Monitoring ◽  
Additional Information ◽  
Therapeutic Decisions ◽  
Freestyle Libre ◽  
Interstitial Glucose ◽  
Data Points ◽  
Flash Glucose Monitoring System ◽  
Relative Differences

The flash glucose monitoring system FreeStyle Libre (Abbott Diabetes Care Ltd., Witney, UK) measures interstitial glucose concentrations and continuously stores measurement values every 15 minutes. To obtain a current glucose reading, users have to scan the sensor with the reader. In a clinical trial, 5% of the scanned data showed relative differences of more than ±10% compared with continuously stored data points (median −0.5%). Such differences might impact results of studies using this system. It should be indicated whether scanned or continuously stored data were used for analyses. Health care professionals might have to differentiate between data reports from clinical software and the scanned data their patients are provided with. Additional information on these differences and their potential impact on therapeutic decisions would be helpful.

Contact dermatitis from MiaoMiao (an add‐on transmitter to FreeStyle Libre flash glucose monitoring system)

2021 ◽  
Author(s):  
María‐Elena Gatica‐Ortega ◽  
María‐Antonia Pastor‐Nieto ◽  
Rafaela Torres‐Aranda ◽  
Loreto Luna‐Bastante ◽  
Cristina Pérez‐Hortet
Keyword(s):  
Contact Dermatitis ◽  
Monitoring System ◽  
Glucose Monitoring ◽  
Flash Glucose Monitoring ◽  
Freestyle Libre ◽  
Flash Glucose Monitoring System

Complications associated with a flash glucose monitoring system in diabetic cats

2020 ◽  
pp. 1098612X2096501
Author(s):  
Adam M Shoelson ◽  
Orla M Mahony ◽  
Michelle Pavlick
Keyword(s):  
Monitoring System ◽  
Medical Records ◽  
Diabetes Management ◽  
Glucose Monitoring ◽  
Descriptive Statistics ◽  
Monitoring Systems ◽  
Sensor Failure ◽  
Flash Glucose Monitoring ◽  
Interstitial Glucose ◽  
Flash Glucose Monitoring System

Objectives Glucose monitoring is an integral part of diabetes management. Interstitial glucose monitoring systems are increasingly commonly being used for this purpose in dogs and cats, including the use of a flash glucose monitoring system (FGMS). The aim of this study was to describe the incidence and nature of complications associated with the use of an FGMS in diabetic cats. Methods The medical records of all cats that had placement of a 14-day FGMS during a 1-year period were retrospectively reviewed. Data retrieved included the number of days the sensor remained attached and functional, location of sensor placement and complications associated with the sensor. Complications were defined as early sensor detachment, sensor failure prior to the end of the 14-day monitoring period and dermatologic changes at the sensor site. Descriptive statistics were used to characterize the data. Results Twenty cats had a total of 33 FGMSs placed. The majority (30/33 [91%]) of sensors were placed over the dorsolateral aspect of the thorax just caudal to the scapula. Twenty (61%) FGMSs remained attached and functional for the full 14 days. The overall incidence of complications associated with FGMS use was 10/33 (30%). The most frequent complication was early sensor detachment (n = 5/33 [15%]). Mild dermatologic changes (erythema, crusts) were noted with 4/33 (12%) FGMSs. More serious complications (skin erosions, abscess formation) were noted with 2/33 (6%) FGMSs. Conclusions and relevance The use of the FGMS is relatively safe in cats, although there are potential complications that owners should be made aware of.

scholarly journals Accuracy of Flash Glucose Monitoring in Patients with Diabetes Mellitus on Hemodialysis and Its Relationship with Hydration Status

2020 ◽  
pp. 193229682097505
Author(s):  
Idoia Genua ◽  
Joan Sánchez-Hernandez ◽  
Maria José Martínez ◽  
Isabel Pujol ◽  
Jaume Places ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Patient Satisfaction ◽  
Ad Hoc ◽  
Glucose Monitoring ◽  
Relative Difference ◽  
Hydration Status ◽  
Flash Glucose Monitoring ◽  
Freestyle Libre ◽  
Interstitial Glucose ◽  
Capillary Glucose

Background: The use of flash-glucose monitoring system FreeStyle Libre (FSL) has demonstrated benefits in metabolic control and quality of life in different populations with diabetes mellitus (DM), being funded in many countries. Due to this, DM subjects on hemodialysis (HD) are using FSL despite the accuracy in this population being unclear. The aims of the present study are to assess the accuracy of FSL in DM subjects on HD, its relationship to hydration status, and patient satisfaction. Material and Methods: A prospective study in 16 patients with DM in a chronic HD program was conducted. Interstitial glucose values from FSL during a 14-day period were compared to capillary glucose measurements obtained at the same time. Hydration status was measured via bioimpedance spectroscopy. Satisfaction with FSL was obtained from an ad hoc satisfaction questionnaire. Results: A total of 766 paired interstitial and capillary glucose levels were analyzed. A correlation coefficient of 0.936 was determined and a mean absolute relative difference (MARD) value of 23%, increasing to 29% during HD. MARD was not related to hydration status. Interstitial glucose values were lower during HD (100.1 ± 17 mg/dL) than within the 12 hours after (125.1 ± 39 mg/dL; P = .012) and the days without HD (134.2 ± 32 mg/dL; P = .001). Subjects showed high satisfaction with FSL. Conclusion: The accuracy of FSL in DM patients on HD is lower than in other populations, especially during HD sessions and is not related with the hydration status. Despite this, the degree of patient satisfaction with FSL is very high.

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