Transforming diabetes care with continuous glucose monitoring: Rationale for expanded eligibility criteria

被引:0
|
作者
Hirsch, Barbara R. [1 ]
机构
[1] Hofstra Northwell Hlth, Donald & Barbara Zucker Sch Med, New Hyde Pk, NY 11549 USA
关键词
Continuous glucose monitoring; HbA1c; hyperglycemia; hypoglycemia; noninsulin; oral medications; time in range; INSULIN INJECTIONS; ADULTS; TYPE-1; HYPOGLYCEMIA;
D O I
10.1097/JXX.0000000000000993
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Randomized trials and large retrospective database studies have shown that individuals treated with noninsulin therapies experience the same glycemic benefits from continuous glucose monitoring (CGM) use as those treated with more intensive treatment regimens. However, many policy makers and payers are reluctant to provide CGM coverage for these patients. Although the recent American Diabetes Association guidelines have taken an important first step in recommending that CGM should be offered to all adults treated with basal insulin who are capable of using it, clinicians should consider the acute and long-term consequences of persistent hyperglycemia in all of their patients with diabetes. This article describes how the use of the FreeStyle Libre 2 CGM System (Abbott Diabetes Care, Alameda, CA) improved glycemic outcomes and facilitates personalized diabetes care in two type 2 diabetes patients treated with noninsulin therapies.
引用
收藏
页码:385 / 390
页数:6
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