Transforming diabetes care with continuous glucose monitoring: Rationale for expanded eligibility criteria
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作者:
Hirsch, Barbara R.
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机构:
Hofstra Northwell Hlth, Donald & Barbara Zucker Sch Med, New Hyde Pk, NY 11549 USAHofstra Northwell Hlth, Donald & Barbara Zucker Sch Med, New Hyde Pk, NY 11549 USA
Hirsch, Barbara R.
[1
]
机构:
[1] Hofstra Northwell Hlth, Donald & Barbara Zucker Sch Med, New Hyde Pk, NY 11549 USA
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.
机构:
Univ Federico II Naples, Dept Clin Med & Surg, Dept Endocrinol, I-80138 Naples, ItalyUniv Federico II Naples, Dept Clin Med & Surg, Dept Endocrinol, I-80138 Naples, Italy
Tecce, Nicola
Menafra, Davide
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Univ Federico II Naples, Dept Clin Med & Surg, Dept Endocrinol, I-80138 Naples, ItalyUniv Federico II Naples, Dept Clin Med & Surg, Dept Endocrinol, I-80138 Naples, Italy
Menafra, Davide
Progano, Mattia
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Univ Federico II Naples, Dept Clin Med & Surg, Dept Endocrinol, I-80138 Naples, ItalyUniv Federico II Naples, Dept Clin Med & Surg, Dept Endocrinol, I-80138 Naples, Italy
Progano, Mattia
Tecce, Mario Felice
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机构:
Univ Salerno, Dept Pharm, Via Giovanni Paolo II 132, I-84084 Fisciano, ItalyUniv Federico II Naples, Dept Clin Med & Surg, Dept Endocrinol, I-80138 Naples, Italy
Tecce, Mario Felice
Pivonello, Rosario
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机构:
Univ Federico II Naples, Dept Clin Med & Surg, Dept Endocrinol, I-80138 Naples, Italy
Univ Federico II Naples, UNESCO Chair Hlth Educ & Sustainable Dev, I-80138 Naples, ItalyUniv Federico II Naples, Dept Clin Med & Surg, Dept Endocrinol, I-80138 Naples, Italy
Pivonello, Rosario
Colao, Annamaria
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Univ Federico II Naples, Dept Clin Med & Surg, Dept Endocrinol, I-80138 Naples, Italy
Univ Federico II Naples, UNESCO Chair Hlth Educ & Sustainable Dev, I-80138 Naples, ItalyUniv Federico II Naples, Dept Clin Med & Surg, Dept Endocrinol, I-80138 Naples, Italy