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Establishing a continuous glucose monitoring program
1Joslin Diabetes Center/Harvard University, Boston, Massachusetts 02215, USA. howard.wolpert@joslin.harvard.edu
Journal of Diabetes Science and Technology
|November 4, 2009
Summary
Real-time continuous glucose monitoring (RT-CGM) improves diabetes management by providing glucose data and alerts. Training on physiological lag, alarm use, and bolusing is crucial for safe and effective RT-CGM use.
Area of Science:
- Endocrinology
- Medical Technology
Background:
- Real-time continuous glucose monitoring (RT-CGM) offers detailed glucose insights and alerts for hypoglycemia and hyperglycemia.
- This technology represents a significant advancement in diabetes care, enhancing daily management for patients.
Purpose of the Study:
- To outline essential training curriculum components for patients initiating RT-CGM use.
- To address key physiological and technological considerations for safe and effective RT-CGM implementation.
Main Methods:
- Review of physiological and technological issues pertinent to RT-CGM.
- Identification of critical training topics for RT-CGM users.
Main Results:
- Physiological lag between interstitial and blood glucose requires understanding for calibration and data interpretation.
- Effective use of sensor alarms necessitates awareness of threshold settings and potential caveats.
- Risk of hypoglycemia from excessive postprandial insulin bolusing requires specific patient training.
Conclusions:
- Comprehensive training on RT-CGM is vital for optimal diabetes management.
- Understanding device-specific nuances, including physiological lag and alarm management, is key.
- Mitigating risks such as hypoglycemia through informed patient education enhances RT-CGM benefits.
Keywords:
continuous glucose monitoring
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