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[Continuous Glucose Monitoring. Which is the evidence in Children?]
D V Suárez-Ayala1, C Forero-Ronderos2, M Coll3
1Universidad de Antioquia, Medellin, Colombia.
Andes Pediatrica : Revista Chilena De Pediatria
|October 15, 2021
Summary
Continuous glucose monitoring (CGM) improves metabolic control in pediatric patients with type 1 diabetes. Evidence shows reduced HbA1c, fewer hypoglycemic events, and better well-being with regular CGM use.
Area of Science:
- Endocrinology
- Medical Technology
- Pediatric Diabetes Care
Background:
- Diabetes technology, including continuous glucose monitoring (CGM), aims to enhance the quality of life for individuals with diabetes mellitus.
- CGM devices offer real-time or intermittent glucose readings, aiding in diabetes management.
Purpose of the Study:
- To review the performance, accuracy, and classification of CGM in pediatric patients with Type 1 Diabetes Mellitus.
- To synthesize evidence on CGM's impact on metabolic control and well-being in children.
- To present recommendations for diabetes technology in pediatric populations.
Main Methods:
- A non-systematic literature search was conducted for English and Spanish articles up to June 2020.
- The review included both adult and pediatric studies, with a specific focus on pediatric data for flash glucose monitoring.
- Evidence was chronologically synthesized, analyzing metabolic control variables and CGM usage frequency.
Main Results:
- CGM use is associated with reduced HbA1c levels and decreased frequency and severity of hypoglycemia.
- Studies indicate a reduction in diabetic ketoacidosis episodes and improved patient well-being.
- Higher frequency of CGM use correlates with better achievement of diabetes control objectives.
Conclusions:
- Continuous glucose monitoring is a valuable diabetes technology for pediatric patients with Type 1 diabetes.
- Evidence supports CGM's efficacy in improving metabolic control, reducing complications, and enhancing quality of life.
- Current guidelines from the American Diabetes Association and the International Society for Pediatric and Adolescent Diabetes provide recommendations for CGM use in this population.
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