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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
PubMed

Insights

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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