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[Advanced diabetes technology: clinical application and practical implications]
Rowan V Toet1,2, Behiye Özcan1, Mandy van Hoek1
1Erasmus MC, afd. Interne geneeskunde, Rotterdam.
Nederlands Tijdschrift Voor Geneeskunde
|February 20, 2026
Summary
Advanced diabetes technologies like continuous glucose monitoring (CGM) and hybrid closed-loop (HCL) systems improve glycemic control and quality of life. Personalized implementation is key for optimizing outcomes in diabetes management.
Area of Science:
- Endocrinology
- Medical Technology
Background:
- Diabetes mellitus is a chronic condition significantly impacting quality of life.
- Traditional treatments include insulin injections and self-monitoring.
- Technological advancements offer new avenues for glycemic control.
Purpose of the Study:
- To review the impact of modern diabetes technologies on glycemic control and patient outcomes.
- To highlight the benefits of continuous glucose monitoring (CGM), insulin pumps, and hybrid closed-loop (HCL) systems.
- To discuss the importance of personalized implementation of these technologies.
Main Methods:
- Review of clinical evidence on diabetes management technologies.
- Analysis of outcomes including HbA1c, Time in Range (TIR), and hypoglycemia.
- Consideration of patient-specific factors for technology adoption.
Main Results:
- CGM, HCL systems, and connected devices reduce HbA1c and increase TIR.
- These technologies lower the risk of severe hypoglycemia.
- Improved quality of life and psychosocial outcomes are associated with technology use.
Conclusions:
- Diabetes technology offers significant benefits for glycemic control and well-being.
- Tailored implementation considering patient factors is crucial for success.
- Clinicians must stay informed about evolving technologies for effective diabetes care.
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