Flash glucose monitoring system in special situations
ABSTRACT The management of diabetes mellitus (DM) requires maintaining glycemic control, and patients must keep their blood glucose levels close to the normal range to reduce the risk of microvascular complications and cardiovascular events. While glycated hemoglobin (A1C) is currently the primary m...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Brazilian Society of Endocrinology and Metabolism
2022-06-01
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| Series: | Archives of Endocrinology and Metabolism |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972022005007202&tlng=en |
| _version_ | 1811257907248889856 |
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| author | Fernanda Augustini Rigon Marcelo Fernando Ronsoni André Gustavo Daher Vianna Leonardo de Lucca Schiavon Alexandre Hohl Simone van de Sande-Lee |
| author_facet | Fernanda Augustini Rigon Marcelo Fernando Ronsoni André Gustavo Daher Vianna Leonardo de Lucca Schiavon Alexandre Hohl Simone van de Sande-Lee |
| author_sort | Fernanda Augustini Rigon |
| collection | DOAJ |
| description | ABSTRACT The management of diabetes mellitus (DM) requires maintaining glycemic control, and patients must keep their blood glucose levels close to the normal range to reduce the risk of microvascular complications and cardiovascular events. While glycated hemoglobin (A1C) is currently the primary measure for glucose management and a key marker for long-term complications, it does not provide information on acute glycemic excursions and overall glycemic variability. These limitations may even be higher in some special situations, thereby compromising A1C accuracy, especially when wider glycemic variability is expected and/or when the glycemic goal is more stringent. To attain adequate glycemic control, continuous glucose monitoring (CGM) is more useful than self-monitoring of blood glucose (SMBG), as it is more convenient and provides a greater amount of data. Flash Glucose Monitoring (isCGM /FGM) is a widely accepted option of CGM for measuring interstitial glucose levels in individuals with DM. However, its application under special conditions, such as pregnancy, patients on hemodialysis, patients with cirrhosis, during hospitalization in the intensive care unit and during physical exercise has not yet been fully validated. This review addresses some of these specific situations in which hypoglycemia should be avoided, or in pregnancy, where strict glycemic control is essential, and the application of isCGM/FGM could alleviate the shortcomings associated with poor glucose control or high glycemic variability, thereby contributing to high-quality care. |
| first_indexed | 2024-04-12T18:04:52Z |
| format | Article |
| id | doaj.art-0a59b6d7cc97404bb360c0bdde7e41e9 |
| institution | Directory Open Access Journal |
| issn | 2359-4292 |
| language | English |
| last_indexed | 2024-04-12T18:04:52Z |
| publishDate | 2022-06-01 |
| publisher | Brazilian Society of Endocrinology and Metabolism |
| record_format | Article |
| series | Archives of Endocrinology and Metabolism |
| spelling | doaj.art-0a59b6d7cc97404bb360c0bdde7e41e92022-12-22T03:22:01ZengBrazilian Society of Endocrinology and MetabolismArchives of Endocrinology and Metabolism2359-42922022-06-0110.20945/2359-3997000000479Flash glucose monitoring system in special situationsFernanda Augustini Rigonhttps://orcid.org/0000-0002-1490-0275Marcelo Fernando Ronsonihttps://orcid.org/0000-0003-1187-9842André Gustavo Daher Viannahttps://orcid.org/0000-0002-0497-5062Leonardo de Lucca Schiavonhttps://orcid.org/0000-0003-4340-6820Alexandre Hohlhttps://orcid.org/0000-0002-8073-5837Simone van de Sande-Leehttps://orcid.org/0000-0002-5592-1603ABSTRACT The management of diabetes mellitus (DM) requires maintaining glycemic control, and patients must keep their blood glucose levels close to the normal range to reduce the risk of microvascular complications and cardiovascular events. While glycated hemoglobin (A1C) is currently the primary measure for glucose management and a key marker for long-term complications, it does not provide information on acute glycemic excursions and overall glycemic variability. These limitations may even be higher in some special situations, thereby compromising A1C accuracy, especially when wider glycemic variability is expected and/or when the glycemic goal is more stringent. To attain adequate glycemic control, continuous glucose monitoring (CGM) is more useful than self-monitoring of blood glucose (SMBG), as it is more convenient and provides a greater amount of data. Flash Glucose Monitoring (isCGM /FGM) is a widely accepted option of CGM for measuring interstitial glucose levels in individuals with DM. However, its application under special conditions, such as pregnancy, patients on hemodialysis, patients with cirrhosis, during hospitalization in the intensive care unit and during physical exercise has not yet been fully validated. This review addresses some of these specific situations in which hypoglycemia should be avoided, or in pregnancy, where strict glycemic control is essential, and the application of isCGM/FGM could alleviate the shortcomings associated with poor glucose control or high glycemic variability, thereby contributing to high-quality care.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972022005007202&tlng=enDiabetes mellitusblood glucose self-monitoringliver cirrhosisrenal dialysispregnancy |
| spellingShingle | Fernanda Augustini Rigon Marcelo Fernando Ronsoni André Gustavo Daher Vianna Leonardo de Lucca Schiavon Alexandre Hohl Simone van de Sande-Lee Flash glucose monitoring system in special situations Archives of Endocrinology and Metabolism Diabetes mellitus blood glucose self-monitoring liver cirrhosis renal dialysis pregnancy |
| title | Flash glucose monitoring system in special situations |
| title_full | Flash glucose monitoring system in special situations |
| title_fullStr | Flash glucose monitoring system in special situations |
| title_full_unstemmed | Flash glucose monitoring system in special situations |
| title_short | Flash glucose monitoring system in special situations |
| title_sort | flash glucose monitoring system in special situations |
| topic | Diabetes mellitus blood glucose self-monitoring liver cirrhosis renal dialysis pregnancy |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2359-39972022005007202&tlng=en |
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