Novel methods of continuous glucose monitoring and telehealth in the improvement of diabetes care: a narrative review
Standard markers of glycaemic control, such as glycated haemoglobin (HbA1c) and self-measurement of blood glucose (SMBG), have proven insufficient. HbA1c is an averaged measurement that does not give information about glucose variability. SMBG provides limited, intermittent blood glucose (BG) values...
Main Authors: | , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Termedia Publishing House
2021-07-01
|
Series: | Archives of Medical Science |
Subjects: | |
Online Access: | https://www.archivesofmedicalscience.com/Novel-methods-of-continuous-glucose-monitoring-and-telehealth-in-the-improvement,139025,0,2.html |
_version_ | 1827620416483491840 |
---|---|
author | Jerzy Hohendorff Leszek Czupryniak Grzegorz Dzida Piotr Fichna Przemyslawa Jarosz-Chobot Tomasz Klupa Malgorzata Mysliwiec Agnieszka Szadkowska Dorota A. Zozulinska-Ziolkiewicz Maciej T. Malecki |
author_facet | Jerzy Hohendorff Leszek Czupryniak Grzegorz Dzida Piotr Fichna Przemyslawa Jarosz-Chobot Tomasz Klupa Malgorzata Mysliwiec Agnieszka Szadkowska Dorota A. Zozulinska-Ziolkiewicz Maciej T. Malecki |
author_sort | Jerzy Hohendorff |
collection | DOAJ |
description | Standard markers of glycaemic control, such as glycated haemoglobin (HbA1c) and self-measurement of blood glucose (SMBG), have proven insufficient. HbA1c is an averaged measurement that does not give information about glucose variability. SMBG provides limited, intermittent blood glucose (BG) values over the day and is associated with poor compliance because of the invasiveness of the method and social discomfort. In contrast to glucometers, continuous glucose monitoring (CGM) devices do not require finger-stick blood samples, but instead measure BG via percutaneous or subcutaneous sensors. The immediate benefits of CGM include prevention of hypoglycaemia or hyperglycaemia, and automated analysis of long-term glycaemic data enables reliable treatment adjustments. This review describes the principles of CGM and how CGM data have changed diabetes treatment standards by introducing new glycaemic control parameters. It also compares different CGM devices and examines how the convenience of sharing CGM data in telehealth applies to the current coronavirus-19 pandemic. |
first_indexed | 2024-03-09T10:47:04Z |
format | Article |
id | doaj.art-109bfa0033804a99926693aaa94a62f2 |
institution | Directory Open Access Journal |
issn | 1734-1922 1896-9151 |
language | English |
last_indexed | 2024-03-09T10:47:04Z |
publishDate | 2021-07-01 |
publisher | Termedia Publishing House |
record_format | Article |
series | Archives of Medical Science |
spelling | doaj.art-109bfa0033804a99926693aaa94a62f22023-12-01T09:51:47ZengTermedia Publishing HouseArchives of Medical Science1734-19221896-91512021-07-0119375776410.5114/aoms/139025139025Novel methods of continuous glucose monitoring and telehealth in the improvement of diabetes care: a narrative reviewJerzy Hohendorff0https://orcid.org/0000-0003-1153-8669Leszek Czupryniak1Grzegorz Dzida2Piotr Fichna3https://orcid.org/0000-0003-2686-757XPrzemyslawa Jarosz-Chobot4Tomasz Klupa5Malgorzata Mysliwiec6Agnieszka Szadkowska7Dorota A. Zozulinska-Ziolkiewicz8Maciej T. Malecki9Department of Metabolic Diseases, Jagiellonian University Medical College, Krakow, PolandDepartment of Diabetology and Internal Medicine, Medical University of Warsaw, Warsaw, PolandDepartment of Internal Diseases, Medical University of Lublin, Lublin, PolandDepartment of Pediatric Diabetes and Obesity, Poznan University of Medical Sciences, Poznan, PolandDepartment of Children's Diabetology, School of Medicine in Katowice, Medical University of Silesia, Katowice, PolandDepartment of Metabolic Diseases, Jagiellonian University Medical College, Krakow, PolandDepartment of Pediatrics, Diabetology and Endocrinology, Medical University of Gdansk, Gdansk, PolandDepartment of Pediatrics, Diabetology, Endocrinology and Nephrology, Medical University of Lodz, Lodz, PolandDepartment of Internal Medicine and Diabetology, Poznan University of Medical Science, Poznan, PolandDepartment of Metabolic Diseases, Jagiellonian University Medical College, Krakow, PolandStandard markers of glycaemic control, such as glycated haemoglobin (HbA1c) and self-measurement of blood glucose (SMBG), have proven insufficient. HbA1c is an averaged measurement that does not give information about glucose variability. SMBG provides limited, intermittent blood glucose (BG) values over the day and is associated with poor compliance because of the invasiveness of the method and social discomfort. In contrast to glucometers, continuous glucose monitoring (CGM) devices do not require finger-stick blood samples, but instead measure BG via percutaneous or subcutaneous sensors. The immediate benefits of CGM include prevention of hypoglycaemia or hyperglycaemia, and automated analysis of long-term glycaemic data enables reliable treatment adjustments. This review describes the principles of CGM and how CGM data have changed diabetes treatment standards by introducing new glycaemic control parameters. It also compares different CGM devices and examines how the convenience of sharing CGM data in telehealth applies to the current coronavirus-19 pandemic.https://www.archivesofmedicalscience.com/Novel-methods-of-continuous-glucose-monitoring-and-telehealth-in-the-improvement,139025,0,2.htmldiabetes mellitustelehealthcontinuous glucose monitoring |
spellingShingle | Jerzy Hohendorff Leszek Czupryniak Grzegorz Dzida Piotr Fichna Przemyslawa Jarosz-Chobot Tomasz Klupa Malgorzata Mysliwiec Agnieszka Szadkowska Dorota A. Zozulinska-Ziolkiewicz Maciej T. Malecki Novel methods of continuous glucose monitoring and telehealth in the improvement of diabetes care: a narrative review Archives of Medical Science diabetes mellitus telehealth continuous glucose monitoring |
title | Novel methods of continuous glucose monitoring and telehealth in the improvement of diabetes care: a narrative review |
title_full | Novel methods of continuous glucose monitoring and telehealth in the improvement of diabetes care: a narrative review |
title_fullStr | Novel methods of continuous glucose monitoring and telehealth in the improvement of diabetes care: a narrative review |
title_full_unstemmed | Novel methods of continuous glucose monitoring and telehealth in the improvement of diabetes care: a narrative review |
title_short | Novel methods of continuous glucose monitoring and telehealth in the improvement of diabetes care: a narrative review |
title_sort | novel methods of continuous glucose monitoring and telehealth in the improvement of diabetes care a narrative review |
topic | diabetes mellitus telehealth continuous glucose monitoring |
url | https://www.archivesofmedicalscience.com/Novel-methods-of-continuous-glucose-monitoring-and-telehealth-in-the-improvement,139025,0,2.html |
work_keys_str_mv | AT jerzyhohendorff novelmethodsofcontinuousglucosemonitoringandtelehealthintheimprovementofdiabetescareanarrativereview AT leszekczupryniak novelmethodsofcontinuousglucosemonitoringandtelehealthintheimprovementofdiabetescareanarrativereview AT grzegorzdzida novelmethodsofcontinuousglucosemonitoringandtelehealthintheimprovementofdiabetescareanarrativereview AT piotrfichna novelmethodsofcontinuousglucosemonitoringandtelehealthintheimprovementofdiabetescareanarrativereview AT przemyslawajaroszchobot novelmethodsofcontinuousglucosemonitoringandtelehealthintheimprovementofdiabetescareanarrativereview AT tomaszklupa novelmethodsofcontinuousglucosemonitoringandtelehealthintheimprovementofdiabetescareanarrativereview AT malgorzatamysliwiec novelmethodsofcontinuousglucosemonitoringandtelehealthintheimprovementofdiabetescareanarrativereview AT agnieszkaszadkowska novelmethodsofcontinuousglucosemonitoringandtelehealthintheimprovementofdiabetescareanarrativereview AT dorotaazozulinskaziolkiewicz novelmethodsofcontinuousglucosemonitoringandtelehealthintheimprovementofdiabetescareanarrativereview AT maciejtmalecki novelmethodsofcontinuousglucosemonitoringandtelehealthintheimprovementofdiabetescareanarrativereview |