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...

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Main Authors: Jerzy Hohendorff, Leszek Czupryniak, Grzegorz Dzida, Piotr Fichna, Przemyslawa Jarosz-Chobot, Tomasz Klupa, Malgorzata Mysliwiec, Agnieszka Szadkowska, Dorota A. Zozulinska-Ziolkiewicz, Maciej T. Malecki
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
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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.
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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
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