Effectiveness of Using the FreeStyle Libre<sup>®</sup> System for Monitoring Blood Glucose during the COVID-19 Pandemic in Diabetic Individuals: Systematic Review

Background: Artificial Intelligence (AI) is an area of computer science/engineering that is aiming to spread technological systems. The COVID-19 pandemic caused economic and public health turbulence around the world. Among the many possibilities for using AI in the medical field is FreeStyle Libre&l...

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Main Authors: Luelia Teles Jaques-Albuquerque, Elzi dos Anjos-Martins, Luiza Torres-Nunes, Ana Gabriellie Valério-Penha, Ana Carolina Coelho-Oliveira, Viviani Lopes da Silva Sarandy, Aline Reis-Silva, Adérito Seixas, Mario Bernardo-Filho, Redha Taiar, Danúbia Cunha de Sá-Caputo
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/8/1499
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author Luelia Teles Jaques-Albuquerque
Elzi dos Anjos-Martins
Luiza Torres-Nunes
Ana Gabriellie Valério-Penha
Ana Carolina Coelho-Oliveira
Viviani Lopes da Silva Sarandy
Aline Reis-Silva
Adérito Seixas
Mario Bernardo-Filho
Redha Taiar
Danúbia Cunha de Sá-Caputo
author_facet Luelia Teles Jaques-Albuquerque
Elzi dos Anjos-Martins
Luiza Torres-Nunes
Ana Gabriellie Valério-Penha
Ana Carolina Coelho-Oliveira
Viviani Lopes da Silva Sarandy
Aline Reis-Silva
Adérito Seixas
Mario Bernardo-Filho
Redha Taiar
Danúbia Cunha de Sá-Caputo
author_sort Luelia Teles Jaques-Albuquerque
collection DOAJ
description Background: Artificial Intelligence (AI) is an area of computer science/engineering that is aiming to spread technological systems. The COVID-19 pandemic caused economic and public health turbulence around the world. Among the many possibilities for using AI in the medical field is FreeStyle Libre<sup>®</sup> (FSL), which uses a disposable sensor inserted into the user’s arm, and a touchscreen device/reader is used to scan and retrieve other continuous monitoring of glucose (CMG) readings. The aim of this systematic review is to summarize the effectiveness of FSL blood glucose monitoring during the COVID-19 pandemic. Methods: This systematic review was carried out in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) and was registered in the international prospective register of systematic reviews (PROSPERO: CRD42022340562). The inclusion criteria considered studies involving the use of the FSL device during the COVID-19 pandemic and published in English. No publication date restrictions were set. The exclusion criteria were abstracts, systematic reviews, studies with patients with other diseases, monitoring with other equipment, patients with COVID-19, and bariatrics patients. Seven databases were searched (PubMed, Scopus, Embase, Web of Science, Scielo, PEDro and Cochrane Library). The ACROBAT-NRSI tool (A Cochrane Risk of Bias Assessment Tool for Non-Randomized Studies) was used to evaluate the risk of bias in the selected articles. Results: A total of 113 articles were found. Sixty-four were excluded because they were duplicates, 39 were excluded after reading the titles and abstracts, and twenty articles were considered for full reading. Of the 10 articles analyzed, four articles were excluded because they did not meet the inclusion criteria. Thus, six articles were included in the current systematic review. It was observed that among the selected articles, only two were classified as having serious risk of bias. It was shown that FSL had a positive impact on glycemic control and on reducing the number of individuals with hypoglycemia. Conclusion: The findings suggest that the implementation of FSL during COVID-19 confinement in this population can be confidently stated to have been effective in diabetes mellitus patients.
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spelling doaj.art-ada7a5daa13f47ee9490d1895fca5cf02023-11-17T18:55:56ZengMDPI AGDiagnostics2075-44182023-04-01138149910.3390/diagnostics13081499Effectiveness of Using the FreeStyle Libre<sup>®</sup> System for Monitoring Blood Glucose during the COVID-19 Pandemic in Diabetic Individuals: Systematic ReviewLuelia Teles Jaques-Albuquerque0Elzi dos Anjos-Martins1Luiza Torres-Nunes2Ana Gabriellie Valério-Penha3Ana Carolina Coelho-Oliveira4Viviani Lopes da Silva Sarandy5Aline Reis-Silva6Adérito Seixas7Mario Bernardo-Filho8Redha Taiar9Danúbia Cunha de Sá-Caputo10Laboratório de Vibrações Mecânicas e Práticas Integrativas, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcântara Gomes, Policlínica Universitária Piquet Carneiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20950-003, BrazilLaboratório de Vibrações Mecânicas e Práticas Integrativas, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcântara Gomes, Policlínica Universitária Piquet Carneiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20950-003, BrazilLaboratório de Vibrações Mecânicas e Práticas Integrativas, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcântara Gomes, Policlínica Universitária Piquet Carneiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20950-003, BrazilLaboratório de Vibrações Mecânicas e Práticas Integrativas, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcântara Gomes, Policlínica Universitária Piquet Carneiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20950-003, BrazilLaboratório de Vibrações Mecânicas e Práticas Integrativas, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcântara Gomes, Policlínica Universitária Piquet Carneiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20950-003, BrazilLaboratório de Vibrações Mecânicas e Práticas Integrativas, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcântara Gomes, Policlínica Universitária Piquet Carneiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20950-003, BrazilLaboratório de Vibrações Mecânicas e Práticas Integrativas, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcântara Gomes, Policlínica Universitária Piquet Carneiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20950-003, BrazilEscola Superior de Saúde Fernando Pessoa, 4200-256 Porto, PortugalLaboratório de Vibrações Mecânicas e Práticas Integrativas, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcântara Gomes, Policlínica Universitária Piquet Carneiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20950-003, BrazilMATériaux et Ingénierie Mécanique (MATIM), Université de Reims Champagne Ardenne, 51100 Reims, FranceLaboratório de Vibrações Mecânicas e Práticas Integrativas, Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcântara Gomes, Policlínica Universitária Piquet Carneiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro 20950-003, BrazilBackground: Artificial Intelligence (AI) is an area of computer science/engineering that is aiming to spread technological systems. The COVID-19 pandemic caused economic and public health turbulence around the world. Among the many possibilities for using AI in the medical field is FreeStyle Libre<sup>®</sup> (FSL), which uses a disposable sensor inserted into the user’s arm, and a touchscreen device/reader is used to scan and retrieve other continuous monitoring of glucose (CMG) readings. The aim of this systematic review is to summarize the effectiveness of FSL blood glucose monitoring during the COVID-19 pandemic. Methods: This systematic review was carried out in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) and was registered in the international prospective register of systematic reviews (PROSPERO: CRD42022340562). The inclusion criteria considered studies involving the use of the FSL device during the COVID-19 pandemic and published in English. No publication date restrictions were set. The exclusion criteria were abstracts, systematic reviews, studies with patients with other diseases, monitoring with other equipment, patients with COVID-19, and bariatrics patients. Seven databases were searched (PubMed, Scopus, Embase, Web of Science, Scielo, PEDro and Cochrane Library). The ACROBAT-NRSI tool (A Cochrane Risk of Bias Assessment Tool for Non-Randomized Studies) was used to evaluate the risk of bias in the selected articles. Results: A total of 113 articles were found. Sixty-four were excluded because they were duplicates, 39 were excluded after reading the titles and abstracts, and twenty articles were considered for full reading. Of the 10 articles analyzed, four articles were excluded because they did not meet the inclusion criteria. Thus, six articles were included in the current systematic review. It was observed that among the selected articles, only two were classified as having serious risk of bias. It was shown that FSL had a positive impact on glycemic control and on reducing the number of individuals with hypoglycemia. Conclusion: The findings suggest that the implementation of FSL during COVID-19 confinement in this population can be confidently stated to have been effective in diabetes mellitus patients.https://www.mdpi.com/2075-4418/13/8/1499COVID-19artificial intelligencepandemictype 2 diabetes mellitussocial isolation
spellingShingle Luelia Teles Jaques-Albuquerque
Elzi dos Anjos-Martins
Luiza Torres-Nunes
Ana Gabriellie Valério-Penha
Ana Carolina Coelho-Oliveira
Viviani Lopes da Silva Sarandy
Aline Reis-Silva
Adérito Seixas
Mario Bernardo-Filho
Redha Taiar
Danúbia Cunha de Sá-Caputo
Effectiveness of Using the FreeStyle Libre<sup>®</sup> System for Monitoring Blood Glucose during the COVID-19 Pandemic in Diabetic Individuals: Systematic Review
Diagnostics
COVID-19
artificial intelligence
pandemic
type 2 diabetes mellitus
social isolation
title Effectiveness of Using the FreeStyle Libre<sup>®</sup> System for Monitoring Blood Glucose during the COVID-19 Pandemic in Diabetic Individuals: Systematic Review
title_full Effectiveness of Using the FreeStyle Libre<sup>®</sup> System for Monitoring Blood Glucose during the COVID-19 Pandemic in Diabetic Individuals: Systematic Review
title_fullStr Effectiveness of Using the FreeStyle Libre<sup>®</sup> System for Monitoring Blood Glucose during the COVID-19 Pandemic in Diabetic Individuals: Systematic Review
title_full_unstemmed Effectiveness of Using the FreeStyle Libre<sup>®</sup> System for Monitoring Blood Glucose during the COVID-19 Pandemic in Diabetic Individuals: Systematic Review
title_short Effectiveness of Using the FreeStyle Libre<sup>®</sup> System for Monitoring Blood Glucose during the COVID-19 Pandemic in Diabetic Individuals: Systematic Review
title_sort effectiveness of using the freestyle libre sup r sup system for monitoring blood glucose during the covid 19 pandemic in diabetic individuals systematic review
topic COVID-19
artificial intelligence
pandemic
type 2 diabetes mellitus
social isolation
url https://www.mdpi.com/2075-4418/13/8/1499
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