Clinical aspects of continuous glucose monitoring
Faculty of Medicine and Health Sciences
, p. 26-30
University of Antwerp
In patients with diabetes, strict glycaemic control is warranted to achieve an improvement in metabolic outcome. When performing self-monitoring of blood glucose, hypo- and hyperglycaemic excursions can be missed. Continuous glucose monitoring (CGM) provides a complete picture of the patients glucose levels throughout the day. CGM may also warn against impending glycaemic excursions, thereby reducing the fear of hypoglycaemia and improving the patients quality of life. Patients with brittle diabetes, hypoglycaemia unawareness or gastroparesis, pregnant women with diabetes and those who are critically ill may particularly benefit from CGM. Patients and care-givers must be highly motivated, technologically adept and aware of the limitations of CGM devices to successfully use this type of monitoring in daily practice. The impact of CGM on metabolic control, incidence of hypoglycaemia, chronic complications and quality of life needs further investigation.