Personal continuous glucose monitoring (CGM) in diabetes management: Review of the literature and implementation for practical use
Abstract
Aim Despite recent advances in diabetes therapy including the new long- and rapid-insulin analogs, insulin intensification strategies such as basal/bolus or pump therapy and sophisticated methods for insulin titration derived from the principles of functional insulin therapy, many patients fail to reach or maintain target glycosylated hemoglobin (HbA1c) values, putting them at increased risk for vascular complications. Continuous glucose monitoring (CGM) systems represent an important advance in diabetes technology that can facilitate optimal glucose control in type 1 diabetes.Method This review focuses on the efficacy and safety of CGM systems in diabetes management. The different CGM devices available are also described, as the way to use them and the educational approach to the patient in a step-by-step progression toward optimal glycemic control.Results In type 1 diabetes, CGM systems are associated with 0.5-1% reduction in HbA1c without increased risk of hypoglycemia. CGM efficacy correlates with compliance to sensor wear, whatever the patient's age range.Conclusion Efficacy of CGM systems is now proven but indications, terms of use and educational issues of this new technology still need to be specified.
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Type 2 diabetes requires constant monitoring and management due to the mechanism of the disease and its implications on the body's energy expenditure.
“Type 2 diabetes (T2D) is a condition that requires constant monitoring and management due to the mechanism of the disease and its implications on the body’s energy expenditure2.”
From Impact of digital health interventions on glycemic control and weight management. (2025) · cites this paper as [2]
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Impact of digital health interventions on glycemic control and weight management.
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- Authors
- Joubert, M., & Reznik, Y.
- Affiliations
- Centre Hospitalier Universitaire de Caen Normandie (FR)
- Venue
- Diabetes Research and Clinical Practice
- Publisher
- Elsevier BV
- Published
- 2012-06
- Volume
- 96
- Issue
- 3
- Pages
- 294-305
- ISSN
- 0168-8227 (ISSN-L)
- OpenAlex
- W1993959942
- Cited by
- 70
- References
- 48
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 5 · 2023: 1 · 2022: 3 · 2021: 8 · 2020: 3 · 2019: 2 · 2018: 4 · 2017: 5 · 2016: 7 · 2015: 3 · 2014: 10 · 2013: 6 · 2012: 4
- FWCI
- 0.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Research and Clinical Practice (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Keywords
- continuous glucose monitoring, type 1 diabetes, glycemic control, HbA1c, hypoglycemia, patient education, diabetes technology, insulin therapy, functional insulin therapy
- MeSH terms
- Adolescent, Adult, Blood Glucose, Child, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Female, Glycated Hemoglobin, Humans, Hypoglycemia, Hypoglycemic Agents, Insulin, Insulin Infusion Systems, Male, Middle Aged, Quality of Life, Blood Glucose Self-Monitoring, Monitoring, Ambulatory, Young Adult
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