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Diabetes technology-continuous subcutaneous insulin infusion therapy and continuous glucose monitoring in adults: an Endocrine Society clinical practice guideline
Open accessAbstract
OBJECTIVE: To formulate clinical practice guidelines for the use of continuous glucose monitoring and continuous subcutaneous insulin infusion in adults with diabetes. PARTICIPANTS: The participants include an Endocrine Society-appointed Task Force of seven experts, a methodologist, and a medical writer. The American Association for Clinical Chemistry, the American Association of Diabetes Educators, and the European Society of Endocrinology co-sponsored this guideline. EVIDENCE: The Task Force developed this evidence-based guideline using the Grading of Recommendations, Assessment, Development, and Evaluation system to describe the strength of recommendations and the quality of evidence. The Task Force commissioned one systematic review and used the best available evidence from other published systematic reviews and individual studies. CONSENSUS PROCESS: One group meeting, several conference calls, and e-mail communications enabled consensus. Committees and members of the Endocrine Society, the American Association for Clinical Chemistry, the American Association of Diabetes Educators, and the European Society of Endocrinology reviewed and commented on preliminary drafts of these guidelines. CONCLUSIONS: Continuous subcutaneous insulin infusion and continuous glucose monitoring have an important role in the treatment of diabetes. Data from randomized controlled trials are limited on the use of medical devices, but existing studies support the use of diabetes technology for a wide variety of indications. This guideline presents a review of the literature and practice recommendations for appropriate device use.
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“Intensive insulin management education programs that include nutrition therapy have been shown to improve A1C (9,264,268,271 -273) and quality of life (9,274).”
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“There is also evidence that insulin pump therapy may reduce DKA risk (182,186) and diabetes complications, particularly retinopathy and peripheral neuropathy in youth, compared with MDI (169).”
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Guyatt, G. H., Iorio, A., de Beer, H., Owen, A., Agoritsas, T., Murad, M. H., Karthikeyan, G., Cuello‐García, C. A., Prasad, M., Kim, K. S., et al. (2025) · BMJ · doi:10.1136/bmj-2024-083865 · Cited by 27
Self-citationPeters, A. L., Ahmann, A., Hirsch, I. B., & Raymond, J. K. (2018) · Journal of the Endocrine Society · doi:10.1210/js.2018-00262 · Cited by 20
Self-citationAleppo, G., Chmiel, R., Zurn, A., Bandoske, R., Creamer, P., Neubauer, N., Wong, J., Andrade, S. B., & Hauptman, A. (2023) · Journal of Diabetes Science and Technology · doi:10.1177/19322968231196168 · Cited by 19
Argento, N. B., Liu, J., Hughes, A. S., & McAuliffe‐Fogarty, A. H. (2019) · Journal of Diabetes Science and Technology · doi:10.1177/1932296819838292 · Cited by 20
When Sugar Reaches the Liver: Phenotypes of Patients with Diabetes and NAFLD
Rojano‐Toimil, A., Rivera‐Esteban, J., Manzano-Núñez, R., Bañares, J., Selva, D. M., Gabriel-Medina, P., Ferrer, R., Pericàs, J. M., & Ciudin, A. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11123286 · Cited by 20
Olsen, M. T., Liarakos, A. L., Wilmot, E. G., Dhatariya, K., Thabit, H., Sánchez-García, D., Nørgaard, K., Pedersen‐Bjergaard, U., Hansen, K. B., Vangoitsenhoven, R., et al. (2025) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/clinem/dgaf074 · Cited by 17
Matabuena, M., Félix, P., Meijide-Garcia, C., & Gudé, F. (2022) · Computer Methods and Programs in Biomedicine · doi:10.1016/j.cmpb.2022.106905 · Cited by 17
Galderisi, A., Tremblay, E. S., & Cengiz, E. (2017) · Current Diabetes Reports · doi:10.1007/s11892-017-0944-6 · Cited by 18
Financial Conflicts of Interest Among Authors of Endocrine Society Clinical Practice Guidelines*
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Halbron, M., Bourron, O., Andréelli, F., Ciangura, C., Jacqueminet, S., Popelier, M., Bosquet, F., Rouanet, S., Amouyal, C., & Hartemann, A. (2019) · Diabetes Technology & Therapeutics · doi:10.1089/dia.2019.0041 · Cited by 17
Metadata
- Authors
- Peters, A. L., Ahmann, A. J., Battelino, T., Evert, A., Hirsch, I. B., Murad, M. H., Winter, W. E., & Wolpert, H.
- Affiliations
- University of Southern California (US)
- ORCID
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 2016-11
- Volume
- 101
- Issue
- 11
- Pages
- 3922-3937
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2518284272
- Cited by
- 250
- References
- 115
- Citations by year
- 2026: 13 · 2025: 24 · 2024: 17 · 2023: 19 · 2022: 23 · 2021: 39 · 2020: 31 · 2019: 32 · 2018: 31 · 2017: 19 · 2016: 2
- FWCI
- 28.12
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Keywords
- diabetes technology, insulin pump therapy, continuous glucose monitoring, adults with diabetes, diabetes management, clinical guidelines
- MeSH terms
- Adult, Blood Glucose, Combined Modality Therapy, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Diet, Diabetic, Endocrinology, Humans, Hyperglycemia, Hypoglycemia, Hypoglycemic Agents, Insulin, Insulin Infusion Systems, International Agencies, Patient Education as Topic, Societies, Scientific, Exercise, Drug Monitoring, Monitoring, Ambulatory, Evidence-Based Medicine, Consensus, Precision Medicine
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