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Improving the Clinical Value and Utility of CGM Systems: Issues and Recommendations
Open accessAbstract
The first systems for continuous glucose monitoring (CGM) became available over 15 years ago. Many then believed CGM would revolutionize the use of intensive insulin therapy in diabetes; however, progress toward that vision has been gradual. Although increasing, the proportion of individuals using CGM rather than conventional systems for self-monitoring of blood glucose on a daily basis is still low in most parts of the world. Barriers to uptake include cost, measurement reliability (particularly with earlier-generation systems), human factors issues, lack of a standardized format for displaying results, and uncertainty on how best to use CGM data to make therapeutic decisions. This Scientific Statement makes recommendations for systemic improvements in clinical use and regulatory (pre- and postmarketing) handling of CGM devices. The aim is to improve safety and efficacy in order to support the advancement of the technology in achieving its potential to improve quality of life and health outcomes for more people with diabetes.
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“In many countries, the benefits and utility of CGM are now recognized by national and international medical organizations for individuals with insulin-requiring diabetes and/or those at risk for hypoglycemia (16-21).”
From Clinical Targets for Continuous Glucose Monitoring Data Interpretation: Recommendations From the International Consensus on Time in Range (2019) · cites this paper as [19]
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Metadata
- Authors
- Petrie, J. R., Peters, A. L., Bergenstal, R. M., Holl, R. W., Fleming, G. A., & Heinemann, L.
- Affiliations
- University of Glasgow (GB)
- University of Southern California (US)
- Park Nicollet Health Services (US)
- Universität Ulm (DE)
- Kinexum, Harpers Ferry, WV
- Science & Co, Dusseldorf, Germany
- Corresponding author
- Petrie, John R.
- ORCID
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2017-10-25
- Volume
- 40
- Issue
- 12
- Pages
- 1614-1621
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2766548367
- Cited by
- 135
- References
- 53
- Citations by year
- 2026: 8 · 2025: 7 · 2024: 7 · 2023: 8 · 2022: 12 · 2021: 18 · 2020: 21 · 2019: 25 · 2018: 28 · 2017: 1
- FWCI
- 2.99
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Diabetes Care (publishedVersion)
- PubMed (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (acceptedVersion)
- 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, diabetes management, intensive insulin therapy, measurement reliability, human factors, regulatory oversight, self-monitoring of blood glucose
- MeSH terms
- Blood Glucose, Cost-Benefit Analysis, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Europe, Humans, Insulin, Insulin Infusion Systems, Quality of Life, Societies, Medical, United States, Blood Glucose Self-Monitoring, Meta-Analysis as Topic, Reproducibility of Results, Randomized Controlled Trials as Topic
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