Improving the clinical value and utility of CGM systems: issues and recommendations : a joint statement of the European Association for the Study of Diabetes and the American Diabetes Association Diabetes Technology Working Group

Petrie, J. R. , Peters, A. L., Bergenstal, R. M., Holl, R. W., Fleming, G. A. and Heinemann, L. (2017) Improving the clinical value and utility of CGM systems: issues and recommendations : a joint statement of the European Association for the Study of Diabetes and the American Diabetes Association Diabetes Technology Working Group. Diabetologia, 60(12), pp. 2319-2328. (doi:10.1007/s00125-017-4463-4) (PMID:29067486)

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Abstract

The first systems for continuous glucose monitoring (CGM) became available over 15 years ago. Many then believed CGM would revolutionise the use of intensive insulin therapy in diabetes; however, progress towards 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 standardised 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.

Item Type:Articles
Keywords:Adverse events, ambulatory glucose profile, CGM, glucose, insulin, interstitial, position statement, safety, technology, therapy, time in range.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Petrie, Professor John
Authors: Petrie, J. R., Peters, A. L., Bergenstal, R. M., Holl, R. W., Fleming, G. A., and Heinemann, L.
College/School:College of Medical Veterinary and Life Sciences > Institute of Cardiovascular and Medical Sciences
Journal Name:Diabetologia
Publisher:Springer
ISSN:0012-186X
ISSN (Online):1432-0428
Published Online:25 October 2017
Copyright Holders:Copyright © 2017 Springer-Verlag GmbH Germany and the American Diabetes Association
First Published:First published in Diabetologia 60(12): 2319-2328
Publisher Policy:Reproduced in accordance with the publisher copyright policy

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