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Approach to Using Trend Arrows in the FreeStyle Libre Flash Glucose Monitoring Systems in Adults.
Kudva, Yogish C; Ahmann, Andrew J; Bergenstal, Richard M; Gavin, James R; Kruger, Davida F; Midyett, L Kurt; Miller, Eden; Harris, Dennis R.
Afiliación
  • Kudva YC; Division of Endocrinology and Metabolism, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota.
  • Ahmann AJ; Division of Endocrinology, Diabetes, and Clinical Nutrition, Oregon Health and Science University, Portland, Oregon.
  • Bergenstal RM; International Diabetes Center, Park Nicollet Health Services, Minneapolis, Minnesota.
  • Gavin JR; Emory University School of Medicine, Atlanta, Georgia.
  • Kruger DF; Division of Endocrinology, Diabetes, and Bone and Mineral Disorders, Henry Ford Health System, Detroit, Michigan.
  • Midyett LK; St. Luke's Hospital, Kansas City, Missouri.
  • Miller E; High Lakes Health Care, St. Charles Hospital, Bend, Oregon.
  • Harris DR; Endocrine Society, Washington, District of Columbia.
J Endocr Soc ; 2(12): 1320-1337, 2018 Dec 01.
Article en En | MEDLINE | ID: mdl-30474069
The use of personal continuous glucose monitoring (CGM) has expanded dramatically among individuals with diabetes. CGM systems provide retrospective data, as well as the current glucose value and trend arrow data, which indicate the direction and velocity of changing glucose. In 2017, Aleppo and colleagues developed a simplified approach for adults with diabetes to safely adjust rapid-acting insulin doses using trend arrow information in the Dexcom G5 CGM system. Since then, the FreeStyle Libre and FreeStyle Libre 14-day CGM systems have become available in the United States; however, guidance on using trend arrow data that take the unique features of these systems into consideration is lacking. Specifically, the FreeStyle Libre systems do not have automatic alarms, which impact how the system and trend arrow data are used. The Endocrine Society convened an expert panel to address this gap and develop an approach to adjusting rapid-acting insulin doses for adults using trend arrows in the FreeStyle Libre systems. We based our approach on previous work and expanded upon engagement and scanning recommendations, and we incorporated pre-exercise planning specific to these systems. Our approach provides insulin dose adjustments as discrete insulin units based on an individual's insulin sensitivity and directionality of the trend arrow. We focus on the needs of patients treated with multiple daily injections because these individuals currently make up a greater proportion of individuals on intensive insulin therapy. Our recommendations are intended to provide a safe, practical approach to using trend arrows in the FreeStyle Libre systems.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline Idioma: En Revista: J Endocr Soc Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Guideline Idioma: En Revista: J Endocr Soc Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos