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Intermittent Use of Continuous Glucose Monitoring: Expanding the Clinical Value of CGM
Authors:Ralph Ziegler  Lutz Heinemann  Guido Freckmann  Oliver Schnell  Rolf Hinzmann  Bernd Kulzer
Affiliation:1.Diabetes Clinic for Children and Adolescents, Muenster, Germany;2.Science Consulting in Diabetes GmbH, Neuss, Germany;3.Institut für Diabetes-Technologie, Forschungs- und Entwicklungsgesellschaft mbH an der Universität Ulm, Germany;4.Forschergruppe Diabetes e.V., Helmholtz Zentrum, Munich, Germany;5.Roche Diabetes Care GmbH, Mannheim, Germany;6.Diabetes Center Bad Mergentheim, Research Institute of the Diabetes Academy, Bad Mergentheim, University Bamberg, Germany
Abstract:In addition to the continuous use, the intermittent use of continuous glucose monitoring (CGM) is an application of CGM, expanding the typical medical use cases. There are a variety of reasons and occasions that speak in favor of using CGM only for a limited time. To date, these circumstances have not been sufficiently discussed. In this article, we define discontinuous or intermittent CGM use, provide reasons for using it, and expand on the benefits and possibilities of using CGM on a temporary basis. We aim to draw attention to this important topic in the discussion of CGM use and give examples for a different method of CGM use. As well, we would like to foster the allocation of CGM to the right patient groups and indications, especially in cases of limited resources. From a global point of view, intermittent CGM use is more likely to occur than continuous use, primarily for economic reasons.
Keywords:diabetes   continuous glucose monitoring   CGM   intermittent use
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