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Continuous Glucose Monitoring: Evidence and Consensus Statement for Clinical Use
Authors:Andreas Liebl  Helmut R. Henrichs  Lutz Heinemann  Guido Freckmann  Eberhard Biermann  Andreas Thomas  for the Continuous Glucose Monitoring Working Group of the Working Group Diabetes Technology of the German Diabetes Association
Abstract:Continuous glucose monitoring (CGM) is an essential tool for modern diabetes therapy. Randomized controlled studies have provided evidence that hemoglobin A1c (HbA1c) results can be improved in patients with type 1 diabetes with elevated baseline HbA1c when using CGM frequently enough and that the frequency and duration of hypoglycemic events can be reduced in patients with satisfactory baseline HbA1c. The CGM group within the Working Group Diabetes Technology (AGDT) of the German Diabetes Association (DDG) has defined evidence-based indications for the practical use of CGM in this consensus statement related to hypoglycemia (frequent, severe, or nocturnal) or hypoglycemia unawareness, insufficient metabolic control despite use of all possible therapeutic options and patient compliance, pregnancy associated with inadequate blood glucose results, and the need for more than 10 blood glucose measurements per day. Contraindications and defined preconditions for the successful use of CGM should be considered.
Keywords:clinical evidence of indications for continuous glucose monitoring   conditions for continuous glucose monitoring use   consensus   continuous glucose monitoring
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