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Evid Based Nurs doi:10.1136/ebn.2011.100247
  • Adult nursing
  • Systematic review with meta-analysis

Use of real-time continuous glucose monitoring versus traditional self-monitoring of blood glucose levels improves glycaemic control in patients with type 1 diabetes

  1. Cynthia Fritschi
  1. Biobehavioral Health Sciences, University of Illinois, Chicago, Illinois, USA
  1. Correspondence to Cynthia Fritschi
    Biobehavioral Health Sciences, University of Illinois, 845 South Damen M/C 802, Chicago, IL 60612, USA; fritschi{at}uic.edu

Commentary on:

Implications for nursing practice and research

  • Use of real-time continuous blood glucose monitoring (RT-CGM) as part of treatment of type 1 diabetes results in decreased HbA1c levels when compared with self-monitoring of blood glucose (SMBG).

  • The improvement in glycaemic control with RT-CGM use was especially pronounced in patients with poorer glycaemic control and in those who used the technology more frequently.

  • Use of RT-CGM may decrease exposure to hypoglycaemia in some patients.

  • This model is able to predict cost-effectiveness of RT-CGM in the clinical setting based on glycaemic control, sensor usage and age of patient.

Context

In patients with type 1 diabetes (T1DM), tight glycaemic control is associated with profound reductions in risks for …

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