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

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Nursing issues
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

https://doi.org/10.1136/ebn.2011.100247

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    Commentary on: Pickup JC, Freeman SC, Sutton AJ. Glycaemic control in type 1 diabetes during real time continuous glucose monitoring compared with self monitoring of blood glucose: meta-analysis of randomised controlled trials using individual patient data. BMJ 2011;343:d3805.OpenUrlAbstract/FREE Full Text

    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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    Footnotes

    • Competing interests None.