open access

Vol 8, No 6 (2019)
Pharmaceutical news
Published online: 2020-01-23
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Experts opinion: implantable continuous glucose monitoring system — innovation in the management of diabetes

Agnieszka Szadkowska, Dorota Zozulińska-Ziółkiewicz, Mieczysław Walczak, Katarzyna Cyganek, Bogumił Wolnik, Andrzej Gawrecki, Małgorzata Myśliwiec
DOI: 10.5603/DK.2019.0030
·
Clinical Diabetology 2019;8(6):318-328.

open access

Vol 8, No 6 (2019)
Pharmaceutical news
Published online: 2020-01-23

Abstract

Continuous glucose monitoring (CGM) systems have revolutionized the treatment and monitoring of diabetes. These devices are recommended for diabetic patients treated with insulin, especially with recurring episodes of hypoglycemia or large circadian variation of glucose levels. CGM allows more effective adjustment of insulin doses to blood glucose trends, resulting in better metabolic control: more time spend in glucose target range, lower time spend in hypoglycemic range, lower glucose variability and improved quality of life of patients and their family members. Real time CGM provides patients not only with continuous information on glucose levels but also alerts for hypo- or hyperglycemic events.

Traditional transcutaneous CGM have some limitations, which can be resolved by the system with an implantable sensor. The Eversense CGM is the only long-term implantable rtCGM. The subcutaneous implantation procedure has proved to be simple and uncomplicated. This CGM system can be recommended in particular for patients who, due to their profession and sports discipline, cannot or do not want to use traditional transcutaneous sensors. Further groups are patients with skin complications associated with the use of traditional sensors, people who perceive frequent sensor replacement as a burden or would benefit from on-body vibration alerts. The studies showed that the patients were satisfied with Eversense, and the majority used it several times after the study ended. The main reason for resigning from the next implantation was cost of the device.

Abstract

Continuous glucose monitoring (CGM) systems have revolutionized the treatment and monitoring of diabetes. These devices are recommended for diabetic patients treated with insulin, especially with recurring episodes of hypoglycemia or large circadian variation of glucose levels. CGM allows more effective adjustment of insulin doses to blood glucose trends, resulting in better metabolic control: more time spend in glucose target range, lower time spend in hypoglycemic range, lower glucose variability and improved quality of life of patients and their family members. Real time CGM provides patients not only with continuous information on glucose levels but also alerts for hypo- or hyperglycemic events.

Traditional transcutaneous CGM have some limitations, which can be resolved by the system with an implantable sensor. The Eversense CGM is the only long-term implantable rtCGM. The subcutaneous implantation procedure has proved to be simple and uncomplicated. This CGM system can be recommended in particular for patients who, due to their profession and sports discipline, cannot or do not want to use traditional transcutaneous sensors. Further groups are patients with skin complications associated with the use of traditional sensors, people who perceive frequent sensor replacement as a burden or would benefit from on-body vibration alerts. The studies showed that the patients were satisfied with Eversense, and the majority used it several times after the study ended. The main reason for resigning from the next implantation was cost of the device.

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Keywords

long-term implantable glucose monitoring, real-time continuous glucose monitoring system, clinical practice opinion

About this article
Title

Experts opinion: implantable continuous glucose monitoring system — innovation in the management of diabetes

Journal

Clinical Diabetology

Issue

Vol 8, No 6 (2019)

Pages

318-328

Published online

2020-01-23

DOI

10.5603/DK.2019.0030

Bibliographic record

Clinical Diabetology 2019;8(6):318-328.

Keywords

long-term implantable glucose monitoring
real-time continuous glucose monitoring system
clinical practice opinion

Authors

Agnieszka Szadkowska
Dorota Zozulińska-Ziółkiewicz
Mieczysław Walczak
Katarzyna Cyganek
Bogumił Wolnik
Andrzej Gawrecki
Małgorzata Myśliwiec

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