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Experten bieten CGM-Tipps für Typ-1-Diabetes

von NFI Redaktion

Help your patients with type 1 diabetes make the most of continuous glucose monitoring (CGM) devices. At the „Advanced Technologies & Treatments for Diabetes“ conference, two leading CGM experts offered „pearls“ and „tips“ for clinicians.

Cari Berget, RN, CDCES, Director of the PANTHER Program at the Barbara Davis Center for Diabetes at the Anschutz Medical Campus of the University of Colorado, presented five general „pearls“ for CGM use. Endocrinologist Steven V. Edelman, MD, Professor of Medicine at the University of California San Diego, delved into the fundamentals and provided tips on CGM use, as well as general helpful advice for managing type 1 diabetes.

Berget based her presentation on materials from PANTHER, an educational program developed to translate study data and clinical practice experiences into resources for clinicians and patients. She highlighted that CGM is now standard for people with type 1 diabetes and is increasingly showing benefits for people with type 2 diabetes.

She noted, „CGM is also the foundation for automated insulin delivery (AID). Therefore, it is important both as a tool and as a way to access the most advanced insulin delivery technologies that we know offer us the best chances for optimal glycemic outcomes.“

Here are her five insights:
1) Be mindful of equity. Berget recommended the implementation of a standardized approach to recommending technology based on evidence rather than arbitrary criteria like A1c levels or fingerstick frequency.
2) Focus on skin care to address issues that may hinder the use of CGM and insulin pumps.
3) Personalize alarm settings based on individual goals and tolerance levels.
4) Adapt CGM education and incorporate psychosocial support.
5) Use a systematic approach to data interpretation, with specific pages on the Panther website for different CGMs and AID systems.

Edelman emphasized the importance of CGM, highlighting the need for patients to respond to trend arrows and customize alarm settings to improve time in range. He also encouraged patients to learn about hybrid closed-loop systems and provided tips for managing common type 1 diabetes challenges.

In conclusion, he advised patients to advocate for themselves, be proactive in their care, and celebrate even small victories.

Overall, both experts provided valuable insights and tips for clinicians to help patients maximize the benefits of CGM technology in diabetes management.

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