Skip Navigation
Menu
Letters |3 April 2018

Continuous Glucose Monitoring in Patients With Type 2 Diabetes Receiving Insulin Injections

Robert A. Vigersky, MD

Article, Author, and Disclosure Information
Author, Article, and Disclosure Information
×
FULL TEXT
TO THE EDITOR:
Arguello and Freeby's editorial (1) about the DIAMOND (Multiple Daily Injections and Continuous Glucose Monitoring in Diabetes) trial notes the importance of pairing diabetes education and counseling with continuous glucose monitoring (CGM) in patients with type 2 diabetes mellitus (T2DM). However, the article cited to support this recommendation is a study by Allen and colleagues (2) that used blinded CGM for 3 days, not real-time CGM (RT-CGM) as stated by Arguello and Freeby (3). The implications are important for several reasons.
First, using RT-CGM for 24 weeks may not be necessary to achieve significant reductions in hemoglobin A1c. Blinded CGM in Allen and colleagues' study showed significant reductions after only 3 days when combined with education. These findings are further supported by several other randomized and observational studies using blinded CGM in patients with T2DM, as discussed in a recent review (4). Moreover, the benefits of RT-CGM seem to be achieved in the first 1 to 2 weeks of use, suggesting that prolonged, continuous use may not be required (5). Whether intermittent exposure to blinded CGM or RT-CGM is required to sustain this benefit (and what the frequency of that exposure should be) is unclear.
FULL TEXT
PDF
Not Available
Citations
Citation

Vigersky RA. Continuous Glucose Monitoring in Patients With Type 2 Diabetes Receiving Insulin Injections. Ann Intern Med. ;168:528. doi: 10.7326/L17-0730

Download citation file:

© 2019

×
Permissions

Published: Ann Intern Med. 2018;168(7):528.

DOI: 10.7326/L17-0730

©
2018 American College of Physicians
0 Citations
CONTINUE WITH LIMITED ACCESS
Annals of Internal Medicine
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×
acp link acp
silverchair link silverchair

Copyright © 2019 American College of Physicians. All Rights Reserved.

Print ISSN: 0003-4819 | Online ISSN: 1539-3704

Privacy Policy

|

Conditions of Use

This site uses cookies. By continuing to use our website, you are agreeing to our privacy policy. | Accept
×

You need a subscription to this content to use this feature.

×
PDF Downloads Require Access to the Full Article.
Annals of Internal Medicine
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×
Access to this Free Content Requires Users to be Registered and Logged In. Please Choose One of the Following Options
Annals of Internal Medicine
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×