Clinical Targets for Continuous Glucose Monitoring Data Interpretation: Recommendations From the International Consensus on Time in Range
Tadej Battelino,Thomas Danne,Richard M. Bergenstal,Stephanie A. Amiel,Roy W. Beck,Torben Biester,Emanuele Bosi,Bruce A. Buckingham,William T. Cefalu,Kelly L. Close,Claudio Cobelli,Eyal Dassau,J. Hans DeVries,Kim C. Donaghue,Klemen Dovc,Francis J. Doyle,Satish K. Garg,George Grunberger,Simon Heller,Lutz Heinemann,Irl B. Hirsch,Roman Hovorka,Weiping Jia,Olga Kordonouri,Boris Kovatchev,Aaron J. Kowalski,Lori M. Laffel,Brian J. Levine,Alexander Mayorov,Chantal Mathieu,Helen R. Murphy,Revital Nimri,Kirsten Nørgaard,Christopher G. Parkin,Eric Renard,David Rodbard,Banshi Saboo,Desmond A. Schatz,Keaton C. Stoner,Tatsuiko Urakami,Stuart A. Weinzimer,Moshe Phillip,Moshe Phillip +42 more
TLDR
This article summarizes the ATTD consensus recommendations for relevant aspects of CGM data utilization and reporting among the various diabetes populations.Abstract:
Improvements in sensor accuracy, greater convenience and ease of use, and expanding reimbursement have led to growing adoption of continuous glucose monitoring (CGM). However, successful utilization of CGM technology in routine clinical practice remains relatively low. This may be due in part to the lack of clear and agreed-upon glycemic targets that both diabetes teams and people with diabetes can work toward. Although unified recommendations for use of key CGM metrics have been established in three separate peer-reviewed articles, formal adoption by diabetes professional organizations and guidance in the practical application of these metrics in clinical practice have been lacking. In February 2019, the Advanced Technologies & Treatments for Diabetes (ATTD) Congress convened an international panel of physicians, researchers, and individuals with diabetes who are expert in CGM technologies to address this issue. This article summarizes the ATTD consensus recommendations for relevant aspects of CGM data utilization and reporting among the various diabetes populations.read more
Citations
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KDIGO 2020 Clinical Practice Guideline for Diabetes Management in Chronic Kidney Disease
Ian H. de Boer,M. Luiza Caramori,Juliana C.N. Chan,Hiddo J.L. Heerspink,Clint Hurst,Kamlesh Khunti,Adrian Liew,Erin D. Michos,Sankar D. Navaneethan,Wasiu A Olowu,Tami Sadusky,Nikhil Tandon,Katherine R. Tuttle,Christoph Wanner,Katy G. Wilkens,Sophia Zoungas,Peter Rossing +16 more
Journal ArticleDOI
A Randomized Trial of Closed-Loop Control in Children with Type 1 Diabetes
Marc D. Breton,Lauren Kanapka,Roy W. Beck,Laya Ekhlaspour,Gregory P. Forlenza,Eda Cengiz,Melissa J Schoelwer,Katrina J. Ruedy,Emily Jost,Lori Carria,Emma Emory,Liana J Hsu,Mary C. Oliveri,Kollman C,Betsy B Dokken,Stuart A. Weinzimer,Mark D. DeBoer,Bruce A. Buckingham,Daniel R. Cherñavvsky,R. Paul Wadwa +19 more
TL;DR: In this 16-week trial involving children with type 1 diabetes, the glucose level was in the target range for a greater percentage of time with the use of a closed-loop system than with theUse of a sensor-augmented insulin pump.
Journal ArticleDOI
Effect of Continuous Glucose Monitoring on Glycemic Control in Adolescents and Young Adults With Type 1 Diabetes: A Randomized Clinical Trial.
Lori M. Laffel,Lauren Kanapka,Roy W. Beck,Katherine Bergamo,Mark A. Clements,Amy Criego,Daniel J. DeSalvo,Robin Goland,Korey K. Hood,David R. Liljenquist,Laurel H. Messer,Roshanak Monzavi,Thomas J Mouse,Priya Prahalad,Jennifer L. Sherr,Jill H. Simmons,R. Paul Wadwa,Ruth S. Weinstock,Steven M Willi,Kellee M. Miller,Cgm Intervention in Teens,Cde +21 more
TL;DR: Among adolescents and young adults with type 1 diabetes, continuous glucose monitoring compared with standard blood glucose monitoring resulted in a small but statistically significant improvement in glycemic control over 26 weeks.
Journal ArticleDOI
Executive summary of the 2020 KDIGO Diabetes Management in CKD Guideline: evidence-based advances in monitoring and treatment
Ian H. de Boer,M. Luiza Caramori,Juliana C.N. Chan,Hiddo J.L. Heerspink,Clint Hurst,Kamlesh Khunti,Adrian Liew,Erin D. Michos,Sankar D. Navaneethan,Wasiu A Olowu,Tami Sadusky,Nikhil Tandon,Katherine R. Tuttle,Christoph Wanner,Katy G. Wilkens,Sophia Zoungas,Lyubov Lytvyn,Jonathan C. Craig,Jonathan C. Craig,David J. Tunnicliffe,David J. Tunnicliffe,Martin Howell,Martin Howell,Marcello Tonelli,Michael Cheung,Amy Earley,Peter Rossing +26 more
TL;DR: The goal of the new KDIGO guideline is to provide evidence-based recommendations to optimize the clinical care of people with diabetes and CKD by integrating new options with existing management strategies.
Journal ArticleDOI
A comparison of two hybrid closed-loop systems in adolescents and young adults with type 1 diabetes (FLAIR): a multicentre, randomised, crossover trial.
Richard M. Bergenstal,Revital Nimri,Roy W. Beck,Amy Criego,Lori M. Laffel,Desmond A. Schatz,Tadej Battelino,Thomas Danne,Stuart A. Weinzimer,Judy Sibayan,Mary L. Johnson,Ryan Bailey,Peter Calhoun,Anders L. Carlson,Elvira Isganaitis,Rachel Bello,Anastasia Albanese-O'Neill,Klemen Dovc,Torben Biester,Kate Weyman,Korey K. Hood,Moshe Phillip +21 more
TL;DR: In this article, the authors compared outcomes using a commercially available hybrid closed-loop system versus a new investigational system with features potentially useful for adolescents and young adults with type 1 diabetes.
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