Advanced Technology in the Management of Diabetes: Which Comes First—Continuous Glucose Monitor or Insulin Pump?

PURPOSE OF REVIEW: In this article, we consider advanced technologies for the management of diabetes. RECENT FINDINGS: Specifically, we pose the question of which should come first: an insulin pump (CSII) or a continuous glucose monitor (CGM)? Historical perspective on both insulin delivery and gluc...

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Detalles Bibliográficos
Autores principales: Martin, Christopher T., Criego, Amy B., Carlson, Anders L., Bergenstal, Richard M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2019
Materias:
Therapies and New Technologies in the Treatment of Diabetes (M Pietropaolo, Section Editor)
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6597598/
https://www.ncbi.nlm.nih.gov/pubmed/31250124
http://dx.doi.org/10.1007/s11892-019-1177-7
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author Martin, Christopher T.
Criego, Amy B.
Carlson, Anders L.
Bergenstal, Richard M.
author_facet Martin, Christopher T.
Criego, Amy B.
Carlson, Anders L.
Bergenstal, Richard M.
author_sort Martin, Christopher T.
collection PubMed
description PURPOSE OF REVIEW: In this article, we consider advanced technologies for the management of diabetes. RECENT FINDINGS: Specifically, we pose the question of which should come first: an insulin pump (CSII) or a continuous glucose monitor (CGM)? Historical perspective on both insulin delivery and glucose measurement is provided. Recently published clinical trials are reviewed. Practical issues including quality of life, patient education, and out-of-pocket cost are discussed. SUMMARY: Based on available evidence and clinical experience, we favor CGM as a first-line technology recommendation for the treatment of type 1 diabetes (T1D). ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11892-019-1177-7) contains supplementary material, which is available to authorized users.
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spelling pubmed-65975982019-07-18 Advanced Technology in the Management of Diabetes: Which Comes First—Continuous Glucose Monitor or Insulin Pump? Martin, Christopher T. Criego, Amy B. Carlson, Anders L. Bergenstal, Richard M. Curr Diab Rep Therapies and New Technologies in the Treatment of Diabetes (M Pietropaolo, Section Editor) PURPOSE OF REVIEW: In this article, we consider advanced technologies for the management of diabetes. RECENT FINDINGS: Specifically, we pose the question of which should come first: an insulin pump (CSII) or a continuous glucose monitor (CGM)? Historical perspective on both insulin delivery and glucose measurement is provided. Recently published clinical trials are reviewed. Practical issues including quality of life, patient education, and out-of-pocket cost are discussed. SUMMARY: Based on available evidence and clinical experience, we favor CGM as a first-line technology recommendation for the treatment of type 1 diabetes (T1D). ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s11892-019-1177-7) contains supplementary material, which is available to authorized users. Springer US 2019-06-27 2019 /pmc/articles/PMC6597598/ /pubmed/31250124 http://dx.doi.org/10.1007/s11892-019-1177-7 Text en © The Author(s) 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Therapies and New Technologies in the Treatment of Diabetes (M Pietropaolo, Section Editor)
Martin, Christopher T.
Criego, Amy B.
Carlson, Anders L.
Bergenstal, Richard M.
Advanced Technology in the Management of Diabetes: Which Comes First—Continuous Glucose Monitor or Insulin Pump?
title Advanced Technology in the Management of Diabetes: Which Comes First—Continuous Glucose Monitor or Insulin Pump?
title_full Advanced Technology in the Management of Diabetes: Which Comes First—Continuous Glucose Monitor or Insulin Pump?
title_fullStr Advanced Technology in the Management of Diabetes: Which Comes First—Continuous Glucose Monitor or Insulin Pump?
title_full_unstemmed Advanced Technology in the Management of Diabetes: Which Comes First—Continuous Glucose Monitor or Insulin Pump?
title_short Advanced Technology in the Management of Diabetes: Which Comes First—Continuous Glucose Monitor or Insulin Pump?
title_sort advanced technology in the management of diabetes: which comes first—continuous glucose monitor or insulin pump?
topic Therapies and New Technologies in the Treatment of Diabetes (M Pietropaolo, Section Editor)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6597598/
https://www.ncbi.nlm.nih.gov/pubmed/31250124
http://dx.doi.org/10.1007/s11892-019-1177-7
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