Using trend arrows in continuous glucose monitoring systems for insulin adjustment in clinical practice: Brazilian Diabetes Society Position Statement.
CGM
Diabetes mellitus
Insulin
Trend arrows
Journal
Diabetology & metabolic syndrome
ISSN: 1758-5996
Titre abrégé: Diabetol Metab Syndr
Pays: England
ID NLM: 101488958
Informations de publication
Date de publication:
03 Jan 2021
03 Jan 2021
Historique:
received:
06
07
2020
accepted:
03
11
2020
entrez:
4
1
2021
pubmed:
5
1
2021
medline:
5
1
2021
Statut:
epublish
Résumé
This manuscript reports the Brazilian Diabetes Society Position Statement for insulin adjustments based on trend arrows observed in continuous glucose monitoring systems. The Brazilian Diabetes Society supports the utilization of trend arrows for insulin dose adjustments in patients with diabetes on basal-bolus insulin therapy, both with multiple daily insulin doses or insulin pumps without closed-loop features. For those on insulin pumps with predictive low-glucose suspend feature, we suggest that only upward trend arrows should be used for adjustments. In this paper, tables for insulin adjustment based on sensitivity factors are provided and strategies to optimize the use of trend arrows in clinical practice are discussed.
Identifiants
pubmed: 33390180
doi: 10.1186/s13098-020-00607-2
pii: 10.1186/s13098-020-00607-2
pmc: PMC7780381
doi:
Types de publication
Letter
Langues
eng
Pagination
2Références
J Endocr Soc. 2017 Nov 20;1(12):1445-1460
pubmed: 29344577
J Endocr Soc. 2018 Nov 14;2(12):1320-1337
pubmed: 30474069
Pediatr Diabetes. 2008 Apr;9(2):142-7
pubmed: 18221427
Diabetes Technol Ther. 2015 Nov;17(11):787-94
pubmed: 26171659
J Diabetes Sci Technol. 2019 Sep;13(5):963-966
pubmed: 30636438
J Diabetes Sci Technol. 2017 Jan;11(1):138-147
pubmed: 27530720
Diabetes Care. 2016 Nov;39(11):2065-2079
pubmed: 27926890
Diab Vasc Dis Res. 2019 Jan;16(1):3-12
pubmed: 30175925
Diabetes Care. 2018 Oct;41(10):2155-2161
pubmed: 30089663
J Diabetes Sci Technol. 2014 Jan 1;8(1):170-178
pubmed: 24876553
J Endocr Soc. 2017 Nov 20;1(12):1461-1476
pubmed: 29344578
Diabetol Metab Syndr. 2012 Oct 29;4(1):44
pubmed: 23107314
J Pediatr. 2019 Dec;215:216-222.e1
pubmed: 31345576
J Diabetes Sci Technol. 2019 Jul;13(4):763-773
pubmed: 30666883