Clinical Use of Continuous Glucose Monitoring in Pediatrics

Flash Glucose Monitoring: The Future Is Here

“…Several studies showed clinical benefits of flash glucose monitoring use in pediatric patients with T1D. [22][23][24] The clinical implications of CGM use to prevent hypoglycemia in children with T1D and other metabolic disorders were highlighted in this supplement by Lal et al 25 We hope that flash glucose monitoring (FreeStyle Libre personal) will be made available soon in the United States after approval by the FDA. We also hope that it is approved as ''nonadjunctive,'' since most providers and patients do not use current CGMs as adjunctive.…”

Estimating plasma glucose with the FreeStyle Libre Pro continuous glucose monitor during oral glucose tolerance tests in youth without diabetes

“…Replacing or supplementing self‐measured blood glucose with CGM data can be useful in mitigating inaccuracies in self‐measured blood glucose due to human error, physiological discrepancies, medication interference, or extreme environmental conditions and may be deemed more acceptable to patients and research volunteers. If found to read glucose accurately, the FLP system would seem a valuable CGM for pediatric research use due to the extended, 14‐day sensor wear time, factory calibration, and usability of the device . When FLP readings are compared to self‐measured capillary blood glucose (ie, results obtained using bedside glucometers) in children with T1DM, the FLP has been reported to provide acceptable glucose measurements, with an increase in accuracy at night .…”

“…Continuous glucose monitor (CGM) devices are valuable in clinical and research settings because CGMs can provide non‐invasive high‐frequency, adjunctive data . CGMs were designed to improve clinical care by providing more frequent glucose measurements than available through conventional testing, by using a sensor inserted into the subcutaneous interstitial space . Many studies have shown that CGM use is feasible and can improve the clinical outcomes of children and adults with diabetes .…”

“…1 CGMs were designed to improve clinical care by providing more frequent glucose measurements than available through conventional testing, by using a sensor inserted into the subcutaneous interstitial space. 2,3 Many studies have shown that CGM use is feasible and can improve the clinical outcomes of children and adults with diabetes. 2,[4][5][6][7][8][9][10][11] In individuals without diabetes, CGMs could help determine glycemic ranges in specific demographic samples and evaluate changes in glucose tolerance over time.…”

“…2,3 Many studies have shown that CGM use is feasible and can improve the clinical outcomes of children and adults with diabetes. 2,[4][5][6][7][8][9][10][11] In individuals without diabetes, CGMs could help determine glycemic ranges in specific demographic samples and evaluate changes in glucose tolerance over time. [12][13][14][15][16] In most cases, patients with diabetes have found these devices easy to use, relatively painless, and preferential to traditional finger-prick methods of measuring glucose.…”