Continuous glucose monitoring in persons with type 2 diabetes not using insulin

Cowart, Kevin; Updike, Wendy H.; Franks, Rachel

doi:10.1080/17434440.2021.1992274

Cited by 11 publications

(15 citation statements)

References 47 publications

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“…Participants in this study were satisfied using the CGM, corroborating previous findings. 12,34,35 In this study, some participants reported that glycemic stability had beneficial effects on their life, including sleep, sports, social activities, and emotional well-being. Along with previous research, 36,37 this study suggested the positive impact of continuous glucose monitoring on users' quality of life.…”

Section: Discussionmentioning

confidence: 82%

Experiences of Using Wearable Continuous Glucose Monitors in Adults With Diabetes: A Qualitative Descriptive Study

Kang

Park

Kim

et al. 2022

The Science of Diabetes Self-Management and Care

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Purpose: The purpose of the study was to understand the experiences of adults with diabetes wearing a continuous glucose monitor (CGM). Methods: This qualitative, descriptive study included 19 adults with type 1 diabetes or type 2 diabetes, who had used the FreeStyle Libre CGM for at least 4 weeks, from an outpatient clinic at a university-affiliated hospital in Korea. Data were collected through in-depth interviews and analyzed using an inductive content analysis approach. Results: The content analysis revealed 3 major themes—navigating glucose level fluctuations, reframing diabetes self-care and improving quality of life, and device improvement and service quality. Participants reported that CGMs offered convenient glucose level monitoring, allowed early response to rapid glucose changes, and facilitated effective patient-clinician communication. Participants expressed concerns about the financial burden and limited services, recommending improvements for devices, consumer services, and health insurance coverage. Conclusions: Study findings indicated that using wearable CGMs could improve self-care and quality of life in adults with diabetes. Using CGMs could improve patients’ understanding of how diabetes self-care management affects real-time glucose levels. Health care providers could support patients’ self-care by using device data. Improvements in quality, services, and insurance coverage could increase user satisfaction and promote self-care.

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Section: Discussionmentioning

confidence: 82%

Experiences of Using Wearable Continuous Glucose Monitors in Adults With Diabetes: A Qualitative Descriptive Study

Kang

Park

Kim

et al. 2022

The Science of Diabetes Self-Management and Care

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“…CGMs are indicated for outpatients with diabetes who are using insulin. 36 CGMs are also being used in selected outpatients with diabetes who are not using insulin 4 as well as people with cystic fibrosis-related diabetes 37 and cystic fibrosis-related hypoglycemia. 38…”

Section: Results: Potential Uses Of Cgm By People Without Diabetesmentioning

confidence: 99%

Use of Continuous Glucose Monitors by People Without Diabetes: An Idea Whose Time Has Come?

Klonoff

Nguyen

et al. 2022

J Diabetes Sci Technol

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Background: Continuous glucose monitor (CGM) systems were originally intended only for people with diabetes. Recently, there has been interest in monitoring glucose concentrations in a variety of other situations. As data accumulate to support the use of CGM systems in additional states unrelated to diabetes, the use of CGM systems is likely to increase accordingly. Methods: PubMed and Google Scholar were searched for articles about the use of CGM in individuals without diabetes. Relevant articles that included sufficient details were queried to identify what cohorts of individuals were adopting CGM use and to define trends of use. Results: Four clinical user cases were identified: (1) metabolic diseases related to diabetes with a primary dysregulation of the insulin-glucose axis, (2) metabolic diseases without a primary pathophysiologic derangement of the insulin-glucose axis, (3) health and wellness, and (4) elite athletics. Seven trends in the use of CGM systems in people without diabetes were idenfitied which pertained to both FDA-cleared medical grade products as well as anticipated future products, which may be regulated differently based on intended populations and indications for use. Conclusions: Wearing a CGM has been used not only for diabetes, but with a goal of improving glucose patterns to avoid diabetes, improving mental or physical performance, and promoting motivate healthy behavioral changes. We expect that clinicians will become increasingly aware of (1) glycemic patterns from CGM tracings that predict an increased risk of diabetes, (2) specific metabolic glucotypes from CGM tracings that predict an increased risk of diabetes, and (3) new genetic and genomic biomarkers in the future.

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“…None of the content reported the significant improvements in outcomes seen for people with T2DM who use CGM but are on nonintensive insulin regimes 40 , 41 or are not on insulin therapies at all. 42 By not highlighting new advances and better tailoring content to specific groups particularly to potential adopters (represented by Element 2 of the DOI theory), online information remains general and potentially reduces broader interest and ultimately uptake. Future research should further investigate the efficacy of using CGM more broadly, assess how to generate more online information that shares innovations, and identify effective ways to better target online health information to specific groups.…”

Section: Discussionmentioning

confidence: 99%

A Text-Mining Analysis to Examine Dominant Sources of Online Information and Content on Continuous Glucose Monitors

Heitkemper

Wilcox

Zuñiga

et al. 2023

The Science of Diabetes Self-Management and Care

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Purpose The purpose of this study is to use text-mining methods to examine the dominant sources of online information and content about continuous glucose monitors (CGMs). Because the internet is the most popular source for health information, it is important to understand what is being said about CGMs in online sources of information. Methods A text miner, algorithmic-driven statistical program was used to identify the main sources of online information and topics on CGMs. Content was limited to English and was posted from August 1, 2020, to August 4, 2022. Using Brandwatch software, 17 940 messages were identified. After cleaning, there were 10 677 messages in final analyses conducted using SAS Text Miner V.12.1 software. Results The analysis identified 20 topics that formed 7 themes. Results show that most online information comes from news sources and focuses on the general benefits of CGM use. Beneficial aspects ranged from improvements in self-management behaviors, cost, and glucose levels. None of the themes mentioned changes to practice, research, or policies related to CGM. Conclusions To improve diffusion of information and innovations going forward, novel ways of information sharing should be explored, such as diabetes specialist, provider, and researcher engagement in social media and digital storytelling.

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Continuous glucose monitoring in persons with type 2 diabetes not using insulin

Cited by 11 publications

References 47 publications

Experiences of Using Wearable Continuous Glucose Monitors in Adults With Diabetes: A Qualitative Descriptive Study

Experiences of Using Wearable Continuous Glucose Monitors in Adults With Diabetes: A Qualitative Descriptive Study

Use of Continuous Glucose Monitors by People Without Diabetes: An Idea Whose Time Has Come?

A Text-Mining Analysis to Examine Dominant Sources of Online Information and Content on Continuous Glucose Monitors

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