Improved Effectiveness of Immediate Continuous Glucose Monitoring in Hypoglycemia-Prone People with Type 1 Diabetes Compared with Hypoglycemia-Focused Psychoeducation Following a Previous Structured Education: A Randomized Controlled Trial

An updated algorithm for an effective choice of continuous glucose monitoring for people with insulin-treated diabetes

“…Clinical benefits in terms of improved glucose control have been reported for youth and middle aged adults with poor diabetes control (HbA 1c ranging between 7.5%–11.0%) using rtCGM, and middle aged adults with HbA 1c closer to optimal range (6.8–8.7%) using isCGM (Table 2 ). Specifically, rtCGM with predictive alerts and alarms was associated with a reduction of a number of hypoglycemic events [ 14 ], including severe hypoglycemia [ 15 , 16 ], decrease in TBR [ 15 – 19 ], and an improvement in hypoglycemia awareness [ 15 , 16 , 20 ] in middle aged adults with type 1 diabetes prone to hypoglycemia or impaired awareness of hypoglycemia, and HbA 1c ranging between 7.5% and 8.2% (Table 2 ). Since hypoglycemia is the limiting factor of diabetes therapy and a major concerns for people with diabetes and their families, reducing both level 1 and level 2 hypoglycemia is critical to improve glucose daily oscillations, quality of life and diabetes distress and prevent serious hypoglycemic episodes occurring with loss of consciousness or seizures, respectively.…”

Effect of diabetes technologies on the fear of hypoglycaemia among people living with type 1 diabetes: a systematic review and meta-analysis

“… 81 Training or education-based interventions such as the Blood Glucose Awareness Training have also been shown to decrease FOH in adults. 82 Current evidence on the benefit of training interventions alone vs technology use is limited, 83 however, the inclusion of these interventions alongside diabetes technologies may provide further benefits and provide PWT1D additional tools to significantly decrease FOH and improve T1D management.…”