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Nonstop May Be the Way to Go


Jan 1, 2002

Study Shows Continuous Glucose Monitoring Improves Detection of High Blood Glucose

Another study is suggesting that continuous glucose monitoring could be a superior testing method for determining optimal control.

According to a study that appeared in the November 2001 issue of Diabetes Care, researchers at Yale University School of Medicine in New Haven, Connecticut, tested a total of 56 children with type 1 diabetes, aged 2 to 18 years, using the MiniMed Continuous Glucose Monitoring System. The children wore the MiniMed monitor for three days. Patients entered the results of four finger-stick blood samples into the monitor for calibration and kept records of food intake, exercise and hypoglycemic symptoms. Data was then downloaded, and blood-glucose patterns were identified.

The researchers say that despite satisfactory A1c levels (average 7.7%) and pre-meal glucose levels near the target range, the MiniMed monitor revealed profound after-meal high blood glucose. Almost 90 percent of the peak glucose levels after every meal were greater than 180 mg/dl, and almost 50 percent were greater than 300 mg/dl.

Additionally, the MiniMed monitor revealed frequent and prolonged low blood glucose in almost 70 percent of the children.

The researchers conclude that, despite satisfactory A1c levels and target after-meal glucose levels, children often experience night-time low blood glucose and after-meal high blood glucose levels that are not evident with routine monitoring. They suggest that repeated use of the MiniMed monitor may provide a means to optimize basal and bolus insulin replacement in people with type 1 diabetes.


Categories: A1c Test, Blood Glucose, CGMs, Diabetes, Diabetes, Food, Insulin, Kids & Teens, Type 1 Issues, Type 1 Issues



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