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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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Jan 1, 2002
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Diabetes Health
Diabetes Health is the essential resource for people living with diabetes- both newly diagnosed and experienced as well as the professionals who care for them. We provide balanced expert news and information on living healthfully with diabetes. Each issue includes cutting-edge editorial coverage of new products, research, treatment options, and meaningful lifestyle issues.
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Topics
- Diabetic / Diabetes Health
- Type 1 / 1.5 Diabetes
- Type 2 Diabetes
- Blood Glucose / Sugar
- High/Low Blood Sugar / Fast Acting Glucose
- Insulin- Pumps, Pens & Syringes
- Continuous Glucose Monitors, CGM, Infusion Sets
- Type 2 Medications
- Hyperglycemia
- Hypoglycemia
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