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Should continuous glucose monitors be used routinely in pediatric patients?(Point/Counterpoint)
Detecting trends can improve therapy.
Routine monitoring of blood sugar is not enough to keep diabetes patients within the target range. Even when patients use as many as nine finger sticks a day, less than 30% of their glucose tests show levels between 90 mg/dL and 130 mg/dL. Almost a third of tests come in above 180 mg/dL. Most of these patients are hypoglycemic about 2 hours a day.
And that's not the whole story. What our patients see when they test their blood sugar is a series of snapshots in time.
Continuous glucose monitoring systems can reveal the full range of their glucose excursions. By detecting trends and tracking patterns, these devices provide powerful diagnostic information.
Consider what continuous glucose monitoring told us about a group of well-controlled adolescents with type 1 diabetes in a study at our center. These teenagers had a mean hemoglobin [A.sub.1c] of 7.5%. They were at the goal indicated by American Diabetes Association.
Yet only 10% had peak postprandial blood sugars under 180…
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Source: HighBeam Research, Should continuous glucose monitors be used routinely in pediatric...
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