Dexcom Sts Continuous Glucose Monitoring System Under Skin

Continuous Glucose Monitoring: A Review Of Successes, Challenges, And Opportunities

Continuous Glucose Monitoring: A Review of Successes, Challenges, and Opportunities Biomedical Informatics Consultants LLC, Potomac, Maryland. Address correspondence to:, David Rodbard, MD, Biomedical Informatics Consultants LLC, 10113 Bentcross Dr.ive, Potomac, MD 20854, E-mail:Email: [email protected] This article has been cited by other articles in PMC. Continuous glucose monitoring (CGM) provides information unattainable by intermittent capillary blood glucose, including instantaneous real-time display of glucose level and rate of change of glucose, alerts and alarms for actual or impending hypo- and hyperglycemia, 24/7 coverage, and the ability to characterize glycemic variability. Progressively more accurate and precise, reasonably unobtrusive, small, comfortable, user-friendly devices connect to the Internet to share information and are sine qua non for a closed-loop artificial pancreas. CGM can inform, educate, motivate, and alert people with diabetes. CGM is medically indicated for patients with frequent, severe, or nocturnal hypoglycemia, especially in the presence of hypoglycemia unawareness. Surprisingly, despite tremendous advances, utilization of CGM has remained fairly limited to date. Barriers to use have included the following: (1) lack of Food and Drug Administration approval, to date, for insulin dosing (nonadjuvant use) in the United States and for use in hospital and intensive care unit settings; (2) cost and variable reimbursement; (3) need for recalibrations; (4) periodic replacement of sensors; (5) day-to-day variability in glycemic patterns, which can limit the predictability of findings based on retrospective, masked professional use; (6) time, implicit costs, and inconvenience for uploading of data for retrospective analysis; (7) lack of f Continue reading >>

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Comparison Of Two Continuous Glucose Monitoring Systems, Dexcom G4 Platinum And Medtronic Paradigm Veo Enlite System, At Rest And During Exercise.

Comparison of Two Continuous Glucose Monitoring Systems, Dexcom G4 Platinum and Medtronic Paradigm Veo Enlite System, at Rest and During Exercise. Taleb N, et al. Diabetes Technol Ther. 2016. 1 Institut de Recherches Cliniques de Montral , Montral, Canada . 2 Division of Sciences Biomdicales, Faculty of Medicine, Universit de Montral , Montral, Canada . 3 Division of Experimental Medicine, Department of Medicine, McGill University , Montral, Canada . 4 Montreal Children's Hospital, McGill University Health Centre , Montral, Canada . 5 Centre de Recherche du Centre Hospitalier de l'universit de Montral (CRCHUM) , Montral, Canada . 6 Montreal Diabetes Research Center , Montral, Canada . 7 Nutrition Department, Faculty of Medicine, Universit de Montral , Montral, Canada . 8 Department of Biomedical Engineering, Faculty of Medicine, McGill University, Montral, Canada . 9 Division of Endocrinology, Faculty of Medicine, McGill University, Montral, Canada . Diabetes Technol Ther. 2016 Sep;18(9):561-7. doi: 10.1089/dia.2015.0394. Epub 2016 Jun 29. BACKGROUND: Despite technological advances, the accuracy of continuous glucose monitoring (CGM) systems may not always be satisfactory with rapidly changing glucose levels, as is notable during exercise. We compare the performance of two current and widely used CGM systems, Dexcom G4 Platinum (Dexcom) and Medtronic Paradigm Veo Enlite system (Enlite), during both rest and exercise in adults with type 1 diabetes (T1D). RESEARCH DESIGN AND METHODS: Paired sensor and plasma glucose (PG) values (total of 431 data pairs for Dexcom and 425 for Enlite) were collected from 17 adults (37.3 13.6 years) with T1D. To evaluate and compare the accuracy of sensor readings, criteria involving sensor bias (sensor minus PG levels), absolute relative d Continue reading >>

• Exercise and Glucose Metabolism in Persons with Diabetes Mellitus: Perspectives on the Role for Continuous Glucose Monitoring
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