Use of Continuous Glucose Monitoring in Patients Following Bariatric Surgery: A Scoping Review

Obes Surg. 2023 Aug;33(8):2573-2582. doi: 10.1007/s11695-023-06704-1. Epub 2023 Jul 6.

Abstract

The objective of this scoping review was to summarize the emerging literature on the use of continuous glucose monitoring (CGM) in post-bariatric surgery patients, with a focus on its features (e.g., device, mode, and accuracy), as well as purposes and outcomes of utilization. Three databases (PubMed, EMBASE, and Web of Science) were searched to obtain relevant studies. Results suggested that most studies used CGM for 3-7 days under blinded mode. Accuracy data were available in only one study, which reported a mean absolute relative difference of 21.7% for Freestyle Libre. The primary applications of CGM were for elucidating glucose patterns and assessing glycemic treatment outcomes. No study has tested the effect of CGM as an intervention strategy to enhance glucose control.

Keywords: Bariatric surgery; Continuous glucose monitoring; Gastric bypass; Glucose control; Sleeve gastrectomy.

Publication types

  • Review

MeSH terms

  • Bariatric Surgery*
  • Blood Glucose
  • Blood Glucose Self-Monitoring / methods
  • Gastric Bypass* / methods
  • Humans
  • Obesity, Morbid* / surgery

Substances

  • Blood Glucose