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J Diabetes Sci Technol. 2019 May 12:1932296819841911. doi: 10.1177/1932296819841911. [Epub ahead of print]

Clinical Approach to Flash Glucose Monitoring: An Expert Recommendation.

Author information

1
1 Endocrinology Department, Hospital Santa Creu i Sant Pau, CIBER-BBN, Universitat Autònoma de Barcelona, Barcelona, Spain.
2
2 Endocrinology Department, Hospital Germans Trias i Pujol, Badalona, Spain.
3
3 Endocrinology Department, Hospital Clínico Universitario, Valencia, Spain.
4
4 Endocrinology Department, Hospital Universitario Central de Asturias, Oviedo, Spain.
5
5 Division of Pediatric Endocrinology, Diabetes Unit, Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain.
6
6 Endocrinology Department, Clínica Universitaria de Navarra, Pamplona, Spain.
7
7 Endocrinology Department, Hospital Universitario Virgen de la Victoria, Málaga, Spain.
8
8 Endocrinology Department, Hospital General de Segovia, Segovia, Spain.
9
9 Endocrinology Department, Hospital Universitario La Paz, Madrid, Spain.
10
10 Endocrinology Department, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, Spain.
11
11 Endocrinology Department, Hospital Universitario Torrecárdenas, Almería, Spain.
12
12 Endocrinology Department, Hospital Universitario Virgen de la Macarena, Sevilla, Spain.
13
13 Endocrinology Department, Hospital Universitario Doctor Negrín, Las Palmas, Spain.
14
14 Endocrinologist, Hospital Universitario Reina Sofía, Córdoba, Spain.
15
15 Endocrinology Department, Hospital de Mérida, Mérida, Badajoz, Spain.
16
16 Endocrinology Department, Complexo Hospitalario Universitario de Ourense, Orense, Spain.

Abstract

The flash glucose monitoring (FGM) system FreeStyle Libre® is a device that measures interstitial glucose in a very simple way and indicates direction and speed of glucose change. This allows persons with diabetes to prevent hypoglycemic and hyperglycemic events. Scientific evidence indicates that the system can improve glycemic control and quality of life. To obtain the maximum benefit, it is necessary to properly handle glucose values and trends. Due to the generalization of the system use, the purpose of the document is to provide recommendations for the optimal use of the device, not only in the management of glucose values and trends but also in the prevention of hypoglycemia, actuation in exercise, special situations, and retrospective analysis of the glucose data, among others.

KEYWORDS:

ambulatory glucose profile; flash glucose monitoring; interstitial glucose; type 1 diabetes; type 2 diabetes

PMID:
31081362
DOI:
10.1177/1932296819841911

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