Impact of flash glucose monitoring on glycemic control in type 1 diabetic patients
10.3760/cma.j.issn.1000-6699.2019.05.006
- VernacularTitle:扫描式葡萄糖监测系统对1型糖尿病患者血糖控制的影响
- Author:
Yun SHI
1
;
Ming SHEN
;
Xiangting XU
;
Jingjing XU
;
Mei ZHANG
;
Tao YANG
Author Information
1. 南京医科大学第一附属医院内分泌科 210029
- Keywords:
Diabetes mellitus;
type 1;
Flash glucose monitoring;
Glycemic control
- From:
Chinese Journal of Endocrinology and Metabolism
2019;35(5):383-386
- CountryChina
- Language:Chinese
-
Abstract:
Objective The application of flash glucose monitoring ( FGM) in type 1 diabetes could diminish the frequency of hypoglycaemia, however, how FGM improving the glycaemic control target (e.g. HbA1C) is waited to be investigated. Methods Seventy type 1 diabetic patients were recruited from December 2017 to July 2018 in the First Affiliated Hospital of Nanjing Medical University. Their demographic data, use of FGM and HbA1C level were collected. Results We observed that type 1 diabetic patients wearing the FGM showed lower insulin dose [(0.562± 0.059)U/kg vs (0.772±0.049)U/kg, P=0.008)], shorter diabetic duration[2.0(0.8-6.0) vs 6.0(2.5-10), P=0.013], lower HbA1C value [6.8％(6.2％-7.7％) vs 8.0％(6.9％-9.4％), P=0.001]. Nevertheless, after adjusting the potential confounders, the level of HbA1C in patients wearing FGM was significantly lower than those without FGM. Moreover, it was independent of other factors, such as the dose of insulin and the insulin delivery method. Conclusion Type 1 diabetic patients wearing FGM had lower HbA1C value but it needs further follow-up to confirm the improvement of glycaemic control in type 1 diabetes with the use of FGM.
