A Position Statement of the Utilization and Support Status of Continuous Glucose Monitoring in Korea
10.4093/jkd.2021.22.4.225
- Author:
Won Jun KIM
1
;
Jae Hyun KIM
;
Hye Jin YOO
;
Jang Won SON
;
Ah Reum KHANG
;
Su Kyoung KWON
;
Ji Hye KIM
;
Tae Ho KIM
;
Ohk Hyun RYU
;
Kyeong Hye PARK
;
Sun Ok SONG
;
Kang-Woo LEE
;
Woo Je LEE
;
Jung Hwa JUNG
;
Ho-Chan CHO
;
Min Jeong GU
;
Jeongrim LEE
;
Dal Lae JU
;
Yeon Hee LEE
;
Eun Kyung KIM
;
Young Sil EOM
;
Sung Hoon YU
;
Chong Hwa KIM
;
Author Information
1. Department of Endocrinology and Metabolism, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea
- Publication Type:Position Statement
- From:Journal of Korean Diabetes
2021;22(4):225-237
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The accuracy and convenience of continuous glucose monitoring (CGM), which efficiently evaluates glycemic variability and hypoglycemia, are improving. There are two types of CGM: professional CGM and personal CGM. Personal CGM is subdivided into real-time CGM (rt-CGM) and intermittently scanned CGM (isCGM). CGM is being emphasized in both domestic and foreign diabetes management guidelines. Regardless of age or type of diabetes, CGM is useful for diabetic patients undergoing multiple insulin injection therapy or using an insulin pump. rt-CGM is recommended for all adults with type 1 diabetes (T1D), and can also be used in type 2 diabetes (T2D) treatments using multiple insulin injections. In some cases, short-term or intermittent use of CGM may be helpful for patients with T2D who use insulin therapy other than multiple insulin injections and/or oral hypoglycemic agents. CGM can help to achieve A1C targets in diabetes patients during pregnancy. CGM is a safe and cost-effective alternative to self-monitoring blood glucose in T1D and some T2D patients. CGM used in diabetes management works optimally with proper education, training, and follow up. To achieve the activation of CGM and its associated benefits, it is necessary to secure sufficient repetitive training and time for data analysis, management, and education. Various supports such as compensation, insurance coverage expansion, and reimbursement are required to increase the effectiveness of CGM while considering the scale of benefit recipients, policy priorities, and financial requirements.
