New Innovation: Use of Flash Glucose Monitoring for Evaluati
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Application of Flash glucose monitoring (FGM) system to evaluate glycaemic variability (GV), patient satisfaction, and clinical utility in pregnant women with diabetes. This prospective study was conducted in a tertiary care teaching hospital on 70 pregnant women with diabetes where blood sugar levels were monitored by Flash glucose monitoring and self-monitoring of blood glucose (SMBG).

Flash glucose monitoring generated 19,950 readings versus 1470 readings by self-monitoring of blood glucose over 3 days. Glucose values measured by Flash glucose monitoring and self-monitoring of blood glucose had a significant positive correlation. A significant difference was present between minimum glucose values by Flash glucose monitoring and self-monitoring of blood glucose. Flash glucose monitoring (20.9%) was able to pick the exact duration of hypoglycemia, while one-third of this duration was missed by conventional self-monitoring of blood glucose. Hypoglycaemic episodes were observed in 92.9% of women by Flash glucose monitoring as compared to 45.7% by self-monitoring of blood glucose. No significant difference was observed in maximum glucose level or duration of hyperglycemia by both methods. Flash glucose monitoring identified hyperglycemia in 74% of women vs. 52% by self-monitoring of blood glucose. Glycaemic variability calculated by using MODD by Flash glucose monitoring was 118.4 ± 52.4 mg/dl and by self-monitoring of blood glucose was 83.2 ± 53.2 mg/dl. 100% of women preferred AGP vs. self-monitoring of blood glucose.

This is the first study to evaluate Glycaemic variability and patient satisfaction in women with GDM. A significant correlation was observed in glucose values by Flash glucose monitoring and self-monitoring of blood glucose. Flash glucose monitoring was more sensitive in detecting Glycaemic variability and hypoglycaemic excursions as compared to self-monitoring of blood glucose. All women preferred Flash glucose monitoring over self-monitoring of blood glucose. The use of Flash glucose monitoring gave new insights into the clinical management of challenging cases.

Source:https://link.springer.com/article/10.1007/s13224-020-01391-9

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