Use of Continuous Glucose Monitoring in Older Adults: A Review of Benefits, Challenges and Future Directions.

Lalita Prasad-Reddy, Alvin Godina, Ashwin Chetty, Diana Isaacs
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引用次数: 1

Abstract

Many new technologies have been developed over the past decade, and these have substantially changed the way diabetes is managed. Continuous glucose monitoring is now the standard of care for many people living with diabetes, and among its numerous benefits, it has been shown to improve glycaemic outcomes and enhance quality of life. Older adults carry a high burden of diabetes and have a high risk of hypo-glycaemia and hypo-glycaemic unawareness, and continuous glucose monitoring can help to improve glycaemic management in this vulnerable population. Unfortunately, only a few trials have evaluated the effectiveness of continuous glucose monitoring in older adults. Certainly, the implementation of continuous glucose monitoring in older adults can come with many challenges, including logistical, educational and reimbursement barriers. This article will discuss the benefits of continuous glucose monitoring in older adults with diabetes, the clinical studies that support its use and the barriers to its optimal implementation in this population.

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在老年人中使用连续血糖监测:益处、挑战和未来方向的回顾。
在过去的十年中已经开发了许多新技术,这些技术大大改变了糖尿病的管理方式。持续血糖监测现在是许多糖尿病患者的标准护理,它有许多好处,已被证明可以改善血糖结果和提高生活质量。老年人糖尿病负担高,低血糖和低血糖不自觉的风险高,持续的血糖监测可以帮助改善这一脆弱人群的血糖管理。不幸的是,只有少数试验评估了老年人持续血糖监测的有效性。当然,在老年人中实施持续血糖监测可能会遇到许多挑战,包括后勤、教育和报销障碍。本文将讨论连续血糖监测对老年糖尿病患者的益处,支持其使用的临床研究以及在该人群中最佳实施的障碍。
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