Flash forward: a review of flash glucose monitoring

Flash forward: a review of flash glucose monitoring What's new?The FreeStyle Libre is a novel interstitial flash glucose monitor designed to replace finger‐stick glucose tests, available through the UK National Health Service, subject to local health authority approval, from November 2017.In this narrative review, we summarize the current evidence on the efficacy of the FreeStyle Libre with regard to HbA1c, hypoglycaemia and quality of life from randomized and observational studies.Device accuracy data are presented, both as stand‐alone data and in comparison to existing continuous glucose monitors and blood glucose meters.We discuss advantages, disadvantages and adverse events, and summarize key practice/safety areas aimed at helping clinicians and funders to make informed decisions about the future role of the FreeStyle Libre in diabetes management.IntroductionType 1 diabetes is a demanding lifelong condition. It requires individuals to measure blood glucose multiple times a day, facilitating insulin dose adjustment in the unrelenting endeavour to achieve normoglycaemia and minimize the future risk of micro‐ and macrovascular complications . Despite major progress in the care of people living with Type 1 diabetes, many fail to achieve modern glycaemic targets. A key barrier to achieving near normal glucose levels is this need for frequent finger‐stick blood glucose monitoring, perhaps only second to the risk and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Diabetic Medicine Wiley

Flash forward: a review of flash glucose monitoring

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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
Diabetic Medicine © 2018 Diabetes UK
ISSN
0742-3071
eISSN
1464-5491
D.O.I.
10.1111/dme.13584
Publisher site
See Article on Publisher Site

Abstract

What's new?The FreeStyle Libre is a novel interstitial flash glucose monitor designed to replace finger‐stick glucose tests, available through the UK National Health Service, subject to local health authority approval, from November 2017.In this narrative review, we summarize the current evidence on the efficacy of the FreeStyle Libre with regard to HbA1c, hypoglycaemia and quality of life from randomized and observational studies.Device accuracy data are presented, both as stand‐alone data and in comparison to existing continuous glucose monitors and blood glucose meters.We discuss advantages, disadvantages and adverse events, and summarize key practice/safety areas aimed at helping clinicians and funders to make informed decisions about the future role of the FreeStyle Libre in diabetes management.IntroductionType 1 diabetes is a demanding lifelong condition. It requires individuals to measure blood glucose multiple times a day, facilitating insulin dose adjustment in the unrelenting endeavour to achieve normoglycaemia and minimize the future risk of micro‐ and macrovascular complications . Despite major progress in the care of people living with Type 1 diabetes, many fail to achieve modern glycaemic targets. A key barrier to achieving near normal glucose levels is this need for frequent finger‐stick blood glucose monitoring, perhaps only second to the risk and

Journal

Diabetic MedicineWiley

Published: Jan 1, 2018

References

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