What Makes Good Glucose Control? – Few hypo and as much time as possible in the target area. Systems that continuously determine the glucose value in the subcutaneous adipose tissue can guarantee this much better than selective blood glucose measurements in type 1 and type 2 diabetes, according to a study in the specialized journal “Diabetes Therapy”.
Only about one third of children and adults with type 1 diabetes achieve long-term blood glucose (HbA1c) levels below 7.0%; not even half of people with type 2 diabetes fall below 7.5%. This is where systems that continuously measure glucose levels multiple times per hour come into play.
A comprehensive evaluation of the results of scientific studies with a total of approximately 28,000 type 1 diabetics and 2,400 type 2 diabetics shows that the use of a continuous blood glucose system was associated with significantly long-term blood sugar values. best: Within three to four months it fell in both types of diabetes by an average of 8.2 to 7.7 percent. People with a previously higher long-term blood sugar value especially benefited from the continuous measurement.
The effects lasted for up to 12 months in type 2 diabetes, probably longer, but there was not enough data on this. For type 1 diabetes, there have been some long-term studies that have shown positive effects for up to 24 months.
The researchers see the findings as proof that people with type 2 diabetes, who until now have had to pay for this type of measurement in most countries, also benefit from these systems. “Our analysis shows the importance of continuous glucose monitoring to support glycemic control, even in people with insulin-dependent type 2 diabetes. Many of these people face the same risk of complications as people with type 1 diabetes, and they also need to monitor their blood glucose levels. However, they are rarely treated the same when it comes to accessing sensor technology, ”said Prof. Dr. Mark Evans of the University of Cambridge.
What: DOI 10.1007 / s13300-022-01253-9