What makes good glucose control? – Little hypo and as much time in the target area. Systems that continuously determine glucose levels in subcutaneous adipose tissue can do this much better than selective blood sugar measurements in both type 1 and type 2 diabetes, according to a study in the journal Diabetes Therapy.
Only about a third of children and adults with type 1 diabetes have long-term blood glucose (HbA1c) levels below 7.0 percent; not even half of people with type 2 diabetes get below 7.5 percent. This is where systems come into play that continuously measure glucose levels several times an hour.
A comprehensive evaluation of the results of scientific studies with a total of around 28,000 type 1 diabetics and 2,400 type 2 diabetics shows that the use of a continuous glucose measurement system was associated with significantly better long-term blood sugar levels: decreased in both types within three to four months diabetes averaged 8.2 to 7.7 percent. People with previously long-term higher blood sugar levels benefited from continuous measurements.
The effects lasted up to 12 months in type 2 diabetes – probably longer, but there were insufficient data. Some longer-term studies in type 1 diabetes have shown positive effects for up to 24 months.
The results are seen by researchers as evidence that people with type 2 diabetes also benefit from these systems, who have hitherto had to pay for this type of measurement themselves in most countries. “Our analysis shows the importance of continuous glucose monitoring to support glycemic control, even in people with type 2 diabetes-dependent diabetes. Many of these people face the same risk of complications as people with type 1 diabetes and also need to monitor their blood glucose levels. However, they are seldom treated the same when it comes to access to sensor technology, “said Prof. Dr. Mark Evans of the University of Cambridge.
What: DOI 10.1007 / s13300-022-01253-9