Health
A Guide to Continuous Glucose Monitoring – Forbes Health
CGM may provide a complete picture of blood glucose trends over a 24-hour period, but it is not the solution for everyone. “It’s very important for people to know that just because they want CGM doesn’t mean they’re eligible candidates for convenience,” says Dr. Kim. “Depending on your personal health insurance, CGM may not be covered and will usually be more out-of-pocket than standard blood glucose monitoring devices.”
“Another limitation is that the glucose level from the CGM is an interstitial fluid glucose measurement, which can be unreliable due to fluid shifts,” she adds. According to a 2017 analysis published in the Journal of Diabetes Science and Technology, interstitial fluid (ISF) is present in the panniculus adipos and acts as a transport medium between glucose and cells.
With CGM, the ISF blood glucose level does not always match the actual blood glucose level. That’s why it’s important to use CGM as a supplement rather than as a replacement for blood glucose testing at your fingertips. “There can be a delay in glucose levels between (CGM) interstitial results and capillary results (fingersticks),” said Dr. Kim.
Other drawbacks of CGM are:
- CGM does not eliminate the need for traditional fingerstick blood glucose testing. You may need to check your blood glucose twice daily using the fingerstick method to ensure accuracy.
- Depending on the model, most CGM sensors need to be replaced every 3-7 days, which can be expensive.
- The use of acetaminophen in Tylenol can result in erroneously high measurements.
- False low readings can occur when sleeping on the sensor.
- CGM devices require a technical understanding and the ability to interpret CGM readings and data. This can be difficult for non-technical users.
- Some models may require regular maintenance.
“CGM is a great technology to evolve to increase diabetes treatment options, but it’s important for patients to maintain a healthy diet, a healthy physical, mental and social lifestyle, and to continue treatment by their physicians. That’s what Dr. Kim says. “In addition, it takes time to learn how to use CGM and understand how to interpret data in a clinically meaningful way.”
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