Effectiveness of continuous glucose monitoring in maintaining glycaemic control among people with type 1 diabetes mellitus: a systematic review of randomised controlled trials and meta-analysis

Autor: Wilson Tam, Norasyikin Hassan, Serena Siew Lin Koh, Evelyn Hui Min Teo
Rok vydání: 2022
Předmět:
Zdroj: Diabetologia. 65:604-619
ISSN: 1432-0428
0012-186X
DOI: 10.1007/s00125-021-05648-4
Popis: The aim of this work was to assess the effectiveness of continuous glucose monitoring (CGM) vs self-monitoring of blood glucose (SMBG) in maintaining glycaemic control among people with type 1 diabetes mellitus.Cochrane Library, PubMed, Embase, CINAHL, Scopus, trial registries and grey literature were searched from 9 June 2011 until 22 December 2020 for RCTs comparing CGM intervention against SMBG control among the non-pregnant individuals with type 1 diabetes mellitus of all ages and both sexes on multiple daily injections or continuous subcutaneous insulin infusion with HbATwenty-two studies, involving 2188 individuals with type 1 diabetes, were identified. Most studies had low risk of bias. Meta-analysis of 21 studies involving 2149 individuals revealed that CGM significantly decreased HbACGM is superior to SMBG in improving glycaemic control among individuals with type 1 diabetes in the community, especially in those with uncontrolled glycaemia. Individuals with type 1 diabetes with HbARegistration no. CRD42020207042.This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.
Databáze: OpenAIRE
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