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Nontraditional Uses of Continuous Glucose Monitoring

Published:September 09, 2022DOI:https://doi.org/10.1016/j.nurpra.2022.06.013

      Highlights

      • Continuous glucose monitoring (CGM) can help identify and manage dysglycemia.
      • Patients who do not meet traditional criteria for CGM use may benefit.
      • Real-time glucose data can motivate lifestyle and dietary changes in some users.
      • CGM is a useful tool in the primary care setting for the assessment and treatment of patients with prediabetes and those with dysglycemia but no known diabetes.

      Abstract

      For patients with diabetes, continuous glucose monitoring (CGM) data viewed in real time alert users to existing or impending abnormal glucose values and guide insulin delivery. Data reviewed retrospectively can guide therapy adjustments. In populations without overt diabetes, CGM data may provide insights into glucose fluctuations resulting from diet and lifestyle. We present 5 cases of nontraditional CGM use at a primary care clinic. Patients wore unblinded CGMs to monitor glucose in real time and reviewed their data with a nurse practitioner. We discuss the potential impact of CGM in nontraditional groups as a clinical assessment and patient feedback tool.

      Keywords

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      Biography

      Paul Kapsar, MSN, FNP-BC, SilverArc APN, Las Vegas, NV, and can be contacted at [email protected] .

      Biography

      Christy Chao, PhD, Dexcom, Inc., San Diego, CA.

      Biography

      Tomas Walker, DNP, CDCES, Dexcom, Inc., San Diego, CA.