Prasad-Reddy Lalita, Godina Alvin, Chetty Ashwin, Isaacs Diana
Chicago Medical School, Rosalind Franklin University of Medicine and Science, Chicago, IL, USA.
Adult Internal Medicine, Rush University Internists, Chicago, IL, USA.
touchREV Endocrinol. 2022 Nov;18(2):116-121. doi: 10.17925/EE.2022.18.2.116. Epub 2022 Nov 30.
Many new technologies have been developed over the past decade, and these have substantially changed the way diabetes is managed. Continuous glucose monitoring is now the standard of care for many people living with diabetes, and among its numerous benefits, it has been shown to improve glycaemic outcomes and enhance quality of life. Older adults carry a high burden of diabetes and have a high risk of hypo-glycaemia and hypo-glycaemic unawareness, and continuous glucose monitoring can help to improve glycaemic management in this vulnerable population. Unfortunately, only a few trials have evaluated the effectiveness of continuous glucose monitoring in older adults. Certainly, the implementation of continuous glucose monitoring in older adults can come with many challenges, including logistical, educational and reimbursement barriers. This article will discuss the benefits of continuous glucose monitoring in older adults with diabetes, the clinical studies that support its use and the barriers to its optimal implementation in this population.
在过去十年中，已经开发出了许多新技术，这些技术极大地改变了糖尿病的管理方式。持续血糖监测现已成为许多糖尿病患者的标准治疗方法，在其众多益处中，它已被证明可改善血糖结果并提高生活质量。老年人糖尿病负担重，发生低血糖和低血糖无意识的风险高，持续血糖监测有助于改善这一弱势群体的血糖管理。不幸的是，只有少数试验评估了持续血糖监测在老年人中的有效性。当然，在老年人中实施持续血糖监测会面临许多挑战，包括后勤、教育和报销方面的障碍。本文将讨论持续血糖监测对老年糖尿病患者的益处、支持其使用的临床研究以及在该人群中最佳实施的障碍。
