Reasons for P-CGM Use in Primary Care
• Mitigation of hypoglycemia unawareness |
• Mitigation of nocturnal hypoglycemia unawareness |
• Provision of insight into nocturnal blood glucose patterns |
• Initiation of basal insulin (when necessary) |
• Understanding of when to initiate mealtime (prandial) insulin |
• Aid in adjusting the insulin-to-carbohydrate ratio for people with insulin-dependent diabetes |
• Understanding of how food affects blood glucose (i.e., how meals with various macronutrient ratios affect blood glucose profiles over the course of 24 hours) |
• Understand of how high-fat foods increase blood glucose over the course of 4–24 hours after ingestion |
• Increased patient accountability, which in turn improves patient self-care behaviors |
• Evaluation of the magnitude of the dawn phenomenon (i.e., early morning increase in blood glucose) and how it changes over time with lifestyle intervention |
• Reduction of medication and insulin use as patient’s insulin resistance or sensitivity changes |