Abstract
Technology in diabetes is rapidly evolving, with the aim of helping affected people to safely optimize their blood glucose control. New technologies are now considered as an essential tool for managing glycemia predominantly in people with type 1 diabetes, and clinical trials have demonstrated that in these subjects the use of continuous subcutaneous insulin infusion (CSII) and continuous glucose monitoring (CGM) systems are associated with improved glycemic control along with a better quality of life. Literature regarding technologies and type 2 diabetes is relatively lacking, but innovations may have an important role also in the management of these patients. Some studies in adults with type 2 diabetes have shown benefits with the use of CGM in terms of glycemic variability and improved therapeutic adjustments. Clinical trials about CSII and CGM use in type 2 diabetes may have some pitfalls and future studies are needed to assess how these advanced systems could improve clinical outcomes and also ensure cost-effectiveness in this population. In this narrative review, we aim to highlight the most relevant studies on this topic and to focus on the potential role of new technological devices in type 2 diabetes management.
Highlights
When appropriate combination of oral antidiabetic agents and lifestyle changes fails to provide adequate glycemic control, people with type 2 diabetes (T2D) may require insulin treatment
New technologies are considered as an essential tool for managing glycemia predominantly in people with type 1 diabetes, and clinical trials have demonstrated that in these subjects the use of continuous subcutaneous insulin infusion (CSII) and continuous glucose monitoring (CGM) systems are associated with improved glycemic control along with a better quality of life
According to the American Diabetes Association (ADA) recommendations, glucose control remains a major issue in the management of patients with T2D, together with a comprehensive cardiovascular risk factor reduction program [33]
Summary
Insulin pump therapy and continuous glucose monitoring in adults with type 2 diabetes: where are we now? Erika Pedone1 , Andrea Laurenzi2 , Agnese Allora1, Andrea Mario Bolla2* , Amelia Caretto2 Cite this article: Pedone E, Laurenzi A, Allora A, Bolla AM, Caretto A. Insulin pump therapy and continuous glucose monitoring in adults with type 2 diabetes: where are we now? Explor Med. 2020;1:314-30. https://doi.org/10.37349/emed.2020.00021
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