Abstract
Periodically, a new idea, method, or tool leads to a turning point in the management of diabetes. We believe such a moment is now upon us, brought by development of reliable devices for continuous glucose monitoring (CGM). Obtaining profiles of glucose levels continuously, day and night, is likely to bring new scientific insights and greater ability to individualize treatments for patients with both type 1 diabetes (T1D) and type 2 diabetes (T2D). Notably, such profiles provide the opportunity to develop measures of glycemic control that provide clinically helpful information beyond that provided by an HbA1c value and periodic self-testing of capillary glucose. Several articles in this issue of Diabetes Care summarize recent progress in CGM measurements and their interpretation. The editorial committee of Diabetes Care is proud to present a Scientific Statement developed jointly by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes titled “Improving the Clinical Value and Utility of CGM Systems: Issues and Recommendations” (1). This statement reviews clinical evidence regarding use of CGM and describes the properties and limitations of available CGM systems. It also addresses some practical issues regarding instruction of potential users of these devices and concerns about safety. In addition, we present two other Consensus Reports. In one, experts representing various groups with a strong interest in T1D define measures of glycemic control other than HbA1c, including categories of hypoglycemia and proportions of time in glucose target ranges during CGM, and also consider how best to use patient-reported outcomes in T1D (2). A strong consensus reached by these groups provides an important step forward from previously differing approaches to these issues. In the other, an international group of experts reviews current evidence on how best to use CGM information for improving patient care and research, …
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